Rural Health
Resources by Topic: Medicare
State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Facilitating the Formation of Accountable Care Organizations in Rural Areas
Presents characteristics contributing to the formation of four accountable care organizations (ACOs) that serve rural Medicare beneficiaries and discusses implications for policies that facilitate rural ACO formation. Three of the ACOs in this study operate in both rural and metropolitan areas, and one operates exclusively in a rural area.
Author(s): Jure Baloh, Xi Zhu, Tom Vaughn, et al.
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Presents characteristics contributing to the formation of four accountable care organizations (ACOs) that serve rural Medicare beneficiaries and discusses implications for policies that facilitate rural ACO formation. Three of the ACOs in this study operate in both rural and metropolitan areas, and one operates exclusively in a rural area.
Author(s): Jure Baloh, Xi Zhu, Tom Vaughn, et al.
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
The Effect of Medicare Payment Policy Changes on Rural Primary Care Practice Revenue
Discusses the effect of Medicare payment adjustments on Medicare-derived revenues to rural primary care providers.
Additional links: Supplemental Table
Author(s): Paula Weigel, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Discusses the effect of Medicare payment adjustments on Medicare-derived revenues to rural primary care providers.
Additional links: Supplemental Table
Author(s): Paula Weigel, A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 07/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2014
Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Includes chapters on synchronizing Medicare policy across payment models; improving risk adjustment; measuring quality of care; financial assistance for low-income beneficiaries; per beneficiary payment for primary care; site-neutral payments for select conditions treated in inpatient rehabilitation facilities and skilled nursing facilities; and measuring the effects of medication adherence for the Medicare population. Mentions rural throughout.
Date: 06/2014
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ, including their age distribution.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ, including their age distribution.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
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
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Medicare Accountable Care Organizations: Program Eligibility, Beneficiary Assignment, and Quality Measures
Discusses the Medicare Shared Savings Program (MSSP) eligibility, participation requirements, beneficiary assignment processes, and quality measures to assist rural providers considering Accountable Care Organization (ACO) formation.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Xi Zhu, Thomas Vaughn
Date: 04/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Discusses the Medicare Shared Savings Program (MSSP) eligibility, participation requirements, beneficiary assignment processes, and quality measures to assist rural providers considering Accountable Care Organization (ACO) formation.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Xi Zhu, Thomas Vaughn
Date: 04/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
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
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
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
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Rural/Urban Differences in Inpatient Related Costs and Use among Medicare Beneficiaries
Compares inpatient costs for Medicare beneficiaries admitted to rural versus urban hospitals. Also examines 30- and 60-day readmission rates by hospital location and beneficiary residence, adjusted for beneficiary rural status, health status, and sociodemographic characteristics.
Author(s): Matthew Toth, Mark Holmes, Victoria A. Freeman, George H. Pink
Date: 03/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Compares inpatient costs for Medicare beneficiaries admitted to rural versus urban hospitals. Also examines 30- and 60-day readmission rates by hospital location and beneficiary residence, adjusted for beneficiary rural status, health status, and sociodemographic characteristics.
Author(s): Matthew Toth, Mark Holmes, Victoria A. Freeman, George H. Pink
Date: 03/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details