Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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AHA Rural Health Services Tools and Resources
A collection of case studies, data graphics, and tools highlighting rural hospital healthcare innovations, including new payment models implemented by hospitals and health systems in rural communities.
Type: Website
Sponsoring organization: American Hospital Association
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A collection of case studies, data graphics, and tools highlighting rural hospital healthcare innovations, including new payment models implemented by hospitals and health systems in rural communities.
Type: Website
Sponsoring organization: American Hospital Association
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CCHP Policy Finder
Database of telehealth laws and regulations with state-by-state information, information related to COVID-19 telehealth policy changes, Medicaid and Medicare information, and other payer and professional requirements. Offers maps comparing policies in each state.
Type: Website
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Database of telehealth laws and regulations with state-by-state information, information related to COVID-19 telehealth policy changes, Medicaid and Medicare information, and other payer and professional requirements. Offers maps comparing policies in each state.
Type: Website
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Emergency Triage, Treat, and Transport (ET3) Model
Provides information on a CMS model that permits ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth are eligible to participate.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on a CMS model that permits ambulance care teams to use alternate models of emergency healthcare, such as telehealth treatment and transport to alternative destinations, to improve quality and lower costs of care. Rural Medicare-enrolled suppliers or hospital-based ambulance providers without current medical dispatch and/or telehealth are eligible to participate.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Pennsylvania Rural Health Model
Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on a joint CMS and the Pennsylvania Department of Health model designed to improve the financial viability of rural Pennsylvania hospitals and reduce the growth of hospital expenditures across payers, including Medicare. Includes information on participating hospitals and details about the performance period and model targets.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Access and Rural Transformation (CHART) Model
Provides information on a rural-focused CMS initiative that will test whether upfront investments, predictable capitated payments, and operational and regulatory flexibilities will enable rural healthcare providers to improve access to high-quality care and reduce costs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on a rural-focused CMS initiative that will test whether upfront investments, predictable capitated payments, and operational and regulatory flexibilities will enable rural healthcare providers to improve access to high-quality care and reduce costs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Coronavirus Waivers & Flexibilities
Lists Centers for Medicare and Medicaid Services (CMS) waivers and flexibilities available to healthcare providers to ensure healthcare access during the COVID-19 pandemic. Includes blanket waivers and fact sheets for specific types of providers, as well as approved states' other coronavirus 1135 waivers.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Lists Centers for Medicare and Medicaid Services (CMS) waivers and flexibilities available to healthcare providers to ensure healthcare access during the COVID-19 pandemic. Includes blanket waivers and fact sheets for specific types of providers, as well as approved states' other coronavirus 1135 waivers.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Promoting Interoperability Program Hardship Exception Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Oklahoma State Innovation Model (OSIM)
Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Type: Website
Sponsoring organization: Oklahoma State Department of Health
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Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Type: Website
Sponsoring organization: Oklahoma State Department of Health
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Eligible Professional / Eligible Clinician eCQMs
Features updated electronic clinical quality measures (eCQMs) for eligible clinicians and professionals participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Features updated electronic clinical quality measures (eCQMs) for eligible clinicians and professionals participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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