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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

The Effect of Market Reform on Rural Public Health Departments
Reports on how rural health departments and populations they serve were affected by healthcare system changes in the 1990s, particularly Medicaid managed care. Based on site visits to four rural public health departments in each of five states: Georgia, Missouri, North Carolina, Oregon, and Wisconsin.
Author(s): Rebecca Slifkin, Pam Silberman, Susan Reif
Date: 01/2000
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Clinics: Rising Program Expenditures Not Focused on Improving Care in Isolated Areas
A review of the Rural Health Clinic (RHC) program. Examined whether the RHC program provides primary care access to Medicare and Medicaid recipients who otherwise would not have it. Also looked at controls in place for payments to RHCs from Medicare and Medicaid.
Additional links: Full Report
Date: 02/1997
Type: Document
Sponsoring organization: Government Accountability Office
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National Rural Health Policy: Recommendations from the First Eight Years of the National Advisory Committee on Rural Health
Summarizes activities and accomplishments of the National Advisory Committee on Rural Health from 1988-1996. Includes chapters on health workforce, Medicare payment policy, special needs of rural populations, and issues impacting rural health which the committee may address in the future.
Date: 01/1997
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO Primary Care Flex Model: Model Overview Factsheet
Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Cross Cutting Initiative: Rural Health
A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Shared Savings Program
Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Making Care Primary (MCP) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model, which offers a pathway for primary care clinicians in eight states to gradually adopt prospective, population-based payments while building infrastructure to improve behavioral health and specialty care integration and enhance equitable access to care.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, which is intended to encourage healthcare coordination to improve care for people with Medicare, especially those from underserved communities.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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