Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Type: Website
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.
Type: Website
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.
Type: Website
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.
Type: Website
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.
Type: Website
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.
Type: Website
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.
Type: Website
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.
Type: Website
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
Type: Website
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
Type: Website
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.
Type: Document
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.
Type: Document
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
Type: Website
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
Type: Website
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.
Type: Website
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.
Type: Website
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).
Type: Website
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).
Type: Website
Sponsoring organization: National Rural Health Resource Center
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