Rural Health
Resources by Topic: Long-term care
MedPAC Report to the Congress: Medicare Payment Policy, 2020
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: 03/2020
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: 03/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Electronic Health Record Use Among Residential Care Communities: United States, 2012, 2014, and 2016
Examines electronic health record (EHR) use trends and health information exchange (HIE) capability among residential care communities. Includes data by metropolitan statistical area (MSA) status, comparing MSA and non-MSA areas.
Author(s): Christine Caffrey, Christopher Cairns, Vincent Rome
Date: 03/2020
Sponsoring organization: National Center for Health Statistics
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Examines electronic health record (EHR) use trends and health information exchange (HIE) capability among residential care communities. Includes data by metropolitan statistical area (MSA) status, comparing MSA and non-MSA areas.
Author(s): Christine Caffrey, Christopher Cairns, Vincent Rome
Date: 03/2020
Sponsoring organization: National Center for Health Statistics
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VA Health Care: Veterans' Use of Long-Term Care Is Increasing, and VA Faces Challenges in Meeting the Demand
Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third 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 by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Third 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 by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Partnership Integration for Rural Health Resource Access
Describes an interdisciplinary partnership model combining nursing, public health, and gerontology to address the health and social challenges affecting older adults living in rural areas. Offers steps for developing an interdisciplinary partnership and highlights a model utilizing clinical and non-clinical disciplines to improve rural health resource access.
Author(s): Teresa Sharp, Joyce Weil, Audrey Snyder, et al.
Citation: Rural and Remote Health, 19(4), 5335
Date: 11/2019
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Describes an interdisciplinary partnership model combining nursing, public health, and gerontology to address the health and social challenges affecting older adults living in rural areas. Offers steps for developing an interdisciplinary partnership and highlights a model utilizing clinical and non-clinical disciplines to improve rural health resource access.
Author(s): Teresa Sharp, Joyce Weil, Audrey Snyder, et al.
Citation: Rural and Remote Health, 19(4), 5335
Date: 11/2019
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Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Tribal Nursing Homes: Principles of Trauma-informed Care
Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Greater Good Podcasts Rural Health Segment, Part 1: How Did We Get Here? Rural Health Challenges in America
Set of three podcast episodes featuring Erika Ziller and Yvonne Jonk of the Maine Rural Health Research Center discussing current rural health issues and challenges, as well as historical factors related to the current rural health system. Addresses rural aging and long-term care, dental care, health insurance coverage, and health-related impacts of growing up in a rural community. Also compares rural health in Maine, other parts of the U.S., and rural communities in other countries.
Additional links: Part 2: Growing Up Rural, Part 3: Rural Health in Maine and America vs. the World
Author(s): Carrie Wilshusen, Erika Ziller, Yvonne Jonk
Date: 09/2019
Sponsoring organization: University of Maine Graduate and Professional Center
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Set of three podcast episodes featuring Erika Ziller and Yvonne Jonk of the Maine Rural Health Research Center discussing current rural health issues and challenges, as well as historical factors related to the current rural health system. Addresses rural aging and long-term care, dental care, health insurance coverage, and health-related impacts of growing up in a rural community. Also compares rural health in Maine, other parts of the U.S., and rural communities in other countries.
Additional links: Part 2: Growing Up Rural, Part 3: Rural Health in Maine and America vs. the World
Author(s): Carrie Wilshusen, Erika Ziller, Yvonne Jonk
Date: 09/2019
Sponsoring organization: University of Maine Graduate and Professional Center
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