Rural Health
Resources by Topic: Healthcare business and finance
Utilization of Telemedicine Among Rural Medicare Beneficiaries
Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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Proactively Pursuing Value-Based Payment
Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Health Insurance Marketplaces: Premium Trends in Rural Areas
A policy brief analyzing the variation in the average Health Insurance Marketplace (HIM) health insurance premiums from 2014 to 2015, without accounting for subsidies. Discusses the differences rural populations may be experiencing in HIM insurance premiums relative to urban populations.
Author(s): Abigail R. Barker, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller,
Date: 05/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A policy brief analyzing the variation in the average Health Insurance Marketplace (HIM) health insurance premiums from 2014 to 2015, without accounting for subsidies. Discusses the differences rural populations may be experiencing in HIM insurance premiums relative to urban populations.
Author(s): Abigail R. Barker, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller,
Date: 05/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Illinois Network Puts Hospitals' Needs First
Profile of the Illinois Critical Access Hospital Network (ICAHN). Highlights how ICAHN has used support from the Federal Office of Rural Health Policy and Illinois Department of Public Health to help its member hospitals via a range of different services and programs.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Profile of the Illinois Critical Access Hospital Network (ICAHN). Highlights how ICAHN has used support from the Federal Office of Rural Health Policy and Illinois Department of Public Health to help its member hospitals via a range of different services and programs.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Veterans' Health Care: Proper Plan Needed to Modernize System for Paying Community Providers
Examines the Veterans Health Administration (VHA), Medicare and TRICARE systems in regards to processing Veterans healthcare claims including processing times and factors that have impeded processing and payment, as well as modified provisions to improve claim processing. Provides an overview of the Veterans Choice Program and other types of community healthcare programs offered by Veterans Affairs (VA).
Additional links: Full Report
Author(s): Randall B. Williamson
Date: 05/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the Veterans Health Administration (VHA), Medicare and TRICARE systems in regards to processing Veterans healthcare claims including processing times and factors that have impeded processing and payment, as well as modified provisions to improve claim processing. Provides an overview of the Veterans Choice Program and other types of community healthcare programs offered by Veterans Affairs (VA).
Additional links: Full Report
Author(s): Randall B. Williamson
Date: 05/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees' use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees' use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs and healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs and healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care
Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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