Rural Health
Resources by Topic: Reimbursement and payment models
Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Maximizing the Value of Remote Patient Monitoring
Provides a brief description of the remote patient monitoring landscape. Discusses four areas policymakers could focus on to improve the effectiveness and accessibility of remote patient monitoring.
Author(s): Maya Sandalow, Julia Harris
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Provides a brief description of the remote patient monitoring landscape. Discusses four areas policymakers could focus on to improve the effectiveness and accessibility of remote patient monitoring.
Author(s): Maya Sandalow, Julia Harris
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
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Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Author(s): Akash Pillai, Bradley Corallo, Jennifer Tolbert
Date: 01/2025
Sponsoring organization: KFF
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Medical Debt and Its Impact on Rural Patients and Providers, with Carrie Henning-Smith
An episode of the Exploring Rural Health podcast featuring Carrie Henning-Smith, Co-Director of the University of Minnesota Rural Health Research Center. Focuses on the prevalence of and difficulties caused by medical debt for both rural patients and providers.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Carrie Henning-Smith, Co-Director of the University of Minnesota Rural Health Research Center. Focuses on the prevalence of and difficulties caused by medical debt for both rural patients and providers.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Innovations in Pharmacy Training and Sustainable Practice to Advance Patient Care: Proceedings of a Workshop (2025)
Proceedings from a workshop convened May 29-30, 2025, exploring opportunities and challenges in pharmacy. Features sections on pharmacy deserts and workforce, financial sustainability, education and training programs, and recommendations for the future. Mentions rural throughout.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Proceedings from a workshop convened May 29-30, 2025, exploring opportunities and challenges in pharmacy. Features sections on pharmacy deserts and workforce, financial sustainability, education and training programs, and recommendations for the future. Mentions rural throughout.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule
Describes the current process and data inputs used by the Centers for Medicare & Medicaid Services (CMS) for primary care service valuation in the Medicare Physician Fee Schedule (PFS). Discusses promising approaches to update the PFS and the potential role of hybrid payments. Offers recommendations to CMS to improve the valuation process and accurately reflect the full scope of high-quality primary care.
Additional links: Read Online
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Describes the current process and data inputs used by the Centers for Medicare & Medicaid Services (CMS) for primary care service valuation in the Medicare Physician Fee Schedule (PFS). Discusses promising approaches to update the PFS and the potential role of hybrid payments. Offers recommendations to CMS to improve the valuation process and accurately reflect the full scope of high-quality primary care.
Additional links: Read Online
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 2025
Sponsoring organization: American Hospital Association
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Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 2025
Sponsoring organization: American Hospital Association
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Bridging the Gap: A Policy Framework for Sustainable Community Paramedicine in Rural America
Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Texas Medicaid and CHIP Reference Guide: Fifteenth Edition
Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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