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Rural Health Information Hub

Rural Hospice and Palliative Care – Resources

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
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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.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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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
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Palliative Care for Rural Growth and Wellbeing: Identifying Perceived Barriers and Facilitators in Access to Palliative Care in Rural Indiana, USA
Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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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.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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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
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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
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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
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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
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Last Updated: 6/16/2022