Rural Health
Resources by Topic: Healthcare business and finance
COVID-19's Current Impact on Rural Healthcare Delivery: Q&A with Brock Slabach
An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Sponsoring organization: Rural Health Information Hub
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An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Sponsoring organization: Rural Health Information Hub
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2021
Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Estimated Reduction in CAH Profitability from Loss of Cost-Based Reimbursement for Swing Beds
Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Sponsoring organization: North Carolina Rural Health Research Program
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As It Grows, Medicare Advantage is Enrolling More Low-Income and Medically Complex Beneficiaries
Examines how the demographics, socioeconomic status, and clinical characteristics of Medicare Advantage enrollees changed between 2012 and 2015. Explores how these changes related to changes in healthcare utilization and performance during this time.
Author(s): Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric Schneider, Shawn Bishop
Date: 05/2020
Sponsoring organization: Commonwealth Fund
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Examines how the demographics, socioeconomic status, and clinical characteristics of Medicare Advantage enrollees changed between 2012 and 2015. Explores how these changes related to changes in healthcare utilization and performance during this time.
Author(s): Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric Schneider, Shawn Bishop
Date: 05/2020
Sponsoring organization: Commonwealth Fund
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Most Rural Hospitals Have Little Cash Going into COVID
Findings brief exploring two scenarios in which rural hospitals have cash on hand for either 180 days or 7 days, representing the estimate of time the facilities could operate without receiving additional revenue, prior to the outbreak of COVID-19 in the U.S. Features statistics showing median days cash on hand by Medicare Payment Classification, with breakdowns by 7 types of hospitals, including Critical Access Hospitals and Sole Community Hospitals.
Date: 05/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief exploring two scenarios in which rural hospitals have cash on hand for either 180 days or 7 days, representing the estimate of time the facilities could operate without receiving additional revenue, prior to the outbreak of COVID-19 in the U.S. Features statistics showing median days cash on hand by Medicare Payment Classification, with breakdowns by 7 types of hospitals, including Critical Access Hospitals and Sole Community Hospitals.
Date: 05/2020
Sponsoring organization: North Carolina Rural Health Research Program
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CAHMPAS Financial Data Revisions
Provides an overview of new and revised financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) tool. Discusses the revised indicator framework and provides benchmarks and percentiles for all indicators for 2017 and 2018.
Author(s): Savannah Stallings, Ann Howard, George Pink, Kristin Reiter
Date: 05/2020
Sponsoring organization: Flex Monitoring Team
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Provides an overview of new and revised financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) tool. Discusses the revised indicator framework and provides benchmarks and percentiles for all indicators for 2017 and 2018.
Author(s): Savannah Stallings, Ann Howard, George Pink, Kristin Reiter
Date: 05/2020
Sponsoring organization: Flex Monitoring Team
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Medicare Primer
A general overview of the Medicare program. Describes the program's history, eligibility criteria, covered services, provider payment systems, and program administration, and financing. Includes information specific to rural areas.
Date: 05/2020
Sponsoring organization: Congressional Research Service
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A general overview of the Medicare program. Describes the program's history, eligibility criteria, covered services, provider payment systems, and program administration, and financing. Includes information specific to rural areas.
Date: 05/2020
Sponsoring organization: Congressional Research Service
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The Effect of Rural Hospital Closures on Emergency Medical Service Response and Transport Times
Examines ways in which rural hospital closures affect EMS response time, transport time, and total activation time, using data from 2010-2016. Features statistics comparing rates prior to rural hospital closure and immediately post-closure.
Author(s): Katherine E.M. Miller, Hailey J. James, George Mark Holmes, Courtney H. Van Houtven
Citation: Health Services Research, 55(2), 288-300
Date: 04/2020
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Examines ways in which rural hospital closures affect EMS response time, transport time, and total activation time, using data from 2010-2016. Features statistics comparing rates prior to rural hospital closure and immediately post-closure.
Author(s): Katherine E.M. Miller, Hailey J. James, George Mark Holmes, Courtney H. Van Houtven
Citation: Health Services Research, 55(2), 288-300
Date: 04/2020
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Rural-Nonrural Differences in Telemedicine Use for Mental and Substance Use Disorders Among Medicaid Beneficiaries
Presents a study on the rural and urban differences in use of telemedicine for mental and substance use disorder treatment among Medicaid beneficiaries. Breaks down data by patient demographics, year studied, and behavioral health disorder, among other measures.
Author(s): Timothy B. Creedon, Kristin E. Schrader, Peggy L. O'Brien, et al.
Citation: Psychiatric Services, 71(8), 756-764
Date: 04/2020
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Presents a study on the rural and urban differences in use of telemedicine for mental and substance use disorder treatment among Medicaid beneficiaries. Breaks down data by patient demographics, year studied, and behavioral health disorder, among other measures.
Author(s): Timothy B. Creedon, Kristin E. Schrader, Peggy L. O'Brien, et al.
Citation: Psychiatric Services, 71(8), 756-764
Date: 04/2020
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An Initiative to Implement Immediate Postpartum Long-Acting Reversible Contraception in Rural New Mexico
Study examining 7 rural hospitals in New Mexico and their efforts to implement immediate postpartum (IPP) long-acting reversible contraception (LARC) through a program offered by the New Mexico Perinatal Collaborative. Discusses challenges to implementing the program, including reimbursement obstacles, based on interviews with 20 key staff members.
Author(s): Hannah C. Palm, James H. Degnan, Sharla D. Biefeld, et al.
Citation: American Journal of Obstetrics and Gynecology, 222, S911, 1-7
Date: 04/2020
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Study examining 7 rural hospitals in New Mexico and their efforts to implement immediate postpartum (IPP) long-acting reversible contraception (LARC) through a program offered by the New Mexico Perinatal Collaborative. Discusses challenges to implementing the program, including reimbursement obstacles, based on interviews with 20 key staff members.
Author(s): Hannah C. Palm, James H. Degnan, Sharla D. Biefeld, et al.
Citation: American Journal of Obstetrics and Gynecology, 222, S911, 1-7
Date: 04/2020
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