Rural Health
Resources by Topic: Reimbursement and payment models
Rural Health Predictions: Q&A with Alan Morgan
An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Building Partnerships to Improve Health in the Rural South: CareSouth Carolina
Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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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
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
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
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
Sponsoring organization: Rural Health Information Hub
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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
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
Sponsoring organization: Rural Health Value
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Maryland All-Payer Model: Volume I - Final Report
Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Rural Health Clinic Costs and Medicare Reimbursement
Policy brief exploring whether updates to the Medicare per-visit reimbursement cap have allowed Rural Health Clinics (RHCs) of various types and sizes to keep pace with increases in staffing and other costs. Features statistics including RHC mean Medicare adjusted cost per visit and RHC mean Medicare healthcare staff costs as of 2014, with breakdowns by 4 sizes of RHCs and private or publicly-owned status.
Author(s): John Gale, Zachariah T. Croll, Andrew F. Coburn
Date: 11/2019
Sponsoring organization: Maine Rural Health Research Center
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Policy brief exploring whether updates to the Medicare per-visit reimbursement cap have allowed Rural Health Clinics (RHCs) of various types and sizes to keep pace with increases in staffing and other costs. Features statistics including RHC mean Medicare adjusted cost per visit and RHC mean Medicare healthcare staff costs as of 2014, with breakdowns by 4 sizes of RHCs and private or publicly-owned status.
Author(s): John Gale, Zachariah T. Croll, Andrew F. Coburn
Date: 11/2019
Sponsoring organization: Maine Rural Health Research Center
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Urban and Rural Hospitalizations in Mississippi: Overview and Trend Analyses, 2014-2018
Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Sponsoring organization: Mississippi State Department of Health
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Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Sponsoring organization: Mississippi State Department of Health
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