Rural Health
Resources by Topic: Reimbursement and payment models
Rural Health Clinics: Focusing on the Patient
Brief overview of the history of Rural Health Clinics (RHCs), from their origins in the Rural Health Clinic Services Act of 1977, and into the present, as they continue to provide an array of vital services to rural communities.
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Brief overview of the history of Rural Health Clinics (RHCs), from their origins in the Rural Health Clinic Services Act of 1977, and into the present, as they continue to provide an array of vital services to rural communities.
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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A Career of Influencing Rural Healthcare Delivery: Bill Finerfrock and the NARHC Origin Story
Reviews the founding of the National Association of Rural Health Clinics (NARHC), with insights from long-time NARHC executive director Bill Finerfrock about collaborative work with other rural health organizations to support the Rural Health Clinic program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Reviews the founding of the National Association of Rural Health Clinics (NARHC), with insights from long-time NARHC executive director Bill Finerfrock about collaborative work with other rural health organizations to support the Rural Health Clinic program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Rural Health Clinic Program at 45 Years: Created for Access and Still Delivering Care
Features rural health policy experts, researchers, and clinicians discussing the impact of the Rural Health Clinic (RHC) program on outpatient healthcare delivery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Features rural health policy experts, researchers, and clinicians discussing the impact of the Rural Health Clinic (RHC) program on outpatient healthcare delivery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Factors Predicting Swing Bed Versus Skilled Nursing Facility Use
Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, T.J. Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, T.J. Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Lawrence, Kansas, September 14-16, 2022
Summarizes the 90th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Lawrence, Kansas. Presents an overview of national and state perspectives on Programs of All-Inclusive Care for the Elderly (PACE).
Date: 09/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 90th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Lawrence, Kansas. Presents an overview of national and state perspectives on Programs of All-Inclusive Care for the Elderly (PACE).
Date: 09/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Configuration and Delivery of Primary Care in Rural and Urban Settings
Compares structure, capabilities, and payment reform participation of isolated, small town, micropolitan, and metropolitan physician practices. Features statistics on characteristics of physician practices, Medicare beneficiaries, and beneficiary utilization in 2017, with breakdowns by rurality.
Author(s): Taressa K. Fraze, Valerie A. Lewis, Andrew Wood, Helen Newton, Carrie H. Colla
Citation: Journal of General Internal Medicine, 37(12), 3045-3053
Date: 09/2022
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Compares structure, capabilities, and payment reform participation of isolated, small town, micropolitan, and metropolitan physician practices. Features statistics on characteristics of physician practices, Medicare beneficiaries, and beneficiary utilization in 2017, with breakdowns by rurality.
Author(s): Taressa K. Fraze, Valerie A. Lewis, Andrew Wood, Helen Newton, Carrie H. Colla
Citation: Journal of General Internal Medicine, 37(12), 3045-3053
Date: 09/2022
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September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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