Rural Health
Resources by Topic: Health insurance
2016 Rural Provider Leadership Summit Report: Strategies for Rural Provider Engagement in Transitioning to Value-based Purchasing and Population Health
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Date: 08/2016
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
view details
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Date: 08/2016
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
view details
Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which tested models of healthcare delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they focused on.
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which tested models of healthcare delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they focused on.
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
Type: Document
view details
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
Type: Document
view details
Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications
Policy brief assessing ways in which market dynamics affect rural beneficiaries of Medicare Advantage (MA) plans and the variation in Medicare's star ratings of these plans. Features statistics including star ratings by urban and rural counties; MA contracts by star rating, rural characteristics, and experience; and percent enrollment in 4+ star plans with breakdowns by rural and urban counties.
Author(s): Leah Kemper, Abigail R. Barker, Lyndsey Wilbers, Timothy D. McBride, Keith Mueller
Date: 07/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Policy brief assessing ways in which market dynamics affect rural beneficiaries of Medicare Advantage (MA) plans and the variation in Medicare's star ratings of these plans. Features statistics including star ratings by urban and rural counties; MA contracts by star rating, rural characteristics, and experience; and percent enrollment in 4+ star plans with breakdowns by rural and urban counties.
Author(s): Leah Kemper, Abigail R. Barker, Lyndsey Wilbers, Timothy D. McBride, Keith Mueller
Date: 07/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Medicare Access and CHIP Reauthorization Act of 2015: Ensuring Successful Implementation of Physician Payment Reforms
Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
view details
Recording of a July 13, 2016, U.S. Senate Finance Committee hearing regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Andy Slavitt, Acting Administrator for the Centers for Medicare and Medicaid Services, discusses the input received from stakeholders and the resulting focus on patient-first, physician-driven, collaborative care. He also emphasizes the need to support small, rural practices and those in underserved areas to achieve success.
Additional links: Andrew M. Slavitt, Centers for Medicare & Medicaid Services - Testimony
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
view details
2016 Financial Leadership Summit Report: Strategies for Rural Hospitals Transitioning to Value-based Purchasing and Population Health
Provides rural hospital administrators strategies for meeting the challenges of a changing healthcare environment. Includes discussion on alternative payment models, the impact of market forces, successful examples. and lessons learned. Offers information for developing tools to support hospitals and networks as they transition to value-based purchasing and population health.
Additional links: Webinar Playback: Rural Strategies for Transitioning to Value-based Purchasing and Population Health, Webinar Slides: Rural Strategies for Transitioning to Value-based Purchasing and Population Health
Author(s): Mark Chustz
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Provides rural hospital administrators strategies for meeting the challenges of a changing healthcare environment. Includes discussion on alternative payment models, the impact of market forces, successful examples. and lessons learned. Offers information for developing tools to support hospitals and networks as they transition to value-based purchasing and population health.
Additional links: Webinar Playback: Rural Strategies for Transitioning to Value-based Purchasing and Population Health, Webinar Slides: Rural Strategies for Transitioning to Value-based Purchasing and Population Health
Author(s): Mark Chustz
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Medicaid Disenrollment Patterns Among Children Coming into Contact with Child Welfare Agencies
Analyzes Medicaid claims from 36 states over a 4-year period to assess retention of health insurance coverage for children involved with the child welfare system. Identifies associations between insurance loss and sociodemographic factors, such as age, race/ethnicity, rural versus urban residence, and other factors.
Author(s): Ramesh Raghavan, Benjamin Allaire, Derek Brown, Raven Ross
Citation: Maternal and Child Health Journal, 20(6), 1280-1287
Date: 06/2016
Type: Document
view details
Analyzes Medicaid claims from 36 states over a 4-year period to assess retention of health insurance coverage for children involved with the child welfare system. Identifies associations between insurance loss and sociodemographic factors, such as age, race/ethnicity, rural versus urban residence, and other factors.
Author(s): Ramesh Raghavan, Benjamin Allaire, Derek Brown, Raven Ross
Citation: Maternal and Child Health Journal, 20(6), 1280-1287
Date: 06/2016
Type: Document
view details
Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details