Rural Health
Resources by Topic: Reimbursement and payment models
Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the feasibility of using population-based measures to estimate the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2019 to the second half of 2021 by the level of telehealth utilization in Hospital Service Areas (HSAs). Includes rural references throughout.
Author(s): Morteza Saharkhiz, Tanvi Rao, Sara Parker Lue, et al.
Date: 06/2023
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Explores the feasibility of using population-based measures to estimate the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2019 to the second half of 2021 by the level of telehealth utilization in Hospital Service Areas (HSAs). Includes rural references throughout.
Author(s): Morteza Saharkhiz, Tanvi Rao, Sara Parker Lue, et al.
Date: 06/2023
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Improving Financial Access to Maternal and Infant Care in Rural Areas
A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2023
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2023
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health Panel Comment Letter - Hospital Inpatient Prospective Payment System for Acute Care Hospitals Proposed Rule
Comments offered in response to a May 1, 2023, proposed rule revising the Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital PPS for fiscal year 2024. Discusses methodologies used to calculate the Medicare Disproportionate Share Hospital (DSH) and uncompensated care payments; two potential geriatric care quality measures; and the identification of, and challenges facing, safety net hospitals.
Date: 06/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a May 1, 2023, proposed rule revising the Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital PPS for fiscal year 2024. Discusses methodologies used to calculate the Medicare Disproportionate Share Hospital (DSH) and uncompensated care payments; two potential geriatric care quality measures; and the identification of, and challenges facing, safety net hospitals.
Date: 06/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Benefits and Challenges of Converting to a Rural Emergency Hospital
Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Sponsoring organization: American Hospital Association
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Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Sponsoring organization: American Hospital Association
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QPP 2021: Participation Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2021 performance year. Highlights mean and median final scores in the Merit-based Incentive Payment System (MIPS) for small and rural practices and compares results to those in 2020.
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the results of the Quality Payment Program (QPP) for the 2021 performance year. Highlights mean and median final scores in the Merit-based Incentive Payment System (MIPS) for small and rural practices and compares results to those in 2020.
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Colorectal Cancer Screening in Rural and Urban Primary Care Practices Amid Implementation of the Medicare Access and CHIP Reauthorization Act
Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
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Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
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Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs
Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Sponsoring organization: Senate Committee on Finance
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Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Sponsoring organization: Senate Committee on Finance
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS for FY 2024
Comments on a May 1, 2023, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Offers comments on future hospital safety-net policies, including a potential safety-net adjustment for Medicare inpatient hospital payments; recent case law on rural reclassification and estimated implications; and supplemental uncompensated care payments to Puerto Rico.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 1, 2023, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Offers comments on future hospital safety-net policies, including a potential safety-net adjustment for Medicare inpatient hospital payments; recent case law on rural reclassification and estimated implications; and supplemental uncompensated care payments to Puerto Rico.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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