Rural Health
Resources by Topic: Medicare
Colorado: Total Medicare Enrollees, October 2020
Depicts the percentage of Medicare enrollment by county in Colorado in October 2020.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
view details
Depicts the percentage of Medicare enrollment by county in Colorado in October 2020.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
view details
SHIP Pricing Transparency Guide
Supports Small Rural Hospital Improvement Program (SHIP) coordinators as they work to meet hospital price transparency rules. Provides an overview of the basics and history of price transparency regulations, key terms, eligibility, exemptions, and key components of the final rule. Includes resources, a list of shoppable services, and a template for work plan implementation.
Additional links: Price Transparency Webinar, Sample Price Transparency Work Plan
Date: 10/2020
Sponsoring organizations: Eide Bailly LLP, National Rural Health Resource Center
view details
Supports Small Rural Hospital Improvement Program (SHIP) coordinators as they work to meet hospital price transparency rules. Provides an overview of the basics and history of price transparency regulations, key terms, eligibility, exemptions, and key components of the final rule. Includes resources, a list of shoppable services, and a template for work plan implementation.
Additional links: Price Transparency Webinar, Sample Price Transparency Work Plan
Date: 10/2020
Sponsoring organizations: Eide Bailly LLP, National Rural Health Resource Center
view details
Anesthesia Services: Differences between Private and Medicare Payments Likely Due to Providers' Strong Negotiating Position
Examines trends in differences between Medicare and private payments for anesthesia services, as well as the the supply of anesthesia providers for Medicare beneficiaries. Includes a discussion on the availability of anesthesia providers in rural areas.
Additional links: Full Report
Date: 10/2020
Sponsoring organization: Government Accountability Office
view details
Examines trends in differences between Medicare and private payments for anesthesia services, as well as the the supply of anesthesia providers for Medicare beneficiaries. Includes a discussion on the availability of anesthesia providers in rural areas.
Additional links: Full Report
Date: 10/2020
Sponsoring organization: Government Accountability Office
view details
MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2021
Comments on an August 12, 2020, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Includes comments on payment rates for separately payable non–pass-through drugs obtained through the 340B Drug Pricing Program.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
view details
Comments on an August 12, 2020, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Includes comments on payment rates for separately payable non–pass-through drugs obtained through the 340B Drug Pricing Program.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2021
Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
view details
Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
view details
Building Capacity for Value
Slides presented at the 2020 Nebraska Rural Health Conference describing the evolution of value-based care. Discusses different approaches to value-based care transformation, including the Medicare Shared Savings Program Accountable Care Organizations and global budgeting. Presents management and leadership strategies to navigate future changes while meeting community health needs.
Author(s): Karla Weng
Date: 09/2020
Sponsoring organization: Rural Health Value
view details
Slides presented at the 2020 Nebraska Rural Health Conference describing the evolution of value-based care. Discusses different approaches to value-based care transformation, including the Medicare Shared Savings Program Accountable Care Organizations and global budgeting. Presents management and leadership strategies to navigate future changes while meeting community health needs.
Author(s): Karla Weng
Date: 09/2020
Sponsoring organization: Rural Health Value
view details
Understanding Rural Hospital Bypass Among Medicare Fee-for-Service (FFS) Beneficiaries in 2018
Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
view details
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
view details
Third Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
view details
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
view details