Rural Health
Resources by Topic: Hospice and palliative care
Evaluation of the Medicare Care Choices Model: Annual Report 4
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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"Hard to Say Goodbye Over iPad": Experiences of Palliative Care Providers and Lessons Learned During the COVID-19 Pandemic in Rural Communities of Indiana, United States
Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measure Applications Partnership 2021-2022 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital, and Post-Acute Care Long-Term Care
Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Type: Document
Sponsoring organization: National Quality Forum
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Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Type: Document
Sponsoring organization: National Quality Forum
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Palliative Care for Rural Growth and Wellbeing: Identifying Perceived Barriers and Facilitators in Access to Palliative Care in Rural Indiana, USA
Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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January 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examining Barriers and Facilitators to Palliative Care Access in Rural Areas: A Scoping Review
Presents findings from a review of 28 peer-reviewed studies regarding barriers and facilitators to access to palliative care in rural areas. Covers perspectives from patients, families, and providers.
Author(s): Yun Cai, Nasreen Lalani
Citation: American Journal of Hospice and Palliative Medicine, 39(1), 123-130
Date: 2022
Type: Document
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Presents findings from a review of 28 peer-reviewed studies regarding barriers and facilitators to access to palliative care in rural areas. Covers perspectives from patients, families, and providers.
Author(s): Yun Cai, Nasreen Lalani
Citation: American Journal of Hospice and Palliative Medicine, 39(1), 123-130
Date: 2022
Type: Document
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Literature Review on Differences in Care Provided in Urban and Rural Nursing Homes in the United States
Summarizes results of a review of peer-reviewed research on differences in rural and urban nursing home care quality. Covers access to mental health services and supports, hospitalizations and in-hospital deaths, and hospice care utilization. Highlights implications for future research.
Author(s): Denise D. Quigley, Leah V. Estrada, Gregory L. Alexander, Andrew Dick, Patricia W. Stone
Citation: Journal of Gerontological Nursing, 47(12), 48-56
Date: 12/2021
Type: Document
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Summarizes results of a review of peer-reviewed research on differences in rural and urban nursing home care quality. Covers access to mental health services and supports, hospitalizations and in-hospital deaths, and hospice care utilization. Highlights implications for future research.
Author(s): Denise D. Quigley, Leah V. Estrada, Gregory L. Alexander, Andrew Dick, Patricia W. Stone
Citation: Journal of Gerontological Nursing, 47(12), 48-56
Date: 12/2021
Type: Document
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