Rural Health
Resources by Topic: Reimbursement and payment models
AHA Rural Health Services Tools and Resources
A collection of case studies, data graphics, and tools highlighting rural hospital healthcare innovations, including new payment models implemented by hospitals and health systems in rural communities.
Sponsoring organization: American Hospital Association
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A collection of case studies, data graphics, and tools highlighting rural hospital healthcare innovations, including new payment models implemented by hospitals and health systems in rural communities.
Sponsoring organization: American Hospital Association
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CCHP Policy Finder
Database of telehealth laws and regulations with state-by-state information, information related to COVID-19 telehealth policy changes, Medicaid and Medicare information, and other payer and professional requirements. Offers maps comparing policies in each state.
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Database of telehealth laws and regulations with state-by-state information, information related to COVID-19 telehealth policy changes, Medicaid and Medicare information, and other payer and professional requirements. Offers maps comparing policies in each state.
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Emergency Triage, Treat, and Transport (ET3) Model
Provides information on a CMS model that permitted ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth were eligible to participate. Concluded December 31, 2023.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on a CMS model that permitted ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth were eligible to participate. Concluded December 31, 2023.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Pennsylvania Rural Health Model
Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth and Palliative Care
Offers resources on delivering palliative care through telehealth services. Covers how to select the technology platform, prepare patients and families, conduct a telehealth visit, and document and bill for services. Includes a Telehealth Start-Up Guide that outlines key components of telehealth service delivery in a home-based palliative care program
Sponsoring organization: Center to Advance Palliative Care
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Offers resources on delivering palliative care through telehealth services. Covers how to select the technology platform, prepare patients and families, conduct a telehealth visit, and document and bill for services. Includes a Telehealth Start-Up Guide that outlines key components of telehealth service delivery in a home-based palliative care program
Sponsoring organization: Center to Advance Palliative Care
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Medicare Promoting Interoperability Program Hardship Exception Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Oklahoma State Innovation Model (OSIM)
Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Sponsoring organization: Oklahoma State Department of Health
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Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Sponsoring organization: Oklahoma State Department of Health
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Eligible Clinician eCQMs
Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Small Rural Hospital Improvement Grant Program (SHIP)
Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
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Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
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List of Skilled Nursing Facility (SNF) Federal Regulations
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare and Medicaid Services
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