Rural Health
Resources by Topic: Inpatient care
MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Higher Electronic Health Record Functionality Is Associated with Lower Operating Costs in Urban—but Not Rural—Hospitals
Explores the relationship between electronic health record (EHR) use and functionality and hospital operating costs. Examines the effects of different categories of EHR functionality on general, inpatient, and outpatient costs. Compares the relationship between EHR functionality and operating costs across urban and rural hospitals.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Applied Clinical Informatics, 13(3), 665-676
Date: 05/2022
Type: Document
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Explores the relationship between electronic health record (EHR) use and functionality and hospital operating costs. Examines the effects of different categories of EHR functionality on general, inpatient, and outpatient costs. Compares the relationship between EHR functionality and operating costs across urban and rural hospitals.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Applied Clinical Informatics, 13(3), 665-676
Date: 05/2022
Type: Document
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2023
Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Psychiatric Facility PPS for FY 2023
Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Hospitalizations and In-Hospital Deaths for Patients From Rural Areas in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among patients from rural areas between April–December 2020 and compares this data to state-level statistics from the same period in 2016-2019. Presents data by patient characteristics, including age race/ethnicity, expected payer, and community-level income. Includes data on the percent of hospitalizations and deaths related to COVID-19 among patients from rural areas in 2020.
Author(s): Lawrence D. Reid, Marc Roemer
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among patients from rural areas between April–December 2020 and compares this data to state-level statistics from the same period in 2016-2019. Presents data by patient characteristics, including age race/ethnicity, expected payer, and community-level income. Includes data on the percent of hospitalizations and deaths related to COVID-19 among patients from rural areas in 2020.
Author(s): Lawrence D. Reid, Marc Roemer
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 65 Years and Older in the Initial Period of the COVID-19 Pandemic (April-December 2020), 29 States
Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 65 years old and over between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Pamela L. Owens
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 65 years old and over between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Pamela L. Owens
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 18–64 Years in the Initial Period of the COVID-19 Pandemic (April-December 2020), 29 States
Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 18-64 years old between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 18-64 years old between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-December 2020), 29 States
Presents data from 29 states on the number of pediatric all-cause hospitalizations and in-hospital deaths between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of pediatric hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the number of pediatric all-cause hospitalizations and in-hospital deaths between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of pediatric hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-December 2020), 29 States
Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the number of all-cause hospitalizations and in-hospital deaths between April–December 2020 and compares this data to statistics from the same period in 2016-2019. Presents data by patient characteristics, including urban-rural status and race/ethnicity. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 04/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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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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