Rural Health
Resources by Topic: Inpatient care
Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, gender, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research
Date: 06/2024
Type: Document
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Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, gender, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research
Date: 06/2024
Type: Document
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Prevalence of Hospital Readmission in Illinois Counties, 2007-2022
Examines hospital readmission rates in Illinois that happened within a 30-day period from initial discharge. Analyzes 2007-2022 Centers for Medicare & Medicaid Services (CMS) data to observe county-level as well as metro versus nonmetro changes in readmission rates.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines hospital readmission rates in Illinois that happened within a 30-day period from initial discharge. Analyzes 2007-2022 Centers for Medicare & Medicaid Services (CMS) data to observe county-level as well as metro versus nonmetro changes in readmission rates.
Author(s): Adee Athiyaman
Date: 05/2024
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2025
Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 3, 2024, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2025. Includes a discussion of rural IPF PPS payment adjustments.
Date: 05/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Care Fragmentation and Readmission Mortality and Length of Stay Before and During the COVID-19 Pandemic: Data from the National Readmissions Database, 2018–2020
Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
Type: Document
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Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
Type: Document
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April 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2024 meeting. Covers telehealth in Medicare, alternative approaches to lowering Medicare payments for select conditions in inpatient rehabilitation facilities, approaches for updating the Medicare physician fee schedule, initial findings from an analysis of Medicare Part B payment rates and 340B ceiling prices, and more. Includes discussion of telehealth in rural areas and data on telehealth use in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2020 and 2022.
Additional links: Telehealth in Medicare: Status Report - Presentation Slides
Date: 04/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Access to Preferred Skilled Nursing Facilities: Transitional Care Pathways for Patients with Alzheimer's Disease and Related Dementias
Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2024
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 Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
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 Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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