Rural Healthcare Payment and Reimbursement – Resources
Selected recent or important resources focusing on Rural Healthcare Payment and Reimbursement.
Innovation Center State-Based Initiatives: A Systematic Review of Lessons Learned
A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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Rural Health Value: Policy Documents and Demonstrations
Summaries of selected rural health demonstration programs and rural aspects of payment policies.
Sponsoring organization: Rural Health Value
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Summaries of selected rural health demonstration programs and rural aspects of payment policies.
Sponsoring organization: Rural Health Value
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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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Medicaid Links
Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO REACH Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO REACH Model, which is intended to encourage healthcare coordination to improve care for people with Medicare.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO REACH Model, which is intended to encourage healthcare coordination to improve care for people with Medicare.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Costs, Coverage and Delivery State Legislation Database
Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Sponsoring organization: National Conference of State Legislatures
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Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Sponsoring organization: National Conference of State Legislatures
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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: 3/28/2025