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Rural Health
Resources by Topic: Reimbursement and payment models

Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Hospital Toolkit for Transitioning to Value-based Systems
Toolkit developed to help rural hospitals improve their financial, operational, and quality performance. Shares best practices and strategies to help rural providers transition to value-based payment and population health.
Date: 09/2015
Type: Website
Sponsoring organization: National Rural Health Resource Center
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Performance Measurement for Rural Low-Volume Providers: Final Report
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Type: Document
Sponsoring organization: National Quality Forum
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Simulation and Analysis of an Alternative Medicare Home Health Payment System Not Based on Number of Therapy Visits
Outlines a possible approach to redesigning the Medicare home health payment system and describes the likely impacts of such a change. Includes statistics with breakdowns by number of therapy and non-therapy visits, payment-to-cost ratios, medical procedure or chronic illness, and type of health facility.
Author(s): Doug Wissoker, Bowen Garrett
Date: 08/2015
Type: Document
Sponsoring organization: Urban Institute
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Investing in Population Health
Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities 3 levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Characteristics of Children in Medicaid Managed Care and Medicaid Fee-for-service, 2003-2005
Examines how children enrolled in Medicaid fee-for-service programs compare to those in comprehensive managed care programs. Includes information on sociodemographic, health, and geographic characteristics. Table 5 provides figures by type of Medicaid program for urban and rural enrollees.
Author(s): Patricia C. Lloyd, Alan E. Simon, Jennifer D. Parker
Date: 06/2015
Type: Document
Sponsoring organization: National Center for Health Statistics
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Statement by George Stover, Rice County Hospital District 1, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies
Covers testimony presented at a May 7, 2015 Labor-Health and Human Services subcommittee hearing on rural health from George Stover, the chief executive officer for the Hospital District #1 of Rice County in Lyons, Kansas. Discusses regulatory and reimbursement challenges facing Critical Access Hospitals (CAHs).
Author(s): George Stover
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Statement by Julie Petersen, PMH Medical Center, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of rural healthcare innovations in Washington State. Discusses challenges facing the state's Critical Access Hospitals and other small rural hospitals.
Author(s): Julie Petersen
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Statement by Tim Wolters, Citizens Memorial Hospital and Lake Regional Health System, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, and Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses the impact rural hospitals have on their communities and the challenges rural Prospective Payment System (PPS) hospitals face that make them vulnerable to cuts in Medicare reimbursement.
Author(s): Tim Wolters
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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