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Rural Health
Resources by Topic: Reimbursement and payment models

North Carolina Community Health Center Association - COVID-19 Resources
Provides information and resources for health centers in North Carolina related to COVID-19, including clinical guidance, reimbursement and billing, telehealth, and human resources.
Date: 07/2020
Type: Website
Sponsoring organization: North Carolina Community Health Center Association
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South Carolina Telehealth Alliance - COVID-19: Resources for Patients and Providers in South Carolina
Features links to resources for online screening, laws and regulations, and reimbursement policies, related to telehealth in South Carolina.
Date: 07/2020
Type: Website
Sponsoring organization: South Carolina Telehealth Alliance
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AMA Telehealth Quick Guide
Presents information to aide physicians and practices implementing telemedicine amid the COVID-19 pandemic. Includes an overview of telemedicine policies and payment guidelines. Outlines key considerations regarding vendor selection, workflow, and patient care.
Date: 07/2020
Type: Website
Sponsoring organization: American Medical Association
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MedPAC Comment on CMS's Interim Final Rule on Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
Comments on a May 8, 2020, Federal Register interim final rule addressing flexibilities for providers in response to the COVID-19 public health emergency. Discusses payments for audio-only telehealth services, expanded reporting requirements for nursing homes related to COVID-19, and adjustments to the Medicare Shared Savings Program methodology.
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Out‐of‐Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions
Examines the prevalence and cost of surprise air ambulance bills among privately insured patients. Describes air ambulance rates for commercial payers in relation to Medicare rates. Compares the number of air ambulance claims from urban and rural locations. Offers policy solutions to address surprise and out-of-network bills for these services.
Author(s): Erin C. Fuse Brown, Erin Trish, Bich Ly, Mark Hall, Loren Adler
Citation: Milbank Quarterly
Date: 06/2020
Type: Document
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How Telehealth Policy is Structured in the United States
June 23, 2020 webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zacharia Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Efforts to Expand Medicaid Coverage & Access to Telehealth in Response to COVID-19
Describes how state Medicaid agencies have expanded coverage and access to telehealth during the COVID-19 pandemic. Discusses how state and federal governments have supported the implementation of, and promoted patient access to, telehealth services.
Author(s): Madeline Guth, Elizabeth Hinton
Date: 06/2020
Type: Document
Sponsoring organization: Kaiser Family Foundation
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Making Telehealth Flexibilities Permanent: Legislation or Regulation?
Provides an overview of telehealth flexibilities that were initiated in response to COVID-19, and what legislation or regulatory changes are necessary for the changes to become permanent.
Date: 06/2020
Type: Document
Sponsoring organization: American Hospital Association
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