Rural Health
Resources by Topic: Reimbursement and payment models
Value-Based Care Assessment Tool
Online tool that assesses 80 different value-based care capacities in eight categories and creates a value-based care readiness report that can be used to support strategic planning. Tool is designed to be used by your healthcare organization's senior leadership team.
Date: 02/2024
Type: Tool
Sponsoring organization: Rural Health Value
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Online tool that assesses 80 different value-based care capacities in eight categories and creates a value-based care readiness report that can be used to support strategic planning. Tool is designed to be used by your healthcare organization's senior leadership team.
Date: 02/2024
Type: Tool
Sponsoring organization: Rural Health Value
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Implementation Costs of Technology-Enhanced Transitional Palliative Care for Rural Caregivers
Examines the feasibility and sustainability of a family caregiver-focused transitional palliative care intervention that uses telehealth technologies. Presents results of a budget impact analysis of a randomized control trial, community-dwelling rural caregivers of hospitalized patients with a serious, life-limiting illness and receiving palliative care during hospitalization. Describes potential reimbursement mechanisms available to offset health system costs to providing transitional palliative care to support caregivers, including transitional care management and chronic care management service reimbursement.
Author(s): Brystana G. Kaufman, Diane E. Holland, Catherine E. Vanderboom, Cory Ingram, et al.
Citation: American Journal of Hospice and Palliative Care, 41(1), 38-44
Date: 01/2024
Type: Document
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Examines the feasibility and sustainability of a family caregiver-focused transitional palliative care intervention that uses telehealth technologies. Presents results of a budget impact analysis of a randomized control trial, community-dwelling rural caregivers of hospitalized patients with a serious, life-limiting illness and receiving palliative care during hospitalization. Describes potential reimbursement mechanisms available to offset health system costs to providing transitional palliative care to support caregivers, including transitional care management and chronic care management service reimbursement.
Author(s): Brystana G. Kaufman, Diane E. Holland, Catherine E. Vanderboom, Cory Ingram, et al.
Citation: American Journal of Hospice and Palliative Care, 41(1), 38-44
Date: 01/2024
Type: Document
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AHIP Value-Based Care Workgroup
Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Recording of a January 29, 2024, webinar regarding the Centers for Medicare & Medicaid Services' States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. Discusses the AHEAD Model's timeline, key elements, opportunities, and requirements from a rural perspective. Identifies potential implications for rural hospital and primary care participation.
Additional links: Presentation Slides
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Recording of a January 29, 2024, webinar regarding the Centers for Medicare & Medicaid Services' States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. Discusses the AHEAD Model's timeline, key elements, opportunities, and requirements from a rural perspective. Identifies potential implications for rural hospital and primary care participation.
Additional links: Presentation Slides
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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The State of Rural Healthcare: Research Report and Outlook for 2024
Presents results of a survey of 106 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing three strategic priorities in 2024, including people management, revenue capture, and digital capabilities.
Date: 01/2024
Type: Document
Sponsoring organization: Wipfli, LLP
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Presents results of a survey of 106 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing three strategic priorities in 2024, including people management, revenue capture, and digital capabilities.
Date: 01/2024
Type: Document
Sponsoring organization: Wipfli, LLP
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Value-Based Care and North Dakota
Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Shared Savings Program Fast Facts
Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2024. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2024. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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What States Can Learn from Maryland's Experience with Hospital Global Budgeting
Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Type: Audio
Sponsoring organization: Mathematica
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Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Type: Audio
Sponsoring organization: Mathematica
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