Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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October 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Price Transparency: What Hospitals Need to Know – Part 2
Webinar recording presents part two of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on July 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Webinar recording presents part two of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on July 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Observed Factors Influencing REH Conversion Decisions: Insights from the Rural Emergency Hospital Technical Assistance Center's Financial Modeling Process
Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Sponsoring organization: Rural Health Redesign Center
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Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Sponsoring organization: Rural Health Redesign Center
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Rural Health Policy: The Long and Winding Road
Presentation slides that offer highlights of rural health policy milestones, such as changes in the Veterans Health Administration (VHA), value-based care, accountable care organizations, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Presentation slides that offer highlights of rural health policy milestones, such as changes in the Veterans Health Administration (VHA), value-based care, accountable care organizations, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Telehealth: Supplement or Supplant?
Presentation slides that cover highlights regarding value-based care and payment, telehealth use during the COVID-19 public health emergency, optimal use of telehealth as well as potential issues, related policy, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Presentation slides that cover highlights regarding value-based care and payment, telehealth use during the COVID-19 public health emergency, optimal use of telehealth as well as potential issues, related policy, and more.
Author(s): Keith J. Mueller
Date: 10/2024
Sponsoring organization: Rural Policy Research Institute
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Separate Payment for Essential Medicines – New Biweekly Interim Payments for the Inpatient Prospective Payment System
Provides an overview of payment adjustments to small, independent hospitals for establishing and maintaining access to buffer stocks of essential medicines for cost report periods beginning on or after October 1, 2024.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of payment adjustments to small, independent hospitals for establishing and maintaining access to buffer stocks of essential medicines for cost report periods beginning on or after October 1, 2024.
Date: 10/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Dashboard: Acute Behavioral Health Events Along the Birthing Journey in Arkansas
Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
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The Rural Emergency Hospital Model: Year Two Progress Report
Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Northern Maine Medical Center: A Rural Hospital Gaining Momentum in its Work Toward Quality Improvement
Profiles a prospective payment hospital in northern Maine that engaged in the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP), focusing on financial sustainability, cost efficiency, and quality improvement. Highlights hospital accomplishments and improvements via participation of the project.
Date: 10/2024
Sponsoring organization: National Rural Health Resource Center
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Profiles a prospective payment hospital in northern Maine that engaged in the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP), focusing on financial sustainability, cost efficiency, and quality improvement. Highlights hospital accomplishments and improvements via participation of the project.
Date: 10/2024
Sponsoring organization: National Rural Health Resource Center
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