Rural Health
Resources by Topic: Reimbursement and payment models
Aging in Rural and Frontier Oregon: Challenges Facing Rural and Frontier Home Health Agencies
Provides an overview of the services and challenges affecting home health agencies offering assistance to the aging population in rural Oregon by county. Includes discussion on healthcare access, home health agency regulation and reimbursement, recruitment and retention of healthcare providers, and physician compliance.
Author(s): Callie Walsh-Bailey, Jamie Horst
Date: 09/2016
Sponsoring organization: Oregon Office of Rural Health
view details
Provides an overview of the services and challenges affecting home health agencies offering assistance to the aging population in rural Oregon by county. Includes discussion on healthcare access, home health agency regulation and reimbursement, recruitment and retention of healthcare providers, and physician compliance.
Author(s): Callie Walsh-Bailey, Jamie Horst
Date: 09/2016
Sponsoring organization: Oregon Office of Rural Health
view details
State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Report to Congress: E-health and Telemedicine
Reports the state of e-health and telemedicine after the implementation of the Affordable Care Act (ACA). Includes current policy challenges, discussion of federal level telehealth activity, and a legislative proposal for FY17.
Date: 08/2016
Sponsoring organization: U.S. Department of Health and Human Services
view details
Reports the state of e-health and telemedicine after the implementation of the Affordable Care Act (ACA). Includes current policy challenges, discussion of federal level telehealth activity, and a legislative proposal for FY17.
Date: 08/2016
Sponsoring organization: U.S. Department of Health and Human Services
view details
Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report
Summarizes the first year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Includes findings for the individual grantees, which include 14 projects that serve rural areas.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
view details
Summarizes the first year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Includes findings for the individual grantees, which include 14 projects that serve rural areas.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
view details
2016 Rural Provider Leadership Summit Report: Strategies for Rural Provider Engagement in Transitioning to Value-based Purchasing and Population Health
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Date: 08/2016
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
view details
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Date: 08/2016
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
view details
Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
view details
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
view details
Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
view details
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
view details
Hospital Closures and the Current Healthcare Climate: The Future of Rural Hospitals in the USA
Discusses impact of Affordable Care Act on rural hospitals, including financial considerations, and explores steps that may be taken in order to ensure that these facilities remain open.
Author(s): Somasekar Balasubramanian, Erick Jones
Citation: Rural and Remote Health, 16(3), 3935
Date: 07/2016
view details
Discusses impact of Affordable Care Act on rural hospitals, including financial considerations, and explores steps that may be taken in order to ensure that these facilities remain open.
Author(s): Somasekar Balasubramanian, Erick Jones
Citation: Rural and Remote Health, 16(3), 3935
Date: 07/2016
view details
Medicare Access and CHIP Reauthorization Act of 2015: Ensuring Successful Implementation of Physician Payment Reforms
Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Sponsoring organization: Senate Committee on Finance
view details
Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Sponsoring organization: Senate Committee on Finance
view details
Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
view details
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
view details