Rural Health
Resources by Topic: Reimbursement and payment models
Shared Savings Program Fast Facts
Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2024. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2024. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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What States Can Learn from Maryland's Experience with Hospital Global Budgeting
Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Type: Audio
Sponsoring organization: Mathematica
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Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Type: Audio
Sponsoring organization: Mathematica
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Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers & Rural Health Clinics
Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Produce Prescription Programs Offer 'A Holistic Approach' to Addressing Rural Food Insecurity and Diet-Related Disease
Features produce prescription programs serving rural Mississippi, New Mexico, and Vermont that are helping improve access to healthy foods for those with diet-related chronic conditions. Describes how produce Rx programs can support local food systems and discusses funding and sustainability considerations.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features produce prescription programs serving rural Mississippi, New Mexico, and Vermont that are helping improve access to healthy foods for those with diet-related chronic conditions. Describes how produce Rx programs can support local food systems and discusses funding and sustainability considerations.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Comparison of 2017-19 Uncompensated Care of Rural and Urban Hospitals by Net Patient Revenue, System Affiliation, and Ownership
Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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January 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Date: 01/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Date: 01/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Future of Remote Patient Monitoring
Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, equity implications, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure equitable access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, equity implications, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure equitable access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Merit-based Incentive Payment System (MIPS): 2024 Eligibility and Participation Quick Start Guide
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Medicare Advantage Growth and Its Impact on Rural Health Care
Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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