Rural Health
Resources by Topic: Medicare
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
view details
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
view details
Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
COVID-19 Health Care Flexibilities: Perspectives, Experiences, and Lessons Learned
Recording of a May 19, 2021, U.S. Senate Committee on Finance hearing on healthcare flexibilities implemented in response to the COVID-19 pandemic, with a focus on telehealth. Discusses lessons learned and considerations for the extension of these flexibilities beyond the pandemic.
Additional links: Kisha Davis Testimony, Narayana Murali Testimony
Date: 05/2021
Sponsoring organization: Senate Committee on Finance
view details
Recording of a May 19, 2021, U.S. Senate Committee on Finance hearing on healthcare flexibilities implemented in response to the COVID-19 pandemic, with a focus on telehealth. Discusses lessons learned and considerations for the extension of these flexibilities beyond the pandemic.
Additional links: Kisha Davis Testimony, Narayana Murali Testimony
Date: 05/2021
Sponsoring organization: Senate Committee on Finance
view details
Medicare and Telehealth: Coverage and Use During the COVID-19 Pandemic and Options for the Future
Provides an overview of changes made to Medicare's coverage of telehealth during the COVID-19 pandemic. Explores Medicare beneficiaries' use of telehealth in summer and fall 2020, and presents data by beneficiary demographic characteristics, dual-eligibility, presence and type of chronic conditions, and metropolitan status. Examines issues and questions regarding telehealth coverage beyond the COVID-19 public health emergency.
Author(s): Wyatt Koma, Juliette Cubanski, Tricia Neuman
Date: 05/2021
Sponsoring organization: KFF
view details
Provides an overview of changes made to Medicare's coverage of telehealth during the COVID-19 pandemic. Explores Medicare beneficiaries' use of telehealth in summer and fall 2020, and presents data by beneficiary demographic characteristics, dual-eligibility, presence and type of chronic conditions, and metropolitan status. Examines issues and questions regarding telehealth coverage beyond the COVID-19 public health emergency.
Author(s): Wyatt Koma, Juliette Cubanski, Tricia Neuman
Date: 05/2021
Sponsoring organization: KFF
view details
Prevalence of Inflammatory Bowel Disease Among Medicare Fee-For-Service Beneficiaries — United States, 2001-2018
Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
view details
Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
view details
Medicare-Paid Naloxone: Trends in Non-Metropolitan and Metropolitan Areas Metropolitan Areas
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in non-metro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
view details
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in non-metro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
view details
April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Sponsoring organization: Medicare Payment Advisory Commission
view details
Supporting and Sustaining Rural Hospitals
Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Sponsoring organization: National Conference of State Legislatures
view details
Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Sponsoring organization: National Conference of State Legislatures
view details
American Rescue Plan Act of 2021 (P.L. 117-2): Private Health Insurance, Medicaid, CHIP, and Medicare Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Sponsoring organization: Congressional Research Service
view details
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Sponsoring organization: Congressional Research Service
view details