Rural Health
Resources by Topic: Reimbursement and payment models
Virginia Rural Hospital Report: The Challenge Before Us
Highlights the public health and economic contributions made by the 28 Virginia rural hospitals and the challenges they face. Features statistics on admissions, births, beds, and fulltime employees, and county-level maps showing locations of rural hospitals and Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Virginia Hospital & Healthcare Association
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Highlights the public health and economic contributions made by the 28 Virginia rural hospitals and the challenges they face. Features statistics on admissions, births, beds, and fulltime employees, and county-level maps showing locations of rural hospitals and Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Virginia Hospital & Healthcare Association
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Rural Hospitals Must Keep up with Innovation to Remain Viable
Describes changes to the healthcare market environment, including technology, telehealth, services offered by retailers and large corporations, and declining patient volume. Outlines priorities for Critical Access Hospitals to remain viable, including the transition to population-based payment. Details a transition framework to guide hospitals as they move to a population-based payment system and navigate a changing environment.
Date: 01/2023
Type: Document
Sponsoring organization: Stroudwater Associates
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Describes changes to the healthcare market environment, including technology, telehealth, services offered by retailers and large corporations, and declining patient volume. Outlines priorities for Critical Access Hospitals to remain viable, including the transition to population-based payment. Details a transition framework to guide hospitals as they move to a population-based payment system and navigate a changing environment.
Date: 01/2023
Type: Document
Sponsoring organization: Stroudwater Associates
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Type: Document
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Type: Document
Sponsoring organization: Capital Link
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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The Future Pediatric Subspecialty Physician Workforce: Meeting the Needs of Infants, Children, and Adolescents
Reports on barriers to increasing the pediatric subspecialist workforce and discusses the impact on research to improve health outcomes for children. Discusses access to care, education of the workforce, reimbursement rates, and more. Highlights rural specific challenges throughout.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on barriers to increasing the pediatric subspecialist workforce and discusses the impact on research to improve health outcomes for children. Discusses access to care, education of the workforce, reimbursement rates, and more. Highlights rural specific challenges throughout.
Additional links: Read Online
Author(s): Board on Children, Youth, and Families
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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School-Based Telehealth Playbook
Guides health centers through the design, implementation, and operation of a telehealth program that meets the needs of children and adolescents. Covers assessing needs and readiness, program models, business models, technology and equipment, program evaluation, partnerships, and implementation. Highlights examples from rural areas throughout.
Date: 2023
Type: Document
Sponsoring organization: School-Based Health Alliance
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Guides health centers through the design, implementation, and operation of a telehealth program that meets the needs of children and adolescents. Covers assessing needs and readiness, program models, business models, technology and equipment, program evaluation, partnerships, and implementation. Highlights examples from rural areas throughout.
Date: 2023
Type: Document
Sponsoring organization: School-Based Health Alliance
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Rural Community Engagement Resource Guide
Describes the importance of community engagement in developing and implementing strategies to improve health, increase value, and drive equitable care delivery. Outlines a variety of toolkits, strategies, and resources to help initiate, improve, and inspire community engagement strategies that support value-based care.
Additional links: Community Engagement and Value Based Care Infographic
Date: 2023
Type: Document
Sponsoring organization: Rural Health Value
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Describes the importance of community engagement in developing and implementing strategies to improve health, increase value, and drive equitable care delivery. Outlines a variety of toolkits, strategies, and resources to help initiate, improve, and inspire community engagement strategies that support value-based care.
Additional links: Community Engagement and Value Based Care Infographic
Date: 2023
Type: Document
Sponsoring organization: Rural Health Value
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Evaluation of the Rural Community Hospital Demonstration: Interim Report Two (Covering 2016-2018)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants as of fiscal year 2018, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures. Examines whether hospitals that continued to participate in the RCHD under the 21st Century Cures Act (CCA) extension experienced additional changes to their financial condition, as well as the impact of the program on hospitals that joined the demonstration for the first time under the CCA extension.
Additional links: Findings at a Glance
Date: 12/2022
Type: Document
Sponsoring organizations: American Institutes for Research, Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants as of fiscal year 2018, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures. Examines whether hospitals that continued to participate in the RCHD under the 21st Century Cures Act (CCA) extension experienced additional changes to their financial condition, as well as the impact of the program on hospitals that joined the demonstration for the first time under the CCA extension.
Additional links: Findings at a Glance
Date: 12/2022
Type: Document
Sponsoring organizations: American Institutes for Research, Centers for Medicare and Medicaid Services
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Type: Document
Sponsoring organization: U.S. Congress
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Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Type: Document
Sponsoring organization: U.S. Congress
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