Rural Health
Resources by Topic: Healthcare business and finance
Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
view details
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
view details
Evaluation of the Primary Care First Model: Second Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
Small Business Administration: Targeted Outreach about Disaster Assistance Could Benefit Rural Communities
Examines disaster loan trends in rural and urban areas using geocoded Small Business Administration (SBA) disaster loan application data for fiscal years 2017 through 2022. Describes challenges rural communities may face in seeking disaster assistance from SBA and actions SBA could take to address these challenges.
Additional links: Full Report
Date: 02/2024
Type: Document
Sponsoring organization: Government Accountability Office
view details
Examines disaster loan trends in rural and urban areas using geocoded Small Business Administration (SBA) disaster loan application data for fiscal years 2017 through 2022. Describes challenges rural communities may face in seeking disaster assistance from SBA and actions SBA could take to address these challenges.
Additional links: Full Report
Date: 02/2024
Type: Document
Sponsoring organization: Government Accountability Office
view details
Mobile Units and Your RHC - Is It a Good Fit?
Recording of a February 21, 2024, webinar reviewing current regulations and guidance regarding Rural Health Clinic (RHC) mobile units. Explores operational considerations regarding whether a mobile unit is a good fit for an RHC. Profiles the experiences of Baptist Health opening a mobile RHC unit in rural Kentucky. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
view details
Recording of a February 21, 2024, webinar reviewing current regulations and guidance regarding Rural Health Clinic (RHC) mobile units. Explores operational considerations regarding whether a mobile unit is a good fit for an RHC. Profiles the experiences of Baptist Health opening a mobile RHC unit in rural Kentucky. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
view details
Pre-Rulemaking Measure Review Measures Under Consideration: 2023 Recommendations Report
Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Partnership for Quality Measurement
view details
Reviews the 42 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2023-2024 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Partnership for Quality Measurement
view details
Medicare Advantage: It's Here, Now What?
Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
view details
Slides from a presentation at the 2024 National Rural Health Association's Policy Institute conference that discuss Medicare Advantage, with data on eligibility and enrollment percentages depicted for select states as well as by metro versus nonmetro location.
Author(s): Keith J Mueller
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
view details
Policy and Research Update: Financial Models for Rural Hospitals
Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
view details
Slides presented at the 2024 American Hospital Association's Rural Health Care Leadership conference that discuss healthcare payment policies, value-based care, alternative payment models, Medicare Advantage, and more. Provides discussion on how rural hospitals are are adapting to financial models, statistics on insurance adoption, and related resources.
Author(s): Christina Campos, Kristen Dillon, Keith Mueller, George Pink
Date: 02/2024
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
view details
Medicare Ground Ambulance Data Collection System (GADCS): Rural and Super Rural Organizations Tip Sheet
Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Covers 6 Ground Ambulance Data Collection System (GADCS) tips and common reporting scenarios for ground ambulance organizations serving rural and super rural areas. Intended to help highlight geographic differences in costs, revenues, and services.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
view details
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
view details
2024 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
view details
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
view details