Rural Health
Resources by Topic: Medicare
Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
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 Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Accountable Care Organization Growth in Rural America, 2014-2016
Data report comparing accountable care organization (ACO) growth in metropolitan and nonmetropolitan counties. Features statistics including numbers of ACOs with attributed beneficiaries, beneficiaries attributed to an ACO per county, growth in percentage of fee-for-service beneficiaries, and growth in percentage of beneficiaries attributed to ACOs, with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 03/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Data report comparing accountable care organization (ACO) growth in metropolitan and nonmetropolitan counties. Features statistics including numbers of ACOs with attributed beneficiaries, beneficiaries attributed to an ACO per county, growth in percentage of fee-for-service beneficiaries, and growth in percentage of beneficiaries attributed to ACOs, with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 03/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population
Results of a study using Medicare Current Beneficiary Survey data to profile rural and urban Medicare beneficiaries ages 85+ in terms of their demographic and socioeconomic characteristics, residential settings, health and functional status, and healthcare use. Features statistics on these topics with breakdowns by rural and urban location.
Author(s): Nathan Paluso, Zachariah Croll, Deborah Thayer, Jean A. Talbot, Andrew F. Coburn
Date: 03/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Results of a study using Medicare Current Beneficiary Survey data to profile rural and urban Medicare beneficiaries ages 85+ in terms of their demographic and socioeconomic characteristics, residential settings, health and functional status, and healthcare use. Features statistics on these topics with breakdowns by rural and urban location.
Author(s): Nathan Paluso, Zachariah Croll, Deborah Thayer, Jean A. Talbot, Andrew F. Coburn
Date: 03/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Body Mass Index and Rural Status on Self-Reported Health in Older Adults: 2002-2012 Medicare Expenditure Panel Survey
Presents a study comparing self-reported mental and physical health of older adults with rural status and obesity status. Pulls data from the Medicare Expenditure Panel Survey and breaks it down by age, race, and marital status, among other factors.
Author(s): John A. Batsis, Karen L. Whiteman, Matthew C. Lohman, Emily A. Scherer, Stephen J. Bartels
Citation: Journal of Rural Health, 34(Suppl1), s56-s64
Date: 02/2018
Type: Document
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Presents a study comparing self-reported mental and physical health of older adults with rural status and obesity status. Pulls data from the Medicare Expenditure Panel Survey and breaks it down by age, race, and marital status, among other factors.
Author(s): John A. Batsis, Karen L. Whiteman, Matthew C. Lohman, Emily A. Scherer, Stephen J. Bartels
Citation: Journal of Rural Health, 34(Suppl1), s56-s64
Date: 02/2018
Type: Document
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Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population
Describes a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and a state-level map with rate of service delivery per eligible population, using 2014 data.
Author(s): Jeffery C. Talbert, Aric Schadler, Patricia R. Freeman
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Describes a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and a state-level map with rate of service delivery per eligible population, using 2014 data.
Author(s): Jeffery C. Talbert, Aric Schadler, Patricia R. Freeman
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Health Care Costs: Are They Higher and Why Might They Differ from Urban Health Care Costs?
Explores issues surrounding healthcare costs and investigates differences between rural and urban expenditures. Includes statistics on Medicare fee-for-service expenditures in 2014 with breakdowns by metropolitan and non-metropolitan status.
Author(s): Dunc Williams, Mark Holmes
Citation: North Carolina Medical Journal, 79(1), 51-55
Date: 01/2018
Type: Document
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Explores issues surrounding healthcare costs and investigates differences between rural and urban expenditures. Includes statistics on Medicare fee-for-service expenditures in 2014 with breakdowns by metropolitan and non-metropolitan status.
Author(s): Dunc Williams, Mark Holmes
Citation: North Carolina Medical Journal, 79(1), 51-55
Date: 01/2018
Type: Document
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2018 OPPS Medicare Part B Payment Impact Analysis
Examines how changes to the CY 2018 Medicare Outpatient Prospective Payment System (OPPS) will impact hospitals' net Part B payments. Discusses the payment reduction for drugs purchased through the 340B Program and how the reduction will affect rural and urban hospitals. Includes a state-by-state analysis of aggregate impacts.
Additional links: Full Report
Date: 01/2018
Type: Document
Sponsoring organization: Avalere
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Examines how changes to the CY 2018 Medicare Outpatient Prospective Payment System (OPPS) will impact hospitals' net Part B payments. Discusses the payment reduction for drugs purchased through the 340B Program and how the reduction will affect rural and urban hospitals. Includes a state-by-state analysis of aggregate impacts.
Additional links: Full Report
Date: 01/2018
Type: Document
Sponsoring organization: Avalere
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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