Rural Health
Resources by Topic: Healthcare business and finance
State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Healthy Behaviors Cost Analysis Report
Provides an overview of the Iowa Health and Wellness Plan (IHAWP) Healthy Behavior Incentive (HBI) Program. Examines the relationship between completion of HBI activities and healthcare costs.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Provides an overview of the Iowa Health and Wellness Plan (IHAWP) Healthy Behavior Incentive (HBI) Program. Examines the relationship between completion of HBI activities and healthcare costs.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Healthy Behaviors Claims-Based Report #3 and HRA Completion Report
Provides an overview of the Iowa Health and Wellness Plan (IHAWP) Healthy Behavior Incentive (HBI) Program. Presents data on completion rates for wellness exams, health risk assessments, or both activities among IHAWP members during the first 3 years of the program.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Provides an overview of the Iowa Health and Wellness Plan (IHAWP) Healthy Behavior Incentive (HBI) Program. Presents data on completion rates for wellness exams, health risk assessments, or both activities among IHAWP members during the first 3 years of the program.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Healthy Behaviors Claims-Based Outcomes Report #3 and Healthy Behaviors Modeling Report #2
Provides an overview of the Iowa Health and Wellness Plan (IHAWP), which expands coverage for low-income Iowans through two programs - the Marketplace Choice and the Wellness Plan - and the Healthy Behaviors Incentive (HBI) program. Explores the relationship between the completion of health behaviors and healthcare utilization.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Provides an overview of the Iowa Health and Wellness Plan (IHAWP), which expands coverage for low-income Iowans through two programs - the Marketplace Choice and the Wellness Plan - and the Healthy Behaviors Incentive (HBI) program. Explores the relationship between the completion of health behaviors and healthcare utilization.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Social Science Innovation
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Twenty-Five Things to Know about Texas Rural Hospitals
A fact sheet describing several characteristics, concerns, and related data unique to rural hospitals in Texas.
Date: 12/2018
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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A fact sheet describing several characteristics, concerns, and related data unique to rural hospitals in Texas.
Date: 12/2018
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicare: Voluntary and Mandatory Episode-Based Payment Models and Their Participants
Reviews tests of 6 episode-based Medicare payment models. Describes the characteristics of providers that participated in these models, including rural or urban location, addresses factors affecting their decision to participate, and compares the advantages of mandatory versus voluntary participation.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Reviews tests of 6 episode-based Medicare payment models. Describes the characteristics of providers that participated in these models, including rural or urban location, addresses factors affecting their decision to participate, and compares the advantages of mandatory versus voluntary participation.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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