Rural Health
Resources by Topic: Reimbursement and payment models
Anticipating the Rural Impact of Medicare Value-Based Purchasing
Describes the design and implementation of Medicare value-based purchasing (VBP) programs. Addresses the potential impact of these programs on rural healthcare providers. Includes discussion on the five provider types: Prospective Payment system (PPS) hospitals, Critical Access Hospitals (CAHs), Skilled Nursing Facilities (SNFs), home health agencies, and physician office practices.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Nicholas P. Lillios, et al.
Date: 04/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Describes the design and implementation of Medicare value-based purchasing (VBP) programs. Addresses the potential impact of these programs on rural healthcare providers. Includes discussion on the five provider types: Prospective Payment system (PPS) hospitals, Critical Access Hospitals (CAHs), Skilled Nursing Facilities (SNFs), home health agencies, and physician office practices.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Nicholas P. Lillios, et al.
Date: 04/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2012
Reviews Medicare payment policies and covers policy recommendations to Congress. Discusses rural aspects of Medicare payment policies.
Date: 03/2012
Sponsoring organization: Medicare Payment Advisory Commission
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Reviews Medicare payment policies and covers policy recommendations to Congress. Discusses rural aspects of Medicare payment policies.
Date: 03/2012
Sponsoring organization: Medicare Payment Advisory Commission
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Pursuing High Performance in Rural Health Care
Addresses the state of rural healthcare and offers a vision for a high performance rural healthcare system that is affordable, accessible, community-focused, high quality, and patient-centered. Covers models of care, value-based payments, healthy communities, and more.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Addresses the state of rural healthcare and offers a vision for a high performance rural healthcare system that is affordable, accessible, community-focused, high quality, and patient-centered. Covers models of care, value-based payments, healthy communities, and more.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2012
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Quality Incentives for Federally Qualified Health Centers, Rural Health Clinics and Free Clinics: A Report to Congress
Discusses initiatives and incentives that apply to primary care clinics regarding quality of care and the use of health information technology.
Date: 01/2012
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Discusses initiatives and incentives that apply to primary care clinics regarding quality of care and the use of health information technology.
Date: 01/2012
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Geographic Adjustment in Medicare Payment Phase I: Improving Accuracy, Second Edition
Report brief that expands on recommendations made in an earlier report for improving how the Medicare program calculates geographic practice cost indexes that result in payments to hospitals, physicians, and other clinical practitioners based on their geographic locations.
Additional links: Read Online
Date: 2012
Sponsoring organization: Institute of Medicine
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Report brief that expands on recommendations made in an earlier report for improving how the Medicare program calculates geographic practice cost indexes that result in payments to hospitals, physicians, and other clinical practitioners based on their geographic locations.
Additional links: Read Online
Date: 2012
Sponsoring organization: Institute of Medicine
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Physician Value-Based Payment Modifier Program
Discusses provisions from the Patient Protection and Affordable Care Act including the Physician Payment Modifier (VBM) program, which provides differential payment to physicians or physician groups based on the quality of care provided compared to the cost of providing care.
Date: 12/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Discusses provisions from the Patient Protection and Affordable Care Act including the Physician Payment Modifier (VBM) program, which provides differential payment to physicians or physician groups based on the quality of care provided compared to the cost of providing care.
Date: 12/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicare Copayments for Critical Access Hospital Outpatient Services - 2009 Update
Discusses the impact of Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals.
Author(s): Sara Freeman, Kathleen Dalton
Date: 12/2011
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses the impact of Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals.
Author(s): Sara Freeman, Kathleen Dalton
Date: 12/2011
Sponsoring organization: Medicare Payment Advisory Commission
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Effect of Swing Bed Use on Medicare Average Daily Cost and Reimbursement in Critical Access Hospitals
Estimates the average net cost to Medicare of a skilled nursing facility swing day by simulating the elimination of all Medicare skilled nursing facility swing bed days in Critical Access Hospitals in 2009.
Author(s): Kristin L. Reiter, George M. Holmes, George H. Pink, Victoria A. Freeman
Date: 12/2011
Sponsoring organization: North Carolina Rural Health Research Program
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Estimates the average net cost to Medicare of a skilled nursing facility swing day by simulating the elimination of all Medicare skilled nursing facility swing bed days in Critical Access Hospitals in 2009.
Author(s): Kristin L. Reiter, George M. Holmes, George H. Pink, Victoria A. Freeman
Date: 12/2011
Sponsoring organization: North Carolina Rural Health Research Program
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Value-Based Purchasing Demonstrations for Critical Access and Small PPS Hospitals
White paper discussing the expanded quality reporting programs for Critical Access Hospitals (CAHs) and hospitals excluded from the inpatient Value-Based Purchasing (VBP) program due to a low number of cases. Includes recommendations to the Secretary of Health and Human Services on the rural implications from the Affordable Care Act (ACA) provision on inpatient hospital VBP program.
Date: 09/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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White paper discussing the expanded quality reporting programs for Critical Access Hospitals (CAHs) and hospitals excluded from the inpatient Value-Based Purchasing (VBP) program due to a low number of cases. Includes recommendations to the Secretary of Health and Human Services on the rural implications from the Affordable Care Act (ACA) provision on inpatient hospital VBP program.
Date: 09/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Will Bundling Work in Rural America? Analysis of the Feasibility and Consequences of Bundled Payments for Rural Health Providers and Patients
Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Sponsoring organization: Upper Midwest Rural Health Research Center
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Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Sponsoring organization: Upper Midwest Rural Health Research Center
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