Rural Health
Resources by Topic: Reimbursement and payment models
Rural Health Clinic COVID-19 Testing Program
Recording of a November 16, 2020, webinar providing information about HRSA's allocation of funds to Rural Health Clinics (RHCs) for COVID-19 testing and HRSA's RHC testing terms and conditions. Includes information on the RHC COVID-19 Reporting Portal, a list of frequently asked questions, and contact information for COVID-19 testing technical assistance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 11/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a November 16, 2020, webinar providing information about HRSA's allocation of funds to Rural Health Clinics (RHCs) for COVID-19 testing and HRSA's RHC testing terms and conditions. Includes information on the RHC COVID-19 Reporting Portal, a list of frequently asked questions, and contact information for COVID-19 testing technical assistance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 11/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Type: Document
Sponsoring organization: Delta Center for a Thriving Safety Net
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Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Type: Document
Sponsoring organization: Delta Center for a Thriving Safety Net
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The Future of State Telehealth Policy
Provides an overview of state and federal telehealth flexibilities implemented during the COVID-19 pandemic. Discusses long-term considerations for governors regarding the impact of these flexibilities on healthcare delivery and payment and the appropriateness of these policies in the future.
Date: 11/2020
Type: Document
Sponsoring organization: National Governors Association
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Provides an overview of state and federal telehealth flexibilities implemented during the COVID-19 pandemic. Discusses long-term considerations for governors regarding the impact of these flexibilities on healthcare delivery and payment and the appropriateness of these policies in the future.
Date: 11/2020
Type: Document
Sponsoring organization: National Governors Association
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Rethinking Rural Health: FY 2020 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, gender, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, gender, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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October 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2020 meeting. Covers an alternative value incentive program that corrects current shortcomings for the skilled nursing facility value-based purchasing program; future research directions in hospice payment policy; balancing financial pressure and equity in Medicare Advantage benchmark policy; and current Medicare indirect medical education policy, concerns, and principles for revising. Includes rural references throughout.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2020 meeting. Covers an alternative value incentive program that corrects current shortcomings for the skilled nursing facility value-based purchasing program; future research directions in hospice payment policy; balancing financial pressure and equity in Medicare Advantage benchmark policy; and current Medicare indirect medical education policy, concerns, and principles for revising. Includes rural references throughout.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Billing & Coding Telehealth
Recording of a webinar presented in October at the NARHC 2020 Virtual Fall Institute covering telehealth billing requirements relevant during the COVID-19 pandemic. Discusses changes that may occur once the public health emergency end, and the posting and coding of telehealth services on a cost report.
Additional links: Presentation Slides
Date: 10/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a webinar presented in October at the NARHC 2020 Virtual Fall Institute covering telehealth billing requirements relevant during the COVID-19 pandemic. Discusses changes that may occur once the public health emergency end, and the posting and coding of telehealth services on a cost report.
Additional links: Presentation Slides
Date: 10/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Navigating RHC COVID-19 Testing Fund Reporting Requirements
Recording of an October 7, 2020, webinar providing detailed information about the reporting requirements for the Rural Health Clinic (RHC) COVID-19 Testing Relief Fund. Discusses the importance of reporting data and the type of data that should be documented. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 10/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an October 7, 2020, webinar providing detailed information about the reporting requirements for the Rural Health Clinic (RHC) COVID-19 Testing Relief Fund. Discusses the importance of reporting data and the type of data that should be documented. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 10/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Anesthesia Services: Differences between Private and Medicare Payments Likely Due to Providers' Strong Negotiating Position
Examines trends in differences between Medicare and private payments for anesthesia services, as well as the the supply of anesthesia providers for Medicare beneficiaries. Includes a discussion on the availability of anesthesia providers in rural areas.
Additional links: Full Report
Date: 10/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines trends in differences between Medicare and private payments for anesthesia services, as well as the the supply of anesthesia providers for Medicare beneficiaries. Includes a discussion on the availability of anesthesia providers in rural areas.
Additional links: Full Report
Date: 10/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare and Home Health: Taking Stock in the COVID-19 Era
Provides an overview of the Medicare home health benefit including Medicare financing, demographics of beneficiaries, and the home health workforce. Describes the impact of COVID-19 on the utilization home health services and regulatory changes taken in response to the pandemic. Offers policy recommendations to increase the value of home health services during the COVID-19 pandemic.
Author(s): Courtney Harold Van Houtven, Walter D. Dawson
Date: 10/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Provides an overview of the Medicare home health benefit including Medicare financing, demographics of beneficiaries, and the home health workforce. Describes the impact of COVID-19 on the utilization home health services and regulatory changes taken in response to the pandemic. Offers policy recommendations to increase the value of home health services during the COVID-19 pandemic.
Author(s): Courtney Harold Van Houtven, Walter D. Dawson
Date: 10/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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