Rural Health
Resources by Topic: Reimbursement and payment models
January 2020 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2020 meeting. Covers Medicaid role in maternity care with a focus on pregnant women with substance use disorder and infants with neonatal abstinence syndrome, integrating care for dually eligible beneficiaries, maternal morbidity among women in Medicaid, and improving participation in the Medicare Savings Programs, among other things.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2020 meeting. Covers Medicaid role in maternity care with a focus on pregnant women with substance use disorder and infants with neonatal abstinence syndrome, integrating care for dually eligible beneficiaries, maternal morbidity among women in Medicaid, and improving participation in the Medicare Savings Programs, among other things.
Date: 01/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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January 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Burnout: Measurement Tool(s), Cause(s) and Impact(s)
Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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Lifehacks for Telemedicine: Top Hacks Handbook
Provides highlights from Telemedicine Hack, a 10-week virtual learning community hosted through teleECHO sessions and discussion panels. Topics include telemedicine implementation, documentation, billing and reimbursement, and clinical best practices. Video recordings of the sessions and other resources are available via links throughout the guide.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides highlights from Telemedicine Hack, a 10-week virtual learning community hosted through teleECHO sessions and discussion panels. Topics include telemedicine implementation, documentation, billing and reimbursement, and clinical best practices. Video recordings of the sessions and other resources are available via links throughout the guide.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Telehealth and Telemedicine in Missouri
Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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Rural-Urban Differences in Hospital Payer Mix in 2017
Fact sheet reporting payer mix, which refers to the percentage of inpatient days paid by Medicare and Medicaid, by hospital location and Critical Access Hospital (CAH) status. Highlights key observations on data drawn from the 2017 American Hospital Association annual survey.
Date: 2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Fact sheet reporting payer mix, which refers to the percentage of inpatient days paid by Medicare and Medicaid, by hospital location and Critical Access Hospital (CAH) status. Highlights key observations on data drawn from the 2017 American Hospital Association annual survey.
Date: 2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Post-Acute Care Virtual Summit
Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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The Future of Rural Value‐Based Health Care and Surge Capacity
Describes the conflict between value-based care and surge capacity investments at rural hospitals, as well as the role of primary care providers can play during disasters. Presents questions for consideration about the future of rural value‐based care, payment, and healthcare networks and community partnerships in light of the COVID-19 pandemic.
Author(s): A. Clinton MacKinney
Date: 2020
Type: Document
Sponsoring organization: Rural Health Value
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Describes the conflict between value-based care and surge capacity investments at rural hospitals, as well as the role of primary care providers can play during disasters. Presents questions for consideration about the future of rural value‐based care, payment, and healthcare networks and community partnerships in light of the COVID-19 pandemic.
Author(s): A. Clinton MacKinney
Date: 2020
Type: Document
Sponsoring organization: Rural Health Value
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