Rural Health
Resources by Topic: Reimbursement and payment models
Which Rural and Urban Hospitals Have Received Readmission Penalties Over Time?
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
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State Actions to Promote and Restrain Commercial Accountable Care Organizations
Identifies actions state governments can take to promote the benefits of Accountable Care Organizations (ACOs) while mitigating potential risks. Discusses rural-specific concerns related to solvency and exclusivity provisions. Also examines state policy tools that regulate and support both providers and payers. Section 2 offers ACO policy guidance specific to California.
Author(s): Nicholas C. Petris Center on Health Care Markets and Consumer Welfare
Date: 10/2015
Sponsoring organization: University of California - Berkeley
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Identifies actions state governments can take to promote the benefits of Accountable Care Organizations (ACOs) while mitigating potential risks. Discusses rural-specific concerns related to solvency and exclusivity provisions. Also examines state policy tools that regulate and support both providers and payers. Section 2 offers ACO policy guidance specific to California.
Author(s): Nicholas C. Petris Center on Health Care Markets and Consumer Welfare
Date: 10/2015
Sponsoring organization: University of California - Berkeley
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Rural Delivery System Reform Takes Center Stage for National Advisory Committee
Reports on discussion at a September 2015 meeting of the National Advisory Committee on Rural Health and Human Services focused on the need for rural healthcare providers to be involved in health system changes related to payment and service delivery.
Author(s): Kate Menzies, Brandon Baumbach
Citation: Rural Monitor
Date: 10/2015
Sponsoring organization: Rural Health Information Hub
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Reports on discussion at a September 2015 meeting of the National Advisory Committee on Rural Health and Human Services focused on the need for rural healthcare providers to be involved in health system changes related to payment and service delivery.
Author(s): Kate Menzies, Brandon Baumbach
Citation: Rural Monitor
Date: 10/2015
Sponsoring organization: Rural Health Information Hub
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National Advisory Committee Tackles Delivery System Reform, Child Poverty
Describes a September 2015 meeting of the National Advisory Committee on Rural Health and Human Services held in Mahnomen, Minnesota, which focused on rural child poverty and healthcare delivery system reform.
Citation: Rural Monitor
Date: 10/2015
Sponsoring organization: Rural Health Information Hub
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Describes a September 2015 meeting of the National Advisory Committee on Rural Health and Human Services held in Mahnomen, Minnesota, which focused on rural child poverty and healthcare delivery system reform.
Citation: Rural Monitor
Date: 10/2015
Sponsoring organization: Rural Health Information Hub
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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
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: Urban Institute
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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
Sponsoring organization: Urban Institute
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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
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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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
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
Sponsoring organization: National Center for Health Statistics
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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
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
Sponsoring organization: Senate Committee on Appropriations
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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
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
Sponsoring organization: Senate Committee on Appropriations
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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
Sponsoring organization: Senate Committee on Appropriations
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