Rural Health
Resources by Topic: Policy
Hospital Value-Based Purchasing: CMS Should Take Steps to Ensure Lower Quality Hospitals Do Not Qualify for Bonuses
Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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CMS Hospital Quality Star Rating: For 762 Rural Hospitals, No Stars Is the Problem
Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Legislative Hearing to Receive Testimony on the Following Bills: S. 1250, S. 1275
Presents the U.S. Senate Committee on Indian Affairs' legislative hearing to receive testimony on proposed legislation with the stated goals to improve recruitment and retention of professionals, restore accountability, and improve health services throughout the Indian Health Service (IHS). Testimony discusses some of the challenges facing individual IHS facilities, as well as healthcare in tribal communities as a whole, and suggests various models to help address these challenges.
Date: 06/2017
Sponsoring organization: Senate Committee on Indian Affairs
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Presents the U.S. Senate Committee on Indian Affairs' legislative hearing to receive testimony on proposed legislation with the stated goals to improve recruitment and retention of professionals, restore accountability, and improve health services throughout the Indian Health Service (IHS). Testimony discusses some of the challenges facing individual IHS facilities, as well as healthcare in tribal communities as a whole, and suggests various models to help address these challenges.
Date: 06/2017
Sponsoring organization: Senate Committee on Indian Affairs
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Factors Affecting States' Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending including rural population, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Sponsoring organization: KFF
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Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending including rural population, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Sponsoring organization: KFF
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Physician Workforce: Locations and Types of Graduate Training Were Largely Unchanged, and Federal Efforts May Not Be Sufficient to Meet Needs
Describes change in numbers of graduate medical education (GME) residents in training from 2005-2015, with breakdowns by location and type of training, and federal efforts to increase this training in rural areas and in primary care.
Additional links: Full Report
Date: 05/2017
Sponsoring organization: Government Accountability Office
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Describes change in numbers of graduate medical education (GME) residents in training from 2005-2015, with breakdowns by location and type of training, and federal efforts to increase this training in rural areas and in primary care.
Additional links: Full Report
Date: 05/2017
Sponsoring organization: Government Accountability Office
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Projecting Demand for the Services of Primary Care Doctors
Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Sponsoring organization: Congressional Budget Office
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Estimates the expected growth in demand for primary care medical services in the U.S. between 2013 and 2023. Projections are based on an analysis of historical trends between 2003 and 2013, and factor in the following variables: population growth, population age, health insurance coverage status, and other sources of growth in volume and intensity. Examines legislative and non-legislative ways to increase the supply of primary care services, including in rural areas and facilities.
Author(s): Noelia Duchovny, Sam Trachtman, Ellen Werble
Date: 05/2017
Sponsoring organization: Congressional Budget Office
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Changes in Insurance Coverage in Rural Areas under the ACA: A Focus on Medicaid Expansion States
Analyzes the change in uninsured rates in rural areas of states that participated in the Affordable Care Act (ACA) Medicaid expansion. Includes a graph showing percentage change by state from 2013 to 2015 identifying which political party held the governorship, and a table that converts each states' percentage to number of people.
Date: 05/2017
Sponsoring organization: KFF
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Analyzes the change in uninsured rates in rural areas of states that participated in the Affordable Care Act (ACA) Medicaid expansion. Includes a graph showing percentage change by state from 2013 to 2015 identifying which political party held the governorship, and a table that converts each states' percentage to number of people.
Date: 05/2017
Sponsoring organization: KFF
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Medical Barriers to Nursing Home Care for Rural Residents
Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Federal Health Centers: An Overview
Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Sponsoring organization: Congressional Research Service
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Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Sponsoring organization: Congressional Research Service
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