Rural Health
Resources by Topic: Healthcare business and finance
Federal and State Policy Changes Since COVID-19
Video recording of a presentation on federal and state telehealth policy changes during the COVID-19 pandemic. Discusses Centers for Medicare and Medicaid (CMS) policies related to geographic and site location for the patient, provider location and type, and telehealth delivery modality. Addresses common issues related to reimbursement and payment codes, Medicare billing guidance for Federally Qualified Health Centers and Rural Health Clinics, and notes post-COVID policy questions and issues. Transcript available in the video description.
Date: 09/2020
Type: Video/Multimedia
Sponsoring organizations: Centers for Connected Health Policy, Northwest Regional Telehealth Resource Center
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Video recording of a presentation on federal and state telehealth policy changes during the COVID-19 pandemic. Discusses Centers for Medicare and Medicaid (CMS) policies related to geographic and site location for the patient, provider location and type, and telehealth delivery modality. Addresses common issues related to reimbursement and payment codes, Medicare billing guidance for Federally Qualified Health Centers and Rural Health Clinics, and notes post-COVID policy questions and issues. Transcript available in the video description.
Date: 09/2020
Type: Video/Multimedia
Sponsoring organizations: Centers for Connected Health Policy, Northwest Regional Telehealth Resource Center
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A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Type: Document
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Type: Document
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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Third Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman, Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman, Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Rural-Relevant Quality Measures for Testing of Statistical Approaches to Address Low Case-Volume
Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Type: Document
Sponsoring organization: National Quality Forum
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Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Type: Document
Sponsoring organization: National Quality Forum
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Taskforce on Telehealth Policy (TTP) Findings and Recommendations
Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Type: Document
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Type: Document
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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