Rural Health
Resources by Topic: Reimbursement and payment models
Re-Imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center "Hackathon" Series
Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Value-Based Care – The Payer Perspective
Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Value
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Value
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Texas Rural Hospital Grant Program Report
Reports on the establishment, functions, and achievements of the Rural Hospital Grant Program in Texas during the 2024 and 2025 state fiscal years. Provides an overview of program funding and awards, and details grant programs supporting hospital stabilization, maternal care, and Alternative Payment Model readiness.
Date: 11/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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Reports on the establishment, functions, and achievements of the Rural Hospital Grant Program in Texas during the 2024 and 2025 state fiscal years. Provides an overview of program funding and awards, and details grant programs supporting hospital stabilization, maternal care, and Alternative Payment Model readiness.
Date: 11/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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Impacts of Telehealth on Rural Health Care Access
Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payors, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payors, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Growing the Rural Physician Workforce: Decades of Federal Funding Impacts Rural Graduate Medical Education
A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Texas Rural Hospital Services Strategic Plan Progress Report, 2024
Reports on the progress, strategies, and milestones of the Texas Rural Hospital Services Strategic Plan. Discusses strategies to support rural hospitals, covering policies and initiatives related to Medicaid reimbursements, hospital revenue opportunities, challenges providing care to patients covered by Medicare and other payers, use of state funds for hospital stabilization, and infrastructure development. Provides a map of rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals in Texas.
Date: 11/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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Reports on the progress, strategies, and milestones of the Texas Rural Hospital Services Strategic Plan. Discusses strategies to support rural hospitals, covering policies and initiatives related to Medicaid reimbursements, hospital revenue opportunities, challenges providing care to patients covered by Medicare and other payers, use of state funds for hospital stabilization, and infrastructure development. Provides a map of rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals in Texas.
Date: 11/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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Preserving Rural Health Care: The Impact of Site-Neutral Payments
Policy brief describing the role off-campus hospital outpatient departments (HOPDs) play in providing essential healthcare services in rural communities. Discusses the potential impacts of site-neutral payment policies on the financial stability of rural Medicare-Dependent Hospital (MDH) and Low-Volume Hospital (LVH) off-campus HOPDs and access to care in rural areas. Offers policy recommendations to address the impacts of site-neutral payments on rural hospitals.
Date: 11/2024
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief describing the role off-campus hospital outpatient departments (HOPDs) play in providing essential healthcare services in rural communities. Discusses the potential impacts of site-neutral payment policies on the financial stability of rural Medicare-Dependent Hospital (MDH) and Low-Volume Hospital (LVH) off-campus HOPDs and access to care in rural areas. Offers policy recommendations to address the impacts of site-neutral payments on rural hospitals.
Date: 11/2024
Type: Document
Sponsoring organization: National Rural Health Association
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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
Type: Document
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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Hospital Price Transparency: What Hospitals Need to Know – Part 2
Webinar recording presents part two of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Additional links: Audio Recording, CMS Hospital Price Transparency – Data Dictionary GitHub Repository, Hospital Price Transparency Tools, Webinar Slides
Date: 10/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording presents part two of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Additional links: Audio Recording, CMS Hospital Price Transparency – Data Dictionary GitHub Repository, Hospital Price Transparency Tools, Webinar Slides
Date: 10/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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