Rural Health
Resources by Topic: Reimbursement and payment models
Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Rural-Relevant Quality Measures for Testing of Statistical Approaches to Address Low Case-Volume
Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Type: Document
Sponsoring organization: National Quality Forum
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Describes 15 rural-relevant quality measures susceptible to low case-volume challenges that could be used to test statistical approaches designed to address this problem. Discusses reporting challenges and gaps in rural health care quality measurement.
Additional links: Final List: Rural-Relevant Quality Measures for Future Testing of Technical Expert Panel (TEP) Recommended Statistical Approaches
Date: 09/2020
Type: Document
Sponsoring organization: National Quality Forum
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Taskforce on Telehealth Policy (TTP) Findings and Recommendations
Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Type: Document
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Type: Document
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Evaluation of the Accountable Care Organization Investment Model: Final Report
Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Rural Action Plan
Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2021
Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19 Testing - What RHCs Are Doing For Their Communities
Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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