Rural Healthcare Payment and Reimbursement – Resources
Selected recent or important resources focusing on Rural Healthcare Payment and Reimbursement.
Rural Hospital Toolkit for Transitioning to Value-based Systems
Toolkit developed to help rural hospitals improve their financial, operational, and quality performance. Shares best practices and strategies to help rural providers transition to value-based payment and population health.
Date: 09/2015
Type: Website
Sponsoring organization: National Rural Health Resource Center
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Toolkit developed to help rural hospitals improve their financial, operational, and quality performance. Shares best practices and strategies to help rural providers transition to value-based payment and population health.
Date: 09/2015
Type: Website
Sponsoring organization: National Rural Health Resource Center
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PubMed Search: Rural Payment and Reimbursement
Searches PubMed's collection of journal article citations on the topic of rural healthcare payment and reimbursement.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Searches PubMed's collection of journal article citations on the topic of rural healthcare payment and reimbursement.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the 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 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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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Value: Innovations & Demonstrations
Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
Sponsoring organization: Rural Health Value
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Profiles of rural health delivery and finance innovations and summaries of selected rural health demonstration programs.
Type: Website
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.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health.mil Rates and Reimbursement: Hospital Classifications
Identifies TRICARE reimbursement methodologies for Sole Community Hospitals (SCH) and Critical Access Hospitals (CAHs). Also lists CAH inpatient and outpatient cost to charge ratios (CCRs).
Type: Website
Sponsoring organization: Military Health System
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Identifies TRICARE reimbursement methodologies for Sole Community Hospitals (SCH) and Critical Access Hospitals (CAHs). Also lists CAH inpatient and outpatient cost to charge ratios (CCRs).
Type: Website
Sponsoring organization: Military Health System
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Accountable Care Organizations
- Care coordination
- Health insurance
- Healthcare business and finance
- Medicaid
- Medicare
- Policy
- Reimbursement and payment models
- Service delivery models
Last Updated: 2/21/2023