Rural Health
Resources by Topic: Reimbursement and payment models
The New Blue H: A Report on the Findings of the 2014 Rural Health Workgroup, a Partner Project Between the Washington State Department of Health and the Washington State Hospital Association
Outlines a comprehensive proposal addressing access to healthcare for rural populations in Washington. Considers the entire continuum of care from wellness and prevention to acute and long-term care, and includes a focus on hospitals and new models of healthcare delivery.
Date: 08/2014
Type: Document
Sponsoring organization: Washington State Department of Health
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Outlines a comprehensive proposal addressing access to healthcare for rural populations in Washington. Considers the entire continuum of care from wellness and prevention to acute and long-term care, and includes a focus on hospitals and new models of healthcare delivery.
Date: 08/2014
Type: Document
Sponsoring organization: Washington State Department of Health
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Care Coordination Comparative Matrix
Identifies rural health networks that are developing or implementing value-based models and recaps brief interviews with the network leaders that are implementing or developing care coordination initiatives. The matrix allows rural health networks to share features and lessons learned through the process of implementing the care coordination programs with one another.
Date: 08/2014
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Identifies rural health networks that are developing or implementing value-based models and recaps brief interviews with the network leaders that are implementing or developing care coordination initiatives. The matrix allows rural health networks to share features and lessons learned through the process of implementing the care coordination programs with one another.
Date: 08/2014
Type: Document
Sponsoring organization: National Rural Health Resource Center
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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The Effect of Medicare Payment Policy Changes on Rural Primary Care Practice Revenue
Discusses the effect of Medicare payment adjustments on Medicare-derived revenues to rural primary care providers.
Additional links: Supplemental Table
Author(s): Paula Weigel, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the effect of Medicare payment adjustments on Medicare-derived revenues to rural primary care providers.
Additional links: Supplemental Table
Author(s): Paula Weigel, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2014
Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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California State Health Care Innovation Plan
Describes California's plan to reform their healthcare system to meet the Triple Aim of better health, better healthcare, and lower costs. Discusses the proposed payment and delivery system initiatives supporting team-based care with a focus on maternity care, health homes, palliative care, and accountable care communities. Addresses the needed building blocks to support health, healthcare transformation, and payment reform including workforce training, health information technology technical assistance and research, development of cost and quality reporting systems, and payment reform.
Additional links: Appendices
Date: 03/2014
Type: Document
Sponsoring organization: California Health and Human Services Agency
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Describes California's plan to reform their healthcare system to meet the Triple Aim of better health, better healthcare, and lower costs. Discusses the proposed payment and delivery system initiatives supporting team-based care with a focus on maternity care, health homes, palliative care, and accountable care communities. Addresses the needed building blocks to support health, healthcare transformation, and payment reform including workforce training, health information technology technical assistance and research, development of cost and quality reporting systems, and payment reform.
Additional links: Appendices
Date: 03/2014
Type: Document
Sponsoring organization: California Health and Human Services Agency
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MedPAC Report to the Congress: Medicare Payment Policy, 2014
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
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Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
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The Extender Policies: What Are They and How Should They Continue Under a Permanent SGR Repeal Landscape
Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Type: Document
Sponsoring organization: Government Accountability Office
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