Rural Health
Resources by Topic: Medicare
December 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and supporting Medicare safety-net hospitals, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, skilled nursing facilities, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and supporting Medicare safety-net hospitals, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, skilled nursing facilities, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2022
Sponsoring organization: Medicare Payment Advisory Commission
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The Evolution of Hospital Designations and Payment in the U.S.: Implications for Rural Hospitals
Provides a history and overview of Medicare hospital payment polices as well as alternative payment models and their impact on rural facilities. Discusses the context in which rural hospitals serve patients, rural hospital payment provisions and designations, and current federal payment models that impact rural hospitals.
Author(s): Onyinye Oyeka, Clinton MacKinney, Keith J. Mueller
Date: 12/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Provides a history and overview of Medicare hospital payment polices as well as alternative payment models and their impact on rural facilities. Discusses the context in which rural hospitals serve patients, rural hospital payment provisions and designations, and current federal payment models that impact rural hospitals.
Author(s): Onyinye Oyeka, Clinton MacKinney, Keith J. Mueller
Date: 12/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare: CMS Needs to Address Risks Posed by Provider Enrollment Waivers and Flexibilities
Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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CMS Innovation Center: 2022 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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MBQIP Quality Measures National Annual Report - 2021
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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RHC Regulatory Updates & Good Faith Estimate (GFE) Policy
Recording of a December 7, 2022, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2023. Discusses price transparency in healthcare and good faith estimate requirements for RHCs. Includes links to good faith estimate resources. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 12/2022
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 7, 2022, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2023. Discusses price transparency in healthcare and good faith estimate requirements for RHCs. Includes links to good faith estimate resources. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 12/2022
Sponsoring organization: National Association of Rural Health Clinics
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30 Years Of 340B: Preserving The Health Care Safety Net
Discusses the development and purpose of the 340B Drug Pricing Program, and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Discusses the development and purpose of the 340B Drug Pricing Program, and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Health Insurance in Rural Communities, with Abigail Barker and Timothy McBride
An episode of the Exploring Rural Health podcast featuring Abigail Barker and Timothy McBride, co-investigators at the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis. Discusses their findings about rural health insurance coverage shared in the recently published chartbook, An Insurance Profile of Rural America.
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Abigail Barker and Timothy McBride, co-investigators at the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis. Discusses their findings about rural health insurance coverage shared in the recently published chartbook, An Insurance Profile of Rural America.
Date: 12/2022
Sponsoring organization: Rural Health Information Hub
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Evaluation of the Primary Care First Model: First Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the first performance year of the PCF model for Cohort 1 practices. Explores advanced primary care attributes that Cohort 1 practices report they possessed at the start of PCF and the approaches these practices have taken or plan to take to change how they deliver advanced primary care. Presents findings on the 13 payers that are partnering with the Centers for Medicare & Medicaid Services (CMS) as payer partners, including why they chose to partner with CMS and efforts made to align their payments with CMS in the PCF model.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the first performance year of the PCF model for Cohort 1 practices. Explores advanced primary care attributes that Cohort 1 practices report they possessed at the start of PCF and the approaches these practices have taken or plan to take to change how they deliver advanced primary care. Presents findings on the 13 payers that are partnering with the Centers for Medicare & Medicaid Services (CMS) as payer partners, including why they chose to partner with CMS and efforts made to align their payments with CMS in the PCF model.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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