Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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October 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Price Transparency: What Hospitals Need to Know – Part 2
Webinar recording presents part two of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on July 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Webinar recording presents part two of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on July 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Observed Factors Influencing REH Conversion Decisions: Insights from the Rural Emergency Hospital Technical Assistance Center's Financial Modeling Process
Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Sponsoring organization: Rural Health Redesign Center
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Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Sponsoring organization: Rural Health Redesign Center
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Rural Health Policy: The Long and Winding Road
Presentation slides that offer highlights of rural health policy milestones, such as changes in the Veterans Health Administration (VHA), value-based care, accountable care organizations, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Presentation slides that offer highlights of rural health policy milestones, such as changes in the Veterans Health Administration (VHA), value-based care, accountable care organizations, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Telehealth: Supplement or Supplant?
Presentation slides that cover highlights regarding value-based care and payment, telehealth use during the COVID-19 public health emergency, optimal use of telehealth as well as potential issues, related policy, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Presentation slides that cover highlights regarding value-based care and payment, telehealth use during the COVID-19 public health emergency, optimal use of telehealth as well as potential issues, related policy, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Separate Payment for Essential Medicines – New Biweekly Interim Payments for the Inpatient Prospective Payment System
Provides an overview of payment adjustments to small, independent hospitals for establishing and maintaining access to buffer stocks of essential medicines for cost report periods beginning on or after October 1, 2024.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of payment adjustments to small, independent hospitals for establishing and maintaining access to buffer stocks of essential medicines for cost report periods beginning on or after October 1, 2024.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Dashboard: Arkansas Primary Care Physician Workforce
Dashboard providing data on primary care physicians (PCPs) in Arkansas, utilizing 2019-2021 Arkansas State Medical Board and Arkansas Healthcare Initiative All-Payer Claims Database (APCD) data. Provides county-by-county data on PCP distribution, demographics, and payer mix.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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Dashboard providing data on primary care physicians (PCPs) in Arkansas, utilizing 2019-2021 Arkansas State Medical Board and Arkansas Healthcare Initiative All-Payer Claims Database (APCD) data. Provides county-by-county data on PCP distribution, demographics, and payer mix.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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Dashboard: Acute Behavioral Health Events Along the Birthing Journey in Arkansas
Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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As Pandemic-Era Policies End, Medicaid Programs Focus on Enrollee Access and Reducing Health Disparities Amid Future Uncertainties: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2024 and 2025
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to state workforce shortages, systems issues, emerging state budget pressures, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 10/2024
Sponsoring organization: KFF
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Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to state workforce shortages, systems issues, emerging state budget pressures, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 10/2024
Sponsoring organization: KFF
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