Rural Health
Resources by Topic: Health insurance
September 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Switching: Patterns Of Enrollment Growth In Medicare Advantage, 2006–22
Analyzes enrollment in Medicare Advantage (MA) and traditional Medicare between 2006 and 2022 to identify trends in switching services. Discusses characteristics of those who switched including sex, race and ethnicity, age, rurality, and more.
Author(s): Lanlan Xu, W. Pete Welch, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Citation: Health Affairs, 42(9)
Date: 09/2023
Type: Document
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Analyzes enrollment in Medicare Advantage (MA) and traditional Medicare between 2006 and 2022 to identify trends in switching services. Discusses characteristics of those who switched including sex, race and ethnicity, age, rurality, and more.
Author(s): Lanlan Xu, W. Pete Welch, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Citation: Health Affairs, 42(9)
Date: 09/2023
Type: Document
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Aging in Place: The Vital Role of Home Health in Access to Care
Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
Type: Document
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Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
Type: Document
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Health Panel Comment Letter - 2024 Physician Fee Schedule and Medicare Part B Proposed Rule
Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telehealth Use and Experiences Among California Adults
Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Type: Document
Sponsoring organization: California Health Care Foundation
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Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Type: Document
Sponsoring organization: California Health Care Foundation
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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