Rural Health
Resources by Topic: Healthcare quality
Alternative Payment Models in the Quality Payment Program as of December 2023
A set of three tables that list brief information about Alternative Payment Models (APMs) that the Centers for Medicare and Medicaid Services (CMS) operates or has announced, as of December 2023. Identifies Advanced APMs, Merit Based Incentive Program (MIPs) APMs, and Other Payer Advanced APMs, which include Medicaid Other Payer Advanced APMs, Medicare Health Plan Payment Arrangements, and commercial payment arrangements.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A set of three tables that list brief information about Alternative Payment Models (APMs) that the Centers for Medicare and Medicaid Services (CMS) operates or has announced, as of December 2023. Identifies Advanced APMs, Merit Based Incentive Program (MIPs) APMs, and Other Payer Advanced APMs, which include Medicaid Other Payer Advanced APMs, Medicare Health Plan Payment Arrangements, and commercial payment arrangements.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Disparities in Health Measures By Race and Ethnicity Among Beneficiaries in Medicare Advantage: A Review of the Literature
Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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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
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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
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Hospitals' Electronic Access to Information Needed to Treat COVID-19
Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
Type: Document
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Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
Type: Document
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VA Versus Non-VA Quality of Care: A Systematic Review
Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Presents a review of healthcare quality for veterans in VA and non-VA settings. Analyzes 42 studies of non-surgical care and 19 studies of surgical care. Highlights studies focusing on rural veterans and details rural veterans' reported satisfaction with the care they received.
Additional links: Executive Summary
Author(s): Paul Shekelle, Melinda Maggard-Gibbons, Mariah Blegen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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2022 National and State Healthcare-Associated Infections Progress Report
Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2023
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2023
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Improving Behavioral Health Care in the Military Health System: Challenges, Promising Strategies, and Research Directions
Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Type: Document
Sponsoring organization: RAND Corporation
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Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Type: Document
Sponsoring organization: RAND Corporation
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