Rural Health
Resources by Topic: Reimbursement and payment models
Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2023
Comment on a July 29, 2022, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the coverage of certain telehealth services after the COVID-19 public health emergency, as well as rebasing and revising the Medicare Economic Index (MEI).
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 29, 2022, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the coverage of certain telehealth services after the COVID-19 public health emergency, as well as rebasing and revising the Medicare Economic Index (MEI).
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Telehealth Reimbursement Guide for California, 2022 Edition
Provides an overview of telehealth and explains telehealth reimbursement criteria for Medicare, Medi-Cal, and other insurance programs in California. Includes specific information for Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 09/2022
Sponsoring organization: California Telehealth Resource Center
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Provides an overview of telehealth and explains telehealth reimbursement criteria for Medicare, Medi-Cal, and other insurance programs in California. Includes specific information for Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 09/2022
Sponsoring organization: California Telehealth Resource Center
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Experience in the Pennsylvania Rural Health Model: Barnes-Kasson County Hospital
Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Sponsoring organization: Rural Health Value
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Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Sponsoring organization: Rural Health Value
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS Update for CY 2023
Comments on a June 28, 2022, 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 the rural adjustment.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 28, 2022, 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 the rural adjustment.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 08/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 08/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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