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Rural Health
Resources by Topic: Reimbursement and payment models

MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Already in Fiscal Crisis, Rural Hospitals Face COVID-19
Summarizes a May 29, 2020, webinar on rural populations' vulnerabilities during the COVID-19 pandemic. Discusses rural hospital closures, rural demographics and healthcare disparities, access to broadband and telehealth services, and the Pennsylvania Rural Health Model. Includes a recording of the webinar.
Author(s): Hoag Levins
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: University of Pennsylvania Leonard Davis Institute of Health Economics
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Changes in Medicaid Telehealth Policies Due to COVID-19
Provides an overview of how states have used Medicaid program flexibilities to promote the use of telehealth services during the COVID-19 pandemic. Catalog lists state-specific telehealth policies on services and specialties eligible for telehealth delivery, eligible providers, telehealth service modalities, originating site and licensure rules, and reimbursement.
Additional links: Catalog
Date: 06/2020
Type: Database
Sponsoring organizations: Mathematica, Medicaid and CHIP Payment and Access Commission
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CMS Innovation Center COVID-19 Flexibilities
Shares flexibilities and adjustments to current and future Center for Medicare and Medicaid Innovation (CMMI) models in response to the COVID-19 public health emergency. Addresses changes related to financial methodologies, quality reporting, and model timelines.
Additional links: CMS Model Flexibilities Table
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Fact Sheet for State and Local Governments: CMS Programs & Payment for Care in Hospital Alternate Care Sites
Provides information for state and local governments developing alternate care sites (ACS) to increase hospital capacity amidst the COVID-19 pandemic on how to seek payments for acute inpatient and outpatient care through CMS. Includes information on 1135 waivers, Medicare hospital enrollment, and flexibilities for healthcare providers delivering patient care during the public health emergency.
Date: 05/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact Sheet: Rural Community Hospital (RCH) Demonstration
Provides an overview of the Rural Community Hospital demonstration program. Describes reimbursement challenges that rural hospitals face and the early results of the program.
Date: 05/2020
Type: Document
Sponsoring organization: American Hospital Association
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COVID-Related Funding Accounting and Cost Reporting Issues
Position paper outlining issues related to accounting and cost report treatment of funding streams from legislation related to COVID-19. Suggests positions providers may consider or discussions they should have with financial advisers.
Date: 05/2020
Type: Document
Sponsoring organization: National Rural Health Association
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COVID-19's Current Impact on Rural Healthcare Delivery: Q&A with Brock Slabach
An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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