Rural Health
Resources by Topic: Reimbursement and payment models
CPC Practice Spotlights
A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Care: Redefining Access
Discusses collaboration, recruitment and retention, providing specialty services and quality of care as methods to strengthen the health of North Carolina's rural communities.
Author(s): Chris Collins
Citation: North Carolina Medical Journal, 76(1), 20-23
Date: 01/2015
Type: Document
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Discusses collaboration, recruitment and retention, providing specialty services and quality of care as methods to strengthen the health of North Carolina's rural communities.
Author(s): Chris Collins
Citation: North Carolina Medical Journal, 76(1), 20-23
Date: 01/2015
Type: Document
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International Classification of Disease: CMS's Efforts to Prepare for the New Version of the Disease and Procedure Codes
Review of the efforts undertaken by the Centers for Medicare and Medicaid Services (CMS) to prepare for the transition to the 10th revision of the International Classification of Diseases (ICD-10) codes. Evaluates the materials developed and activities undertaken by CMS to help providers' transition and describes concerns of stakeholder organizations, including rural-specific considerations.
Additional links: Full Report
Date: 01/2015
Type: Document
Sponsoring organization: Government Accountability Office
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Review of the efforts undertaken by the Centers for Medicare and Medicaid Services (CMS) to prepare for the transition to the 10th revision of the International Classification of Diseases (ICD-10) codes. Evaluates the materials developed and activities undertaken by CMS to help providers' transition and describes concerns of stakeholder organizations, including rural-specific considerations.
Additional links: Full Report
Date: 01/2015
Type: Document
Sponsoring organization: Government Accountability Office
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The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Authorities and Mechanisms for Purchased Care at the Department of Veterans Affairs
Presents an independent assessment of the Purchased Care component from the Veterans Access, Choice, and Accountability Act of 2014. Discusses the system used to fill in gaps in care for veterans that live in rural areas or far from a VA Medical Center (VAMC). Compares the VA's system to other payer models in the federal government.
Author(s): Michael D. Greenberg, Caroline Batka, Christine Buttorff, et al.
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
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Presents an independent assessment of the Purchased Care component from the Veterans Access, Choice, and Accountability Act of 2014. Discusses the system used to fill in gaps in care for veterans that live in rural areas or far from a VA Medical Center (VAMC). Compares the VA's system to other payer models in the federal government.
Author(s): Michael D. Greenberg, Caroline Batka, Christine Buttorff, et al.
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
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Critical Access Hospital Financial Pro Forma
Financial modeling resource used to assist rural hospitals in projecting long-term finances under the Fee-For-Service (FFS)/cost-based reimbursement systems.
Date: 2015
Type: Tool
Sponsoring organization: Rural Health Value
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Financial modeling resource used to assist rural hospitals in projecting long-term finances under the Fee-For-Service (FFS)/cost-based reimbursement systems.
Date: 2015
Type: Tool
Sponsoring organization: Rural Health Value
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Meaningful Use Attestations Among U.S. Hospitals: The Growing Rural-Urban Divide
Provides an analysis of the Electronic Health Record Incentive Program adoption in metropolitan, micropolitan, and rural hospitals in the U.S. Compares rural and urban hospitals that were attesting to meaningful use and receiving federal incentive payments.
Author(s): Ryan H. Sandefer, David T. Marc, Paul Kleeberg
Citation: Perspectives in Health Information Management, 2015 (Spring), 1-10
Date: 2015
Type: Document
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Provides an analysis of the Electronic Health Record Incentive Program adoption in metropolitan, micropolitan, and rural hospitals in the U.S. Compares rural and urban hospitals that were attesting to meaningful use and receiving federal incentive payments.
Author(s): Ryan H. Sandefer, David T. Marc, Paul Kleeberg
Citation: Perspectives in Health Information Management, 2015 (Spring), 1-10
Date: 2015
Type: Document
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Innovators' Guide to Navigating Medicare
Discusses processes used to determine coverage, coding, and payment for new technologies under the Medicare fee-for-service program. Guide is intended as a general summary.
Date: 2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses processes used to determine coverage, coding, and payment for new technologies under the Medicare fee-for-service program. Guide is intended as a general summary.
Date: 2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Impact of Home Health Payment Rebasing on Beneficiary Access to and Quality of Care
Measures the impact of base-payment reductions mandated by the Affordable Care Act on beneficiary access to and the quality of care provided by home health agencies. Reports findings across geographic area (rural and urban).
Date: 12/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measures the impact of base-payment reductions mandated by the Affordable Care Act on beneficiary access to and the quality of care provided by home health agencies. Reports findings across geographic area (rural and urban).
Date: 12/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report
First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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