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Rural Health
Resources by Topic: Accountable Care Organizations

ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Primary Care Clinics and Accountable Care Organizations
Presents the findings of a survey sent to 257 Rural Health Clinics (RHCs) in 9 states asking clinical management about their participation in Accountable Care Organizations (ACOs), and their willingness to join an ACO.
Author(s): Judith Ortiz, Chiung-Ya Tang, Yi-Ling Lin, Maysoun D. Masri
Citation: Health Services Research and Managerial Epidemiology, 2015 (2)
Date: 10/2015
Type: Document
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State Actions to Promote and Restrain Commercial Accountable Care Organizations
Identifies actions state governments can take to promote the benefits of Accountable Care Organizations (ACOs) while mitigating potential risks. Discusses rural-specific concerns related to solvency and exclusivity provisions. Also examines state policy tools that regulate and support both providers and payers. Section 2 offers ACO policy guidance specific to California.
Author(s): Nicholas C. Petris Center on Health Care Markets and Consumer Welfare
Date: 10/2015
Type: Document
Sponsoring organization: University of California - Berkeley
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Participation of Rural Health Care Providers in Accountable Care Organizations: Early Indications
Describes the characteristics of Rural Health Clinics (RHCs) in the southeastern part of the U.S. and the populations they serve. Compares these traits to other regions in the country and how the differences may influence their decision to participate in an Accountable Care Organization (ACO).
Author(s): Judith Ortiz, Richard A. Hofler, Yi-Ling Lin, Richard Berzon
Citation: Health Care Management Review, 34(3), 255-264
Date: 07/2015
Type: Document
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Characteristics of Rural Accountable Care Organizations (ACOs) – A Survey of Medicare ACOs with Rural Presence
Describes the findings of a survey of 27 Accountable Care Organizations (ACOs) that have a presence in a rural area, focusing on characteristics concerning their formation and operation to better inform policy discussions around ACOs in rural areas.
Author(s): Abiodun Salako, Xi Zhu, A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 05/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Developmental Strategies and Challenges of Rural Accountable Care Organizations
Reports information gathered from 4 Accountable Care Organizations (ACOs) serving rural Medicare beneficiaries in 2013. Highlights lessons learned, opportunities for success, and challenges observed by the ACOs.
Author(s): Jure Baloh, A. Clinton MacKinney, Keith Mueller, et al.
Date: 02/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural-Urban Differences in Continuity of Care among Medicare Beneficiaries
Analyzes emerging care and payment models such as patient-centered medical homes, Accountable Care Organizations (ACOs), and bundled payments to identify differences in continuity of care when applied to rural and urban settings.
Author(s): Matthew Toth, Caroleen Quach, Mark Holmes
Date: 12/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Care Coordination Comparative Matrix
Identifies rural health networks that are developing or implementing value-based models and recaps brief interviews with the network leaders that are implementing or developing care coordination initiatives. The matrix allows rural health networks to share features and lessons learned through the process of implementing the care coordination programs with one another.
Date: 08/2014
Type: Document
Sponsoring organization: National Rural Health Resource Center
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Facilitating the Formation of Accountable Care Organizations in Rural Areas
Presents characteristics contributing to the formation of four accountable care organizations (ACOs) that serve rural Medicare beneficiaries and discusses implications for policies that facilitate rural ACO formation. Three of the ACOs in this study operate in both rural and metropolitan areas, and one operates exclusively in a rural area.
Author(s): Jure Baloh, Xi Zhu, Tom Vaughn, et al.
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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