Rural Health
Resources by Topic: Reimbursement and payment models
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
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
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
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
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
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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
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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
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
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
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
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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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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
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
Sponsoring organization: Medicare Payment Advisory Commission
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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
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
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
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
Sponsoring organization: National Rural Health Association
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