Selected recent or important resources focusing on Rural Hospice and Palliative Care.
Palliative Care — More Than Just Hospice, with Karla Weng and Pat Justis
An episode of the Exploring Rural Health podcast featuring Karla Weng, Senior Program Manager for Stratis Health, and Pat Justis, Director of the Washington State Office of Rural Health. Discusses rural palliative care and an initiative to expand access in rural communities in Washington State, North Dakota, and Wisconsin.
Date: 06/2022 Type: Audio Sponsoring organization: Rural Health Information Hub view details
Evaluation of the Medicare Care Choices Model: Annual Report 4
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Findings at a Glance
Date: 04/2022 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica view details
MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 11
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2010 and between 2018-2020. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2022 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Date: 01/2022 Type: Document Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine view details
December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital
inpatient and outpatient services and the mandated report on changes to the low-volume
hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
Developing Successful Palliative Care Teams in Rural Communities: A Facilitated Process
Discusses the importance of palliative care in rural areas. Describes a 3-year initiative led by Stratis Health to guide the development of palliative care services through rural community-based teams in North Dakota, Washington, and Wisconsin. Presents results of the initiative, including initial and follow-up assessments regarding the community's experience and expertise in components of palliative care.
Author(s): Karla Weng, Janelle Shearer, Laura Grangaard Johnson Citation: Journal of Palliative Medicine Date: 11/2021 Type: Document view details
Medicare Payment Basics: Hospice Services Payment System
Overview of the Medicare hospice and palliative care benefit for beneficiaries who have a life expectancy of six months or less, and Medicare payments to hospice and palliative care providers.
Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 11/2021 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker Date: 09/2021 Type: Document Sponsoring organization: Hospice News view details
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