Rural Health
Resources by Topic: Reimbursement and payment models
Rural Action Plan
Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Indiana Medicaid and Medicare Telehealth Reimbursement for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)
Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Indiana in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Indiana in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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Michigan Medicaid and Medicare Telehealth Reimbursement for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)
Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Michigan in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Michigan in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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Ohio Medicaid and Medicare Telehealth Reimbursement for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)
Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Ohio in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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Provides an overview of Medicaid and Medicare telehealth reimbursement policies for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Ohio in response to the COVID-19 pandemic.
Date: 08/2020
Sponsoring organization: Upper Midwest Telehealth Resource Center
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2021
Comments on a June 30, 2020, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the use of technology under the Medicare home health benefit and changes to geographic area delineations.
Date: 08/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 30, 2020, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the use of technology under the Medicare home health benefit and changes to geographic area delineations.
Date: 08/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Roundtable Discussion: Examining the Role of Telehealth during COVID-19 and Beyond
Video recording of an August 6, 2020, discussion on telehealth policies and impacts in response to the COVID-19 pandemic and key considerations for the future of telehealth policy. Examines rural topics throughout, including access to broadband and using RHCs and FQHCs as originating site providers for telehealth services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 08/2020
Sponsoring organization: House Ways and Means Committee
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Video recording of an August 6, 2020, discussion on telehealth policies and impacts in response to the COVID-19 pandemic and key considerations for the future of telehealth policy. Examines rural topics throughout, including access to broadband and using RHCs and FQHCs as originating site providers for telehealth services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 08/2020
Sponsoring organization: House Ways and Means Committee
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Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009–2017
Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Behavioral Health Care System Capacity in Pennsylvania and Its Impact on Hospital Emergency Departments and Patient Health
An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Key Characteristics of COVID-19 Patients: Profiles Based on Analysis of Private Healthcare Claims
Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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