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Rural Health
Resources by Topic: Healthcare business and finance

Leadership Fundamentals Video Series: Surviving and Thriving as a New Leader
A 6-part video series for new rural health leaders transitioning to a supervisor or manager role. Covers building organizational awareness; managing performance; communication, conflict, and difficult conversations; leading change; and team engagement. Training modules include interviews with rural health leaders, discussion questions, suggested activities to support learning, and supplemental resources.
Date: 06/2022
Sponsoring organization: National Rural Health Resource Center
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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Costs of Evidence-Based Early Childhood Home Visiting: Results from the Mother and Infant Home Visiting Program Evaluation
Examines how resources are allocated at Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program-funded local home visiting programs. Estimates the costs for each family served in Mother and Infant Home Visiting Program Evaluation (MIHOPE) and how these costs differ across families, local programs, and evidence-based models. Includes data comparing programs that serve only metropolitan, only nonmetropolitan, and both types of counties.
Additional links: Executive Summary
Date: 06/2022
Sponsoring organization: Administration for Children and Families
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Rural Illinois in Numbers: Content-Valid Indicators for Governance
Reports on quality of life (QOL) measures in Illinois such as economic conditions, access to healthcare, educational attainment, crime rates, and more. Includes metro versus nonmetro comparisons using data spanning from 2000 to 2020.
Author(s): Adee Athiyaman
Date: 06/2022
Sponsoring organization: Illinois Institute for Rural Affairs
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The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Answering The Call: 988 - A New Vision for Crisis Response
Discuss three areas important to implementing the 988 mental health crisis response number and behavioral health crisis response: interagency collaboration, the behavioral health workforce, and financing. Offers policy recommendations for developing a comprehensive crisis response system. Discusses rural considerations and challenges throughout.
Date: 06/2022
Sponsoring organization: Bipartisan Policy Center
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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