Rural Health
Resources by Topic: Healthcare business and finance
The Medicaid Fee-for-Service Provider Payment Process
Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Primary Care: The Foundation for a High Performance Rural Health Care System
Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Update: Independently Owned Pharmacy Closures in Rural America, 2003-2018
Provides updated information on independently owned rural pharmacy closures from 2003 to 2018. Includes state-level data on rural pharmacy closures. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Abiodun Salako, Fred Ullrich, Keith J. Mueller
Date: 07/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides updated information on independently owned rural pharmacy closures from 2003 to 2018. Includes state-level data on rural pharmacy closures. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Abiodun Salako, Fred Ullrich, Keith J. Mueller
Date: 07/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Community Care Integration
Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Drug Discount Program: Improvements Needed in Federal Oversight of Compliance at 340B Contract Pharmacies
Details an evaluation of HRSA's oversight of contract pharmacies participating in the 340B Drug Pricing Program. Discusses rates of compliance by contract pharmacies and HRSA's enforcement efforts.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Details an evaluation of HRSA's oversight of contract pharmacies participating in the 340B Drug Pricing Program. Discusses rates of compliance by contract pharmacies and HRSA's enforcement efforts.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Average Beneficiary CMS Hierarchical Condition Category (HCC) Risk Scores for Rural and Urban Providers
Findings brief investigating potential differences in urban and rural CMS-HCC risk scores at the provider's patient panel level. Features statistics from the 2015 Medicare Physician and Other Supplier Public Use File to compare patient panel CMS-HCC risk scores with breakdowns by urban and rural providers across provider specialties, census divisions, and Merit-Based Incentive Payment System (MIPS) participation requirements.
Author(s): Abby F. Hoffman, Kristin L. Reiter, Randy K. Randolph
Date: 07/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief investigating potential differences in urban and rural CMS-HCC risk scores at the provider's patient panel level. Features statistics from the 2015 Medicare Physician and Other Supplier Public Use File to compare patient panel CMS-HCC risk scores with breakdowns by urban and rural providers across provider specialties, census divisions, and Merit-Based Incentive Payment System (MIPS) participation requirements.
Author(s): Abby F. Hoffman, Kristin L. Reiter, Randy K. Randolph
Date: 07/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Comment on CMS's Interim Final Rule on Durable Medical Equipment Fee Schedule Adjustments
Describes Medicare's method of setting payment rates for durable medical equipment, prosthetics, orthotics, and supplies, and explains the reinstitution of 50/50 blended payment rates for rural and non-contiguous areas from June 1, 2018 to December 31, 2018.
Author(s): Francis J. Crosson
Date: 07/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Describes Medicare's method of setting payment rates for durable medical equipment, prosthetics, orthotics, and supplies, and explains the reinstitution of 50/50 blended payment rates for rural and non-contiguous areas from June 1, 2018 to December 31, 2018.
Author(s): Francis J. Crosson
Date: 07/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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At Presentation Medical Center: Culture Impacts Success
Describes Presentation Medical Center's (PMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on assessing PMC's finances and operations. PMC is a 25-bed Critical Access Hospital (CAH) located in Rolla, North Dakota.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Describes Presentation Medical Center's (PMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on assessing PMC's finances and operations. PMC is a 25-bed Critical Access Hospital (CAH) located in Rolla, North Dakota.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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