Rural Health
Resources by Topic: Healthcare business and finance
Alternatives to Hospital Closure: Findings from a National Survey of CAH Executives
Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Health System Challenges for Critical Access Hospitals: Findings from a National Survey of CAH Executives
Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Quality Time: Sharing PIE - Involving Board and Leadership to Drive Quality Outcomes
Podcast recording exploring how a Critical Access Hospital (CAH) board and leadership are engaged with and support quality improvement work. Features quality, clinical, and board representatives from Paris Community Hospital, a CAH in Paris, Illinois.
Date: 02/2021
Sponsoring organization: Stratis Health
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Podcast recording exploring how a Critical Access Hospital (CAH) board and leadership are engaged with and support quality improvement work. Features quality, clinical, and board representatives from Paris Community Hospital, a CAH in Paris, Illinois.
Date: 02/2021
Sponsoring organization: Stratis Health
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Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Paving the Way to Equity: A Progress Report (2015-2021)
Provides an overview of the 2015 Centers for Medicare & Medicaid Services (CMS) Equity Plan for Improving Quality in Medicare and its Path to Equity, an organizing framework to achieve health equity. Discusses ways CMS has demonstrated progress in increasing understanding and awareness of disparities, developing and disseminating solutions to health equity, and implementing sustainable actions to achieve health equity. Considers emerging opportunities to build on this progress toward health equity. Includes information on rural disparities throughout.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the 2015 Centers for Medicare & Medicaid Services (CMS) Equity Plan for Improving Quality in Medicare and its Path to Equity, an organizing framework to achieve health equity. Discusses ways CMS has demonstrated progress in increasing understanding and awareness of disparities, developing and disseminating solutions to health equity, and implementing sustainable actions to achieve health equity. Considers emerging opportunities to build on this progress toward health equity. Includes information on rural disparities throughout.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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January 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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January 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2021 meeting. Features a discussion on the expansion of telehealth in Medicare. Also covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report expanding the post-acute care transfer policy to hospice, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, long-term care hospital services, and CMMI's development and implementation of alternative payment models.
Date: 01/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2021 meeting. Features a discussion on the expansion of telehealth in Medicare. Also covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report expanding the post-acute care transfer policy to hospice, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, long-term care hospital services, and CMMI's development and implementation of alternative payment models.
Date: 01/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults
Examines the effect the ACA had on oral healthcare utilization in rural areas. Compares use of oral health services by adults from 2011-2016 in rural and urban communities.
Author(s): Wei-Chen Lee, Chih-Ying Li, Hani Serag, et al.
Citation: Journal of Rural Health, 37(1), 103-113
Date: 01/2021
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Examines the effect the ACA had on oral healthcare utilization in rural areas. Compares use of oral health services by adults from 2011-2016 in rural and urban communities.
Author(s): Wei-Chen Lee, Chih-Ying Li, Hani Serag, et al.
Citation: Journal of Rural Health, 37(1), 103-113
Date: 01/2021
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Congress Establishes New Medicare Provider Category and Reimbursement for Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) provider designation established in the Consolidated Appropriations Act, 2021. Discusses provider eligibility criteria, REH requirements and permitted services, and Medicare reimbursement. Highlights key questions that need to be addressed by the Centers for Medicare & Medicaid Services.
Author(s): Emily J. Cook, Sandra M. DiVarco, Caroline Reigart
Citation: National Law Review, XI(5)
Date: 01/2021
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Provides an overview of the Rural Emergency Hospital (REH) provider designation established in the Consolidated Appropriations Act, 2021. Discusses provider eligibility criteria, REH requirements and permitted services, and Medicare reimbursement. Highlights key questions that need to be addressed by the Centers for Medicare & Medicaid Services.
Author(s): Emily J. Cook, Sandra M. DiVarco, Caroline Reigart
Citation: National Law Review, XI(5)
Date: 01/2021
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