Rural Health
Resources by Topic: Reimbursement and payment models
Pennsylvania Rural Health Model
Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets. Concluded December 31, 2024.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets. Concluded December 31, 2024.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Emergency Triage, Treat, and Transport (ET3) Model
Provides information on a CMS model that permitted ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth were eligible to participate. Concluded December 31, 2023.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information on a CMS model that permitted ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth were eligible to participate. Concluded December 31, 2023.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Telehealth and Palliative Care
Offers resources on delivering palliative care through telehealth services. Covers how to select the technology platform, prepare patients and families, conduct a telehealth visit, and document and bill for services. Includes a Telehealth Start-Up Guide that outlines key components of telehealth service delivery in a home-based palliative care program
Sponsoring organization: Center to Advance Palliative Care
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Offers resources on delivering palliative care through telehealth services. Covers how to select the technology platform, prepare patients and families, conduct a telehealth visit, and document and bill for services. Includes a Telehealth Start-Up Guide that outlines key components of telehealth service delivery in a home-based palliative care program
Sponsoring organization: Center to Advance Palliative Care
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Medicare Promoting Interoperability Program: CY 2025 Hardship Exception Policy Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Eligible Clinician eCQMs
Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS), MIPS Value Pathways (MVP), and Alternative Payment Model (APM) Performance Pathway (APP) programs.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS), MIPS Value Pathways (MVP), and Alternative Payment Model (APM) Performance Pathway (APP) programs.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Small Rural Hospital Improvement Grant Program (SHIP)
Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
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Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
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Home Health Prospective Payment System Regulations and Notices
Lists federal regulations and notices related to the Home Health Prospective Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Lists federal regulations and notices related to the Home Health Prospective Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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List of Skilled Nursing Facility (SNF) Federal Regulations
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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End-Stage Renal Disease (ESRD) Payment Regulations and Notices
Lists federal regulations and notices related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Lists federal regulations and notices related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Physician Fee Schedule (PFS) Federal Regulation Notices
Lists federal regulations and notices related to the Medicare Physician Fee Schedule (PFS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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Lists federal regulations and notices related to the Medicare Physician Fee Schedule (PFS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
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