Rural Health
Resources by Topic: Long-term care
Long-Term Services and Supports Scorecard: Emerging Innovations - Mobility Managers
Report highlights the role of mobility managers in coordinating transportation services for older adults allowing them to age in place. Features examples of mobility managers functioning in both rural and urban settings.
Author(s): Doug Birnie, James McLary, Wendy Fox-Grage, Jana Lynott
Date: 06/2019
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Report highlights the role of mobility managers in coordinating transportation services for older adults allowing them to age in place. Features examples of mobility managers functioning in both rural and urban settings.
Author(s): Doug Birnie, James McLary, Wendy Fox-Grage, Jana Lynott
Date: 06/2019
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse
Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Type: Document
Sponsoring organization: Government Accountability Office
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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In Support of Family Caregivers: A Snapshot of Five States
Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Type: Document
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Type: Document
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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MedPAC Comment on CMS's Proposed Rule on the Skilled Nursing Facility PPS for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2019
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural-Urban Disparities in Access to Home- and Community-based Services and Supports: Stakeholder Perspectives from 14 States
Examines rural-urban disparities in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
Type: Document
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Examines rural-urban disparities in the supply and utilization of home- and community-based services (HCBS). Identifies factors that impact access to HCBS in rural areas.
Author(s): Daniel Siconolfi, Regina A. Shih, Esther M. Friedman, et al.
Citation: Journal of the American Medical Directors Association, 20(4), 503-308
Date: 04/2019
Type: Document
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
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 opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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