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Rural Health
Resources by Topic: Healthcare business and finance

2016 Rural Provider Leadership Summit Report: Strategies for Rural Provider Engagement in Transitioning to Value-based Purchasing and Population Health
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Date: 08/2016
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
Type: Document
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Profitability of Rural and Urban Hospitals
Infographic comparing rural and urban hospital profit margins from 2012 to 2014 and illustrating the geographic variation of profits across states.
Date: 08/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
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Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which tested models of healthcare delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they focused on.
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
Type: Document
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APNP Hospitalists: Sustainability of Rural Hospitals
Video of a meeting at Rusk County Memorial Hospital in Ladysmith, Wisconsin. Includes discussion on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Wisconsin Health Cooperative
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Oregon Acute Care Hospitals: Annual Financials Reporting Highlights, 2015
Reports on the extent to which hospitals in Oregon, both rural and urban, meet the need for healthcare services in their communities and continue to operate as financially viable organizations. Results for this report were drawn from financial data collected annually from acute care hospitals by the Oregon Health Authority.
Date: 07/2016
Type: Document
Sponsoring organization: Oregon Health Authority
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Oral Health Care Service in North Dakota Community Health Care Centers
Presents an overview of the federally funded Community Health Center (CHC) program in North Dakota. Addresses their locations within the state, services provided, sources of revenue, and patient demographics. Particular attention is given to the oral health services provided by CHCs, including a cost comparison between oral health services and medical services.
Author(s): Jun Lee, Shawnda Schroeder
Date: 07/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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