Rural Health
Resources by Topic: Healthcare business and finance
MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2024
Comment on an April 4, 2023, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2024. Includes a discussion of rural IPF PPS payment adjustments.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 4, 2023, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2024. Includes a discussion of rural IPF PPS payment adjustments.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research Recap: Rural Hospital Closures: 2023 Update
Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Cost of Dementia in Illinois: Metro Versus Nonmetro
Examines prevalence of Alzheimer's dementia in metro and nonmetro counties in Illinois, with further breakdowns by race, number of people at risk, financial cost of dementia, risk calculation and life expectancy, and more.
Author(s): Adee Athiyaman
Date: 06/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines prevalence of Alzheimer's dementia in metro and nonmetro counties in Illinois, with further breakdowns by race, number of people at risk, financial cost of dementia, risk calculation and life expectancy, and more.
Author(s): Adee Athiyaman
Date: 06/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Rural Disparities in the Quality of Clinical Care Are Notable and Larger for Males
Explores the differences in healthcare quality among male and female Medicare Advantage beneficiaries in rural and urban areas. Breaks down data by gender, treatment received, treatment outcomes, and rural versus urban location, among other measures.
Author(s): Sarah MacCarthy, Marc N. Elliott, Steven C. Martino, et al.
Citation: Journal of Rural Health, 39(3), 636-642
Date: 06/2023
Type: Document
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Explores the differences in healthcare quality among male and female Medicare Advantage beneficiaries in rural and urban areas. Breaks down data by gender, treatment received, treatment outcomes, and rural versus urban location, among other measures.
Author(s): Sarah MacCarthy, Marc N. Elliott, Steven C. Martino, et al.
Citation: Journal of Rural Health, 39(3), 636-642
Date: 06/2023
Type: Document
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Success Story: Rural Wisconsin Health Cooperative
Discusses the Rural Wisconsin Health Cooperative's (RWHC) approach to supporting community health and economic vitality in rural Wisconsin. Highlights successful partnerships between hospitals, community groups, philanthropies, and commercial organizations.
Date: 05/2023
Type: Document
Sponsoring organization: Wisconsin Office of Rural Prosperity
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Discusses the Rural Wisconsin Health Cooperative's (RWHC) approach to supporting community health and economic vitality in rural Wisconsin. Highlights successful partnerships between hospitals, community groups, philanthropies, and commercial organizations.
Date: 05/2023
Type: Document
Sponsoring organization: Wisconsin Office of Rural Prosperity
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Rural Track Programs: A Guide to the Updated Medicare Requirements
An overview of the requirements to participate in the Centers for Medicare & Medicaid Services (CMS) Rural Track Program (RTP), which is a partnership between an urban hospital - the primary clinical site - and rural site(s) for medical residency training. Describes how the RTP program differs from the earlier rural training track (RTT) program.
Date: 05/2023
Type: Document
Sponsoring organization: Association of American Medical Colleges
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An overview of the requirements to participate in the Centers for Medicare & Medicaid Services (CMS) Rural Track Program (RTP), which is a partnership between an urban hospital - the primary clinical site - and rural site(s) for medical residency training. Describes how the RTP program differs from the earlier rural training track (RTT) program.
Date: 05/2023
Type: Document
Sponsoring organization: Association of American Medical Colleges
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Policy Recommendations for Improving Rural Cancer Services in the United States
Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
Type: Document
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Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
Type: Document
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State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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