Rural Health
Resources by Topic: Medicare
Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014, under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014, under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A Second Look
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Report to the Congress: Medicare Payment Policy, 2014
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2014
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2014
Sponsoring organization: Medicare Payment Advisory Commission
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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The Extender Policies: What Are They and How Should They Continue Under a Permanent SGR Repeal Landscape
Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Sponsoring organization: Congressional Research Service
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Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Sponsoring organization: Congressional Research Service
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Trends in Observation Care Among Medicare Fee-for-Service Beneficiaries at Critical Access Hospitals, 2007 – 2009
Highlights a study on the prevalence and duration of observational care in Critical Access Hospitals (CAHs) compared to Prospective Payment System (PPS) hospitals using Medicare claims data from 2007-2009, as well as 2007 American Hospital Association data to identify hospitals as CAHs or PPS hospitals and whether they were in rural or urban areas.
Author(s): Brad Wright, Hye-Young Jung, Zhanlian Feng, Vincent Mor
Citation: Journal of Rural Health, 29(s1), s1-s6
Date: 08/2013
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Highlights a study on the prevalence and duration of observational care in Critical Access Hospitals (CAHs) compared to Prospective Payment System (PPS) hospitals using Medicare claims data from 2007-2009, as well as 2007 American Hospital Association data to identify hospitals as CAHs or PPS hospitals and whether they were in rural or urban areas.
Author(s): Brad Wright, Hye-Young Jung, Zhanlian Feng, Vincent Mor
Citation: Journal of Rural Health, 29(s1), s1-s6
Date: 08/2013
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Rural Implications of Changes to the Medicare Hospice Benefit
Policy brief highlights an April 2013 meeting in Grand Junction, Colorado, of the National Advisory Committee on Rural Health and Human Services. Presents the committee's recommendations and analyses of ACA provisions which may have rural implications regarding challenges and innovations in hospice and palliative care in rural and frontier areas.
Date: 08/2013
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Policy brief highlights an April 2013 meeting in Grand Junction, Colorado, of the National Advisory Committee on Rural Health and Human Services. Presents the committee's recommendations and analyses of ACA provisions which may have rural implications regarding challenges and innovations in hospice and palliative care in rural and frontier areas.
Date: 08/2013
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Most Critical Access Hospitals Would Not Meet the Location Requirements if Required to Re-Enroll in Medicare
Recommends that CMS seek legislative authority to remove the permanent distance exemption for Critical Access Hospitals (CAHs) that currently have Necessary Provider designations.
Date: 08/2013
Sponsoring organization: Office of Inspector General (HHS)
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Recommends that CMS seek legislative authority to remove the permanent distance exemption for Critical Access Hospitals (CAHs) that currently have Necessary Provider designations.
Date: 08/2013
Sponsoring organization: Office of Inspector General (HHS)
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