Rural Health
Resources by Topic: Reimbursement and payment models
Health Panel Comment Letter - Hospital Inpatient Prospective Payment System for Acute Care Hospitals Proposed Rule
Comments offered in response to a May 1, 2023, proposed rule revising the Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital PPS for fiscal year 2024. Discusses methodologies used to calculate the Medicare Disproportionate Share Hospital (DSH) and uncompensated care payments; two potential geriatric care quality measures; and the identification of, and challenges facing, safety net hospitals.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a May 1, 2023, proposed rule revising the Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital PPS for fiscal year 2024. Discusses methodologies used to calculate the Medicare Disproportionate Share Hospital (DSH) and uncompensated care payments; two potential geriatric care quality measures; and the identification of, and challenges facing, safety net hospitals.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Benefits and Challenges of Converting to a Rural Emergency Hospital
Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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QPP 2021: Participation Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2021 performance year. Highlights mean and median final scores in the Merit-based Incentive Payment System (MIPS) for small and rural practices and compares results to those in 2020.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the results of the Quality Payment Program (QPP) for the 2021 performance year. Highlights mean and median final scores in the Merit-based Incentive Payment System (MIPS) for small and rural practices and compares results to those in 2020.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Colorectal Cancer Screening in Rural and Urban Primary Care Practices Amid Implementation of the Medicare Access and CHIP Reauthorization Act
Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
Type: Document
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Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
Type: Document
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Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs
Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Type: Document
Sponsoring organization: Senate Committee on Finance
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Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Type: Document
Sponsoring organization: Senate Committee on Finance
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS for FY 2024
Comments on a May 1, 2023, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Offers comments on future hospital safety-net policies, including a potential safety-net adjustment for Medicare inpatient hospital payments; a potential health equity adjustment bonus to the hospital value-based purchasing program; recent case law on rural reclassification and estimated implications; and supplemental uncompensated care payments to Puerto Rico.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 1, 2023, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Offers comments on future hospital safety-net policies, including a potential safety-net adjustment for Medicare inpatient hospital payments; a potential health equity adjustment bonus to the hospital value-based purchasing program; recent case law on rural reclassification and estimated implications; and supplemental uncompensated care payments to Puerto Rico.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Accountable Care Organizations: Presence in Rural America
Presentation slides from a June 6, 2023, webinar for the Rural Northern Border Healthcare Support Technical Assistance Center. Provides an overview of the Medicare Shared Savings Program, including the composition of program participants in 2023, the spread of Accountable Care Organizations (ACOs) in rural counties, and the federal and state policy landscape. Details changes to the Shared Savings Program for 2024.
Author(s): Keith J. Mueller
Date: 06/2023
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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Presentation slides from a June 6, 2023, webinar for the Rural Northern Border Healthcare Support Technical Assistance Center. Provides an overview of the Medicare Shared Savings Program, including the composition of program participants in 2023, the spread of Accountable Care Organizations (ACOs) in rural counties, and the federal and state policy landscape. Details changes to the Shared Savings Program for 2024.
Author(s): Keith J. Mueller
Date: 06/2023
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2024
Comment on an April 4, 2023, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2024. Includes a discussion of rural IPF PPS payment adjustments.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 4, 2023, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2024. Includes a discussion of rural IPF PPS payment adjustments.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research Recap: Rural Hospital Closures: 2023 Update
Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining hospital closures. Features statistics including number of acute hospitals as of 2020 with breakdowns by type and location, rural hospital closures from 2005-2022 with breakdowns by isolated rural, small rural, and large rural location, and numbers of closures by year from 2005-2022 with breakdowns by complete or converted closures.
Author(s): Per Ostmo
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Policy Recommendations for Improving Rural Cancer Services in the United States
Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
Type: Document
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Discusses cancer healthcare access for rural residents and factors in access challenges. Discusses rural physician recruitment, facility closures, reimbursement, data gathering, and graduate medical education. Offers policy recommendations for incentivizing and increasing the rural cancer care workforce as well as gathering cancer-related data.
Author(s): Adrienne B. Lent, Daniel Derksen, Elizabeth T. Jacobs, Leila Barraza, Elizabeth A. Calhoun
Citation: JCO Oncology Practice, 19(5), 288-294
Date: 05/2023
Type: Document
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