Rural Health
Resources by Topic: Healthcare business and finance
Medicare Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service
Presents an overview of how to bill fee-for-service Medicare and Medicaid for telehealth encounters. Includes information on originating and distant sites, virtual healthcare, and coding telehealth services. Lists types of practice sites, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and implications for billing telehealth services. Provides contact information for Regional Telehealth Research Centers (RTRC).
Date: 09/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Presents an overview of how to bill fee-for-service Medicare and Medicaid for telehealth encounters. Includes information on originating and distant sites, virtual healthcare, and coding telehealth services. Lists types of practice sites, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and implications for billing telehealth services. Provides contact information for Regional Telehealth Research Centers (RTRC).
Date: 09/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Small Rural Hospital and Clinic Finance 101
Provides a manual with introductory information on healthcare facility finances and payment for state Medicare Rural Hospital Flexibility (Flex) Program personnel, Critical Access Hospital (CAH) staff and board members, small rural prospective payment system (PPS) hospitals, and provider-based rural health clinics (RHC).
Date: 09/2024
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Provides a manual with introductory information on healthcare facility finances and payment for state Medicare Rural Hospital Flexibility (Flex) Program personnel, Critical Access Hospital (CAH) staff and board members, small rural prospective payment system (PPS) hospitals, and provider-based rural health clinics (RHC).
Date: 09/2024
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of January 2023, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Current regulations, as of January 2023, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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How Narrow or Broad are ACA Marketplace Physician Networks?
Examines physician networks and participation in Qualified Health Plans (QHPs) and how network size impacts costs and access for patients. Utilizes 2021 physician workforce and provider network data to analyze patient access to physicians in their network, distribution of Marketplace enrollees and plans, availability of specialists, share of physicians included in enrollees' provider networks by rural versus urban location, and more.
Author(s): Matthew Rae, Karen Pollitz, Kaye Pestaina, et al.
Date: 08/2024
Type: Document
Sponsoring organization: KFF
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Examines physician networks and participation in Qualified Health Plans (QHPs) and how network size impacts costs and access for patients. Utilizes 2021 physician workforce and provider network data to analyze patient access to physicians in their network, distribution of Marketplace enrollees and plans, availability of specialists, share of physicians included in enrollees' provider networks by rural versus urban location, and more.
Author(s): Matthew Rae, Karen Pollitz, Kaye Pestaina, et al.
Date: 08/2024
Type: Document
Sponsoring organization: KFF
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Predictors of Telehealth Use after the Minnesota Telehealth Act: Analysis Using the Minnesota All Payer Claims Database
Examines factors contributing to telehealth use among commercially insured and Medicare Advantage patients in Minnesota. Factors evaluated include age, gender, various chronic health conditions, rurality, broadband access, and more.
Author(s): Arkadipta Ghosh, Ethan Jacobs, Elizabeth Greener, et al.
Citation: Health Affairs Scholar, 2(8)
Date: 08/2024
Type: Document
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Examines factors contributing to telehealth use among commercially insured and Medicare Advantage patients in Minnesota. Factors evaluated include age, gender, various chronic health conditions, rurality, broadband access, and more.
Author(s): Arkadipta Ghosh, Ethan Jacobs, Elizabeth Greener, et al.
Citation: Health Affairs Scholar, 2(8)
Date: 08/2024
Type: Document
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National- and State-Level Estimates of WIC Eligibility and Program Reach in 2022: Final Report, Volume 1
Compares eligibility versus participation in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits in 2022 using Community Population Survey Annual Social and Economic Supplement (CPS-ASEC), American Community Survey (ACS), and National Vital Statistics data. Discusses trends over time for infants and pregnant women as well as by breastfeeding status, race and ethnicity, Medicaid participation, and urbanicity. Includes state and regional comparisons.
Additional links: Appendices, Summary
Author(s): Courtenay Kessler, Andrew Bryant, Kate Munkacsy, Kelsey Farson Gray
Date: 08/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Compares eligibility versus participation in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits in 2022 using Community Population Survey Annual Social and Economic Supplement (CPS-ASEC), American Community Survey (ACS), and National Vital Statistics data. Discusses trends over time for infants and pregnant women as well as by breastfeeding status, race and ethnicity, Medicaid participation, and urbanicity. Includes state and regional comparisons.
Additional links: Appendices, Summary
Author(s): Courtenay Kessler, Andrew Bryant, Kate Munkacsy, Kelsey Farson Gray
Date: 08/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Access to Care Report
Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Type: Document
Sponsoring organization: American Health Care Association
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Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Type: Document
Sponsoring organization: American Health Care Association
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2025
Comments on a July 5, 2024, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing modifications to the outlier policy, updates to the low-volume payment adjustment (LVPA), and updates to the wage index methodology.
Date: 08/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 5, 2024, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing modifications to the outlier policy, updates to the low-volume payment adjustment (LVPA), and updates to the wage index methodology.
Date: 08/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2025
Comments on a July 3, 2024, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding permanent and temporary budget-neutrality adjustments, the plan of care development and scope of services home health patients receive, and the proposed adoption of the core-based statistical area (CBSA) delineations for the home health wage index.
Date: 08/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 3, 2024, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding permanent and temporary budget-neutrality adjustments, the plan of care development and scope of services home health patients receive, and the proposed adoption of the core-based statistical area (CBSA) delineations for the home health wage index.
Date: 08/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Illinois Small & Rural Backgrounder
Provides an overview of rural hospitals in Illinois, with a focus on hospital characteristics, patient demographics, financial information, and healthcare workforce. Includes state map showing location and type of rural hospital.
Date: 08/2024
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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Provides an overview of rural hospitals in Illinois, with a focus on hospital characteristics, patient demographics, financial information, and healthcare workforce. Includes state map showing location and type of rural hospital.
Date: 08/2024
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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