Rural Health
Resources by Topic: Healthcare business and finance
ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO Primary Care Flex Model: Model Overview Factsheet
Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Hospital Price Transparency
Offers resources for healthcare providers and consumers regarding hospital price transparency regulations and policies. Includes links to a GitHub repository of resources for templates and technical instructions and tools to support hospitals in meeting accessibility and machine-readable file requirements.
Additional links: GitHub Repository
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers resources for healthcare providers and consumers regarding hospital price transparency regulations and policies. Includes links to a GitHub repository of resources for templates and technical instructions and tools to support hospitals in meeting accessibility and machine-readable file requirements.
Additional links: GitHub Repository
Sponsoring organization: Centers for Medicare and Medicaid Services
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Inpatient Discharges to Home Hospice and Facility Hospice Care in California
Visualization showing inpatient discharges to hospice care in California between 2018 and 2022. Offers filters for hospice type, patient characteristics, and diagnosis category. Data is available at the county level.
Sponsoring organization: California Department of Health Care Access and Information
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Visualization showing inpatient discharges to hospice care in California between 2018 and 2022. Offers filters for hospice type, patient characteristics, and diagnosis category. Data is available at the county level.
Sponsoring organization: California Department of Health Care Access and Information
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California Hospital Financial Data Interactive Series
Set of interactive visualizations showing California hospital financial, utilization, and profitability data between 2014 and 2021. Each visualization can be filtered by county, city, rural designation, ownership, and specific facility.
Sponsoring organization: California Department of Health Care Access and Information
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Set of interactive visualizations showing California hospital financial, utilization, and profitability data between 2014 and 2021. Each visualization can be filtered by county, city, rural designation, ownership, and specific facility.
Sponsoring organization: California Department of Health Care Access and Information
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NARHC REF RHC Data Portal
Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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NC Medicaid Expansion Dashboard
Dashboard providing data on North Carolina Medicaid expansion enrollment. Contains an interactive, county-level map and charts which allow sorting data by demographics, health plan, rurality, and county. Updated monthly.
Sponsoring organization: North Carolina Department of Health and Human Services
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Dashboard providing data on North Carolina Medicaid expansion enrollment. Contains an interactive, county-level map and charts which allow sorting data by demographics, health plan, rurality, and county. Updated monthly.
Sponsoring organization: North Carolina Department of Health and Human Services
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Transforming Maternal Health (TMaH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Maternal Health (TMaH) Model, which will support participating state Medicaid agencies in the development of a whole-person approach to pregnancy, childbirth, and postpartum care that addresses the physical, mental health, and social needs experienced during pregnancy. Aims to reduce disparities in maternal healthcare access and treatment, improve outcomes and experiences for mothers and their newborns, and reduce overall program expenditures.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Maternal Health (TMaH) Model, which will support participating state Medicaid agencies in the development of a whole-person approach to pregnancy, childbirth, and postpartum care that addresses the physical, mental health, and social needs experienced during pregnancy. Aims to reduce disparities in maternal healthcare access and treatment, improve outcomes and experiences for mothers and their newborns, and reduce overall program expenditures.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Workforce Tracker
Interactive tool presenting state and county-level data on the behavioral health workforce between 2017 and 2021. Uses 2017-2021 IQVIA Xponent retail prescription data to identify prescribers of behavioral health medications and state licensure data from 2020 and 2021 to identify licensed clinical social workers, licensed professional counselors, and licensed marriage and family therapists.
Sponsoring organization: Fitzhugh Mullan Institute for Health Workforce Equity
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Interactive tool presenting state and county-level data on the behavioral health workforce between 2017 and 2021. Uses 2017-2021 IQVIA Xponent retail prescription data to identify prescribers of behavioral health medications and state licensure data from 2020 and 2021 to identify licensed clinical social workers, licensed professional counselors, and licensed marriage and family therapists.
Sponsoring organization: Fitzhugh Mullan Institute for Health Workforce Equity
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Medicare Learning Network: Chronic Care Management Services
Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Sponsoring organization: Centers for Medicare and Medicaid Services
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