Rural Health
Resources by Topic: Reimbursement and payment models
Emergency Department Interventions for Opioid Use Disorder: Overview of the Landscape, Key Components, and Analysis of Five Case Studies
Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for FY 2024
Comments on a July 10, 2023, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments on expanding the Home Health Value-Based Purchasing Model nationwide, wage index adjustments, the Hospice Special Focus Program (SFP), and more.
Date: 08/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 10, 2023, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments on expanding the Home Health Value-Based Purchasing Model nationwide, wage index adjustments, the Hospice Special Focus Program (SFP), and more.
Date: 08/2023
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the End-Stage Renal Disease Payment System Update for FY 2024
Comments on a June 30, 2023, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and recommending the development of a new payment adjustment based on geographic isolation.
Date: 08/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 30, 2023, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and recommending the development of a new payment adjustment based on geographic isolation.
Date: 08/2023
Sponsoring organization: Medicare Payment Advisory Commission
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An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
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Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
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A Consensus Panel Approach to Estimating the Start-Up and Annual Service Costs for Rural Ambulance Agencies
Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Sponsoring organization: Maine Rural Health Research Center
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Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Sponsoring organization: Maine Rural Health Research Center
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RHC Cost Reporting 101 Webinar
Recording of an August 7, 2023, webinar providing an overview of cost reporting for Rural Health Clinics (RHCs). Covers relevant Medicare regulations, differences between provider-based and independent RHC cost reporting, and key cost report drivers. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2023
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 7, 2023, webinar providing an overview of cost reporting for Rural Health Clinics (RHCs). Covers relevant Medicare regulations, differences between provider-based and independent RHC cost reporting, and key cost report drivers. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2023
Sponsoring organization: National Association of Rural Health Clinics
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 Impact on Dental Service Delivery, Financing, Regulation, and Education Systems: An Environmental Scan
Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Sponsoring organization: Oral Health Workforce Research Center
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Describes the immediate and longer-term impacts of the COVID-19 pandemic on dental care delivery, regulation, education, and finance. Mentions rural throughout.
Author(s): Margaret Langelier, Aubri Kottek, Theekshana Fernando, et al.
Date: 07/2023
Sponsoring organization: Oral Health Workforce Research Center
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Rural Emergency Hospital Designation
Webinar recording discussing the Rural Emergency Hospital (REH) designation for Texas hospitals including eligibility, payment, and becoming and REH. Includes information on the definition of rural and the history of the various rural-related hospital designations. Transcript available in the video description.
Date: 07/2023
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Webinar recording discussing the Rural Emergency Hospital (REH) designation for Texas hospitals including eligibility, payment, and becoming and REH. Includes information on the definition of rural and the history of the various rural-related hospital designations. Transcript available in the video description.
Date: 07/2023
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Health Panel Comment Letter – HHS Smoking Cessation Framework 2023
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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