Rural Health
Resources by Topic: Healthcare business and finance
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
view details
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
view details
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
view details
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
view details
Small and Rural Practices' Experiences in Previous Programs and Expected Performance in the Merit-Based Incentive Payment System
Examines how small and rural physician practices fared in legacy Medicare programs and reviews the projected effect of Merit-Based Incentive Payment System (MIPS). Discusses Medicare legacy program challenges small and rural physician practices experience including technology, financial and staff resources, and legacy program requirements. Covers efforts to assist small and rural physician practices participate in MIPS. Includes 2014 and 2015 data on Medicare legacy payment incentive programs by rural and urban status.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
view details
Examines how small and rural physician practices fared in legacy Medicare programs and reviews the projected effect of Merit-Based Incentive Payment System (MIPS). Discusses Medicare legacy program challenges small and rural physician practices experience including technology, financial and staff resources, and legacy program requirements. Covers efforts to assist small and rural physician practices participate in MIPS. Includes 2014 and 2015 data on Medicare legacy payment incentive programs by rural and urban status.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
view details
Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 06/2018
Type: Document
view details
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 06/2018
Type: Document
view details
State Legislative Approach to Enumerating Behavioral Health Workforce Shortages: Lessons Learned in New Mexico
Describes the model developed in New Mexico (NM) as a result of the Health Care Work Force Data Collection, Analysis and Policy Act, initially enacted in 2011, to address behavioral health workforce shortages, particularly in rural areas, and the increased demand for services due to Medicaid expansion in the state. Highlights the purpose of the legislation, the development of a statewide workforce committee, policies implemented, lessons learned, and offers suggestions for other states considering legislation supporting behavioral health workforce initiatives.
Author(s): Deborah B. Altschul, Caroline A. Bonham, Martha J. Faulkner, et al.
Citation: American Journal of Preventive Medicine, 54(6S3), S220-S229
Date: 06/2018
Type: Document
view details
Describes the model developed in New Mexico (NM) as a result of the Health Care Work Force Data Collection, Analysis and Policy Act, initially enacted in 2011, to address behavioral health workforce shortages, particularly in rural areas, and the increased demand for services due to Medicaid expansion in the state. Highlights the purpose of the legislation, the development of a statewide workforce committee, policies implemented, lessons learned, and offers suggestions for other states considering legislation supporting behavioral health workforce initiatives.
Author(s): Deborah B. Altschul, Caroline A. Bonham, Martha J. Faulkner, et al.
Citation: American Journal of Preventive Medicine, 54(6S3), S220-S229
Date: 06/2018
Type: Document
view details
Estimate of Federal Payment Reductions to Hospitals Following the ACA 2010-2028: Estimates and Methodology
Examines cumulative federal payment reductions to hospitals for 2010-2028. Addresses the impact of sequestration, changes in Medicare payments for bad debt including to Critical Access Hospitals, federal Medicaid Disproportionate Share Hospital (DSH) allotments, and other legislation affecting hospital reimbursement.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 06/2018
Type: Document
Sponsoring organizations: American Hospital Association, Dobson DaVanzo & Associates, Federation of American Hospitals
view details
Examines cumulative federal payment reductions to hospitals for 2010-2028. Addresses the impact of sequestration, changes in Medicare payments for bad debt including to Critical Access Hospitals, federal Medicaid Disproportionate Share Hospital (DSH) allotments, and other legislation affecting hospital reimbursement.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 06/2018
Type: Document
Sponsoring organizations: American Hospital Association, Dobson DaVanzo & Associates, Federation of American Hospitals
view details
Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
Type: Document
view details
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
Type: Document
view details
The Impacts of Medicaid Expansion on Rural Low-Income Adults – Lessons from the Oregon Health Insurance Experiment
Describes a randomly controlled study examining Medicaid expansion. Includes data from interviews with 86 rural study participants discussing healthcare access, personal finances, and self-reported health status.
Author(s): Heidi Allen, Bill Wright, Lauren Broffman
Citation: Medical Care Research and Review, 75(3), 354-383
Date: 06/2018
Type: Document
view details
Describes a randomly controlled study examining Medicaid expansion. Includes data from interviews with 86 rural study participants discussing healthcare access, personal finances, and self-reported health status.
Author(s): Heidi Allen, Bill Wright, Lauren Broffman
Citation: Medical Care Research and Review, 75(3), 354-383
Date: 06/2018
Type: Document
view details
Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
view details
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
view details
Spurring Innovation: The Role of Child Health Policy
Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to children living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Type: Document
Sponsoring organization: AcademyHealth
view details
Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to children living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Type: Document
Sponsoring organization: AcademyHealth
view details