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Rural Health
Resources by Topic: Rural Health Clinics

Implementing Quality Assessment and Performance Improvement Systems in Rural Health Clinics: Clinic and State Agency Responses
Assesses Rural Health Clinics (RHCs) and their compliance with Quality Assessment and Performance Improvement (QAPI) requirements.
Author(s): Astrid Knott, Karen Travers
Date: 08/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s
Presents the findings of an analysis of payment trends for providers qualifying under Medicare special payment provisions for rural providers. Covers payment trends for rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and physicians.
Author(s): Donna O. Farley, Lisa R. Shugarman, Pat Taylor, et al.
Date: 06/2002
Type: Document
Sponsoring organization: RAND Corporation
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A Targeted Look at the Rural Health Care Safety Net
Report to the Secretary of the U.S. Department of Health and Human Services. Discusses the safety net, the web of professionals and institutions that provide care to the poor and uninsured regardless of ability of pay. Also covers key safety net programs under the purview of the Secretary of Health and Human Services. Its findings fall into three categories: ensuring access to hospital services, ensuring access to primary care, and maintaining an adequate workforce.
Date: 04/2002
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Populations and Health Care Providers: A Map Book
A collection of maps showing the geographic distribution of rural populations and the healthcare providers that serve them.
Author(s): Randy K. Randolph, Katherine Gaul, Rebecca T. Slifkin
Date: 2002
Type: Map/Mapping System
Sponsoring organization: North Carolina Rural Health Research Program
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Washington DC, February 4-6, 2001
Minutes from a National Advisory Committee on Rural Health & Human Services meeting that covered the following topics: Federal Office of Rural Health Policy update, Medicare reform, and community health centers and rural health clinics.
Date: 02/2001
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Health Clinics: Rising Program Expenditures Not Focused on Improving Care in Isolated Areas
A review of the Rural Health Clinic (RHC) program. Examined whether the RHC program provides primary care access to Medicare and Medicaid recipients who otherwise would not have it. Also looked at controls in place for payments to RHCs from Medicare and Medicaid.
Additional links: Full Report
Date: 02/1997
Type: Document
Sponsoring organization: Government Accountability Office
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Public Law 95–210: Rural Health Clinic Services Act of 1977
Text of the Rural Health Clinic Services Act of 1977, Public Law 95–210 (December 13, 1977). This legislation established the Rural Health Clinic (RHC) designation in the Medicare and Medicaid programs and outlines details of the designation.
Date: 1977
Type: Document
Sponsoring organization: U.S. Congress
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ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO Primary Care Flex Model: Model Overview Factsheet
Describes the ACO Primary Care Flex Model from the CMS Innovation Center including purpose and goals, eligibility and participation criteria, payment overview, and application and timeline. Includes information for Federally Qualified Health Centers and Rural Health Clinics.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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NARHC REF Lookup Tool Portal
Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Type: Tool
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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