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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2021
Comments on an August 12, 2020, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Includes comments on payment rates for separately payable non–pass-through drugs obtained through the 340B Drug Pricing Program.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2021
Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators
Summarizes key findings from a survey of State Flex Programs regarding the impact of COVID-19 on Critical Access Hospitals (CAHs) between May 26 - July 2, 2020. Describes the type of support and assistance requested by CAHs, promising strategies State Flex Programs used to support CAHs, and how State Flex Programs are planning for CAH needs after the pandemic.
Author(s): John Gale, Zachariah Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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State Support to Rural Hospitals Fact Sheet
Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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Chart Book: The Far-Reaching Benefits of the Affordable Care Act's Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals for Medicaid revenue, operating margins, and uncompensated care on page 18.
Date: 10/2020
Sponsoring organization: Center on Budget and Policy Priorities
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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Oregon's Critical Access Hospitals: Fiscal Year 2018 Community Benefit Reporting Highlights
Shows community benefit data for Oregon's 25 Critical Access Hospitals (CAHs), using information from Fiscal Year (FY) 2018. Features an Oregon map showing locations of CAHs, with shadings indicating frontier, rural, and urban areas. Includes a comparison of FY2018 and FY2017 community benefit dollars spent by category, community benefit spending totals, percent of net revenue, and more.
Date: 09/2020
Sponsoring organization: Oregon Office of Rural Health
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September 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2020 meeting. Covers the coronavirus pandemic and Medicare, the context for Medicare payment policy, a mandated report on the skilled nursing facility value-based purchasing program, a mandated report on the Protecting Access to Medicare Act of 2014's changes to the Medicare clinical laboratory fee schedule, and a Congressional request on private equity and Medicare. Includes rural references throughout.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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RHC Cost Reporting During COVID
Recording of a September 22, 2020, webinar covering cost reporting basics for Rural Health Clinics (RHCs), including telehealth reporting, FTE and visit calculations, productivity waiver requests, provider relief fund payments, and cost report filing deadlines. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 09/2020
Sponsoring organization: National Association of Rural Health Clinics
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