Rural Health
Resources by Topic: Medicare
Rural ACO Leaders Speak: What Have Been the Biggest Challenges and the Biggest Advantages to Creating Your ACO?
Five rural Accountable Care Organization (ACO) leaders discuss the biggest challenges and advantages they've experienced in building an ACO.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 03/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Five rural Accountable Care Organization (ACO) leaders discuss the biggest challenges and advantages they've experienced in building an ACO.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 03/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Access to Rural Home Health Services: Views from the Field
Describes current issues affecting access to rural home health services, with an emphasis on Medicare-reimbursed programs. Based on published research, gray literature, and telephone interviews with 40 key informants from 19 states between May 2014 and March 2015. Discusses challenges and barriers to access as well as possible solutions.
Author(s): Susan M. Skillman, Davis G. Patterson, Cynthia Coulthard, Tracy M. Mroz
Date: 02/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Describes current issues affecting access to rural home health services, with an emphasis on Medicare-reimbursed programs. Based on published research, gray literature, and telephone interviews with 40 key informants from 19 states between May 2014 and March 2015. Discusses challenges and barriers to access as well as possible solutions.
Author(s): Susan M. Skillman, Davis G. Patterson, Cynthia Coulthard, Tracy M. Mroz
Date: 02/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification
Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Benefiting Hospitals, Not Patients: An Analysis of Charity Care Provided by Hospitals Enrolled in the 340B Discount Program
Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Type: Document
Sponsoring organization: Alliance for Integrity and Reform of 340B
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Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Type: Document
Sponsoring organization: Alliance for Integrity and Reform of 340B
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ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Rural Medicare Advantage Plan Payment in 2015
Examines how changes to the Medicare Advantage (MA) payment policy formula, which were implemented as part of the Affordable Care Act (ACA), are impacting MA plans and beneficiaries in rural and urban areas.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 12/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines how changes to the Medicare Advantage (MA) payment policy formula, which were implemented as part of the Affordable Care Act (ACA), are impacting MA plans and beneficiaries in rural and urban areas.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 12/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicare Value-based Payment Reform: Priorities for Transforming Rural Health Systems
Analyzes the provisions within the Affordable Care Act (ACA) regarding Medicare payment and delivery system reforms that affect rural health providers and rural health services. Proposes recommendations that support the inclusion of rural appropriate payment systems.
Additional links: Policy Brief
Author(s): Keith Mueller, Charles Alfero, Andy Coburn, et al.
Date: 11/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Analyzes the provisions within the Affordable Care Act (ACA) regarding Medicare payment and delivery system reforms that affect rural health providers and rural health services. Proposes recommendations that support the inclusion of rural appropriate payment systems.
Additional links: Policy Brief
Author(s): Keith Mueller, Charles Alfero, Andy Coburn, et al.
Date: 11/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Which Rural and Urban Hospitals Have Received Readmission Penalties Over Time?
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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