Rural Health
Resources by Topic: Healthcare business and finance
Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Health Value
view details
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Health Value
view details
Cybersecurity Lockdown
Recording of a December 6, 2023, webinar on cybersecurity threats and attacks. Discusses who is after healthcare data, why providers have a professional responsibility to address these threats proactively, and what providers can do today to limit their impact. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
view details
Recording of a December 6, 2023, webinar on cybersecurity threats and attacks. Discusses who is after healthcare data, why providers have a professional responsibility to address these threats proactively, and what providers can do today to limit their impact. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
view details
Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, gender, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, gender, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, gender, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, gender, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Includes data on the share of enrollees who used these services overall and by age, gender, race and ethnicity, urban or rural status, Medicaid or CHIP eligibility category, and the enrollees' primary language.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Includes data on the share of enrollees who used these services overall and by age, gender, race and ethnicity, urban or rural status, Medicaid or CHIP eligibility category, and the enrollees' primary language.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
Type: Document
view details
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
Type: Document
view details
National Academy for State Health Policy (NASHP) Hospital Cost Tool
Interactive tool providing information on how much hospitals spend on patient care services, how costs relate to the hospital charges, and actual prices paid by health plans. Presents data on a range of measures for hospital revenue, costs, profitability, and break-even points for over 5,000 hospitals nationwide between 2011 and 2022. Includes the ability to view and compare hospital financial metrics at the hospital, state, and health system levels.
Additional links: Hospital Cost Tool and Resources
Date: 12/2023
Type: Tool
Sponsoring organization: National Academy for State Health Policy
view details
Interactive tool providing information on how much hospitals spend on patient care services, how costs relate to the hospital charges, and actual prices paid by health plans. Presents data on a range of measures for hospital revenue, costs, profitability, and break-even points for over 5,000 hospitals nationwide between 2011 and 2022. Includes the ability to view and compare hospital financial metrics at the hospital, state, and health system levels.
Additional links: Hospital Cost Tool and Resources
Date: 12/2023
Type: Tool
Sponsoring organization: National Academy for State Health Policy
view details
Health Panel Comment Letter - Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting Proposed Rule
Comments offered in response to a September 6, 2023, proposed rule regarding minimum nurse staffing standards for long-term care facilities. Discusses considerations for the implementation timeline and including licensed practical nurses in the proposed staffing ratios and standards, the definition of rural utilized in the proposed rule to identify rural facilities, and conditions for hardship exemption eligibility.
Date: 11/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Comments offered in response to a September 6, 2023, proposed rule regarding minimum nurse staffing standards for long-term care facilities. Discusses considerations for the implementation timeline and including licensed practical nurses in the proposed staffing ratios and standards, the definition of rural utilized in the proposed rule to identify rural facilities, and conditions for hardship exemption eligibility.
Date: 11/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Medicare Advantage in Rural Areas: Implications for Hospital Sustainability
Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
Type: Document
view details
Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
Type: Document
view details
North Dakota Critical Access Hospital Conditions of Participation (CoP) Checklist
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2023
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
view details
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2023
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
view details