Rural Health
Resources by Topic: Health insurance
Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
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Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
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Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities
A guide for healthcare professionals to support them in offering chronic care management (CCM) services. Provides links to CMS resources, including guides targeted to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Also includes educational materials to help patients understand CCM services.
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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A guide for healthcare professionals to support them in offering chronic care management (CCM) services. Provides links to CMS resources, including guides targeted to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Also includes educational materials to help patients understand CCM services.
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health, United States, 2017: With Special Feature on Mortality
An annual overview of national trends in health statistics covering health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups. The 2017 edition focuses on mortality and covers 114 trend tables highlighting health status and determinants; healthcare utilization, healthcare resources, and healthcare expenditures.
Date: 2018
Sponsoring organization: National Center for Health Statistics
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An annual overview of national trends in health statistics covering health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups. The 2017 edition focuses on mortality and covers 114 trend tables highlighting health status and determinants; healthcare utilization, healthcare resources, and healthcare expenditures.
Date: 2018
Sponsoring organization: National Center for Health Statistics
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Oklahoma Health Care Authority Strategic Plan 2018-2022
Offers a strategic plan for Oklahoma's Medicaid program, SoonerCare. Includes a focus on ensuring access and developing new providers and services for members in rural areas.
Date: 2018
Sponsoring organization: Oklahoma Health Care Authority
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Offers a strategic plan for Oklahoma's Medicaid program, SoonerCare. Includes a focus on ensuring access and developing new providers and services for members in rural areas.
Date: 2018
Sponsoring organization: Oklahoma Health Care Authority
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices
Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Evolution of Private Plans in Medicare
Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Sponsoring organization: Commonwealth Fund
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Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Sponsoring organization: Commonwealth Fund
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