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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

Medicare Advantage Rates & Statistics
Provides links to information for Medicare Advantage (MA) organizations regarding MA payment policies, including announcements on payment methodology and advance notices of changes, rate books and supporting data, fee-for-service expenditure data by county, and more.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Community Hospital Demonstration
An overview of a CMS demonstration project which provides cost-based reimbursement for small rural hospitals too large to be Critical Access Hospitals. Examines the community benefits and financial impact for participating hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Telehealth & Remote Patient Monitoring
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, telehealth home health, remote patient monitoring, and a list of helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Profiles of Value Based Care in Action
Profiles of rural healthcare organizations that are taking innovative approaches to healthcare delivery and finance.
Sponsoring organization: Rural Health Value
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CMS Innovation Center
Supports the development, testing and sharing of innovative healthcare payment and service delivery models. Includes data, reports, webinars and forums for sharing knowledge among healthcare innovators, data researchers and policy analysts.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Information for Rural Health Clinics
Provides an overview of the Rural Health Clinic (RHC) program and services. Includes information regarding Medicare certification and payments.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Medicare Disproportionate Share Hospital
Provides an overview of the Medicare Disproportionate Share Hospital (DSH) adjustment provision and lists requirements that hospitals must meet in order to qualify for it.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Information for Critical Access Hospitals
Booklet providing information about Critical Access Hospital (CAH) designation and payments. Discusses the use of CAH beds for general inpatient hospice care and conversion to Rural Emergency Hospital (REH) status. Includes a list of CAH resources and helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Federally Qualified Health Center
Provides a general overview of Federally Qualified Health Centers (FQHCs) and includes a list of helpful rural health resources and websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Frontier Community Health Integration Project (FCHIP) Demonstration
Describes the Frontier Community Health Integration Project (FCHIP) demonstration including the project purpose, legislation, eligible states, partners, and program contacts. The initial demonstration ended in July 2019. However, the Consolidated Appropriations Act, 2021, authorized a five-year extension period for participating Critical Access Hospitals.
Sponsoring organization: Rural Health Information Hub
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