Rural Health
Resources by Type: Document
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19
Establishes the Rural Emergency Hospital (REH) provider type. Outlines REH payment policy, Conditions of Participation (CoPs), quality measures, and enrollment policy. Outlines changes to the Critical Access Hospitals (CAH) CoPs regarding location and distance requirements, patient's rights requirements, and flexibilities for CAHs that are part of a larger health system. Among other things, this rule also revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and finalizes provisions included in the COVID-19 interim final rules.
Additional links: Fact Sheet
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Establishes the Rural Emergency Hospital (REH) provider type. Outlines REH payment policy, Conditions of Participation (CoPs), quality measures, and enrollment policy. Outlines changes to the Critical Access Hospitals (CAH) CoPs regarding location and distance requirements, patient's rights requirements, and flexibilities for CAHs that are part of a larger health system. Among other things, this rule also revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and finalizes provisions included in the COVID-19 interim final rules.
Additional links: Fact Sheet
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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CY 2023 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1772-FC) Rural Emergency Hospitals — New Medicare Provider Type
Provides an overview of Rural Emergency Hospitals, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Details key policies outlined in the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule, including payment policies, conditions of participation, REH provider enrollment, and exceptions to the physician self-referral law.
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of Rural Emergency Hospitals, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Details key policies outlined in the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule, including payment policies, conditions of participation, REH provider enrollment, and exceptions to the physician self-referral law.
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Financial Characteristics of Critical Access Hospitals (CAHs) Participating in Accountable Care Organizations (ACO)
Examines Critical Access Hospital (CAH) participation in Medicare and non-Medicare Accountable Care Organizations (ACOs) in 2019. Compares the organizational and financial characteristics of CAHs across facilities that participate in ACOs and those that do not participate in an ACO. Includes data on profitability, liquidity, outpatient revenue, and Medicare payer mix.
Author(s): Angelina Budko, George Pink, Susie Gurzenda, Ann Howard, Kristin L. Reiter
Date: 11/2022
Sponsoring organization: Flex Monitoring Team
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Examines Critical Access Hospital (CAH) participation in Medicare and non-Medicare Accountable Care Organizations (ACOs) in 2019. Compares the organizational and financial characteristics of CAHs across facilities that participate in ACOs and those that do not participate in an ACO. Includes data on profitability, liquidity, outpatient revenue, and Medicare payer mix.
Author(s): Angelina Budko, George Pink, Susie Gurzenda, Ann Howard, Kristin L. Reiter
Date: 11/2022
Sponsoring organization: Flex Monitoring Team
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Factors Associated with Compliance to the Hospital Price Transparency Final Rule: A National Landscape Study
Examines 3,558 short-term acute-care hospitals' compliance with the Hospital Price Transparency Rule, which requires that hospitals publicly post a machine-readable file containing commercial negotiated prices for 300 services. Compares hospital compliance by state and hospital referral region. Describes factors associated with compliance, including health information technology preparedness, profit status, system affiliation, hospital size, and rural location.
Author(s): John Xuefeng Jiang, Daniel Polsky, Jeff Littlejohn, et al.
Citation: Journal of General Internal Medicine, 37(14), 3577–3584
Date: 11/2022
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Examines 3,558 short-term acute-care hospitals' compliance with the Hospital Price Transparency Rule, which requires that hospitals publicly post a machine-readable file containing commercial negotiated prices for 300 services. Compares hospital compliance by state and hospital referral region. Describes factors associated with compliance, including health information technology preparedness, profit status, system affiliation, hospital size, and rural location.
Author(s): John Xuefeng Jiang, Daniel Polsky, Jeff Littlejohn, et al.
Citation: Journal of General Internal Medicine, 37(14), 3577–3584
Date: 11/2022
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Virtual Communication Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding billing and payment for virtual communication services as established in the 2019 Physician Fee Schedule Final Rule.
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding billing and payment for virtual communication services as established in the 2019 Physician Fee Schedule Final Rule.
Date: 11/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Inequities in Access and Delivery of Acute Stroke Care: A Brain Attack Coalition Symposium Report
Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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EMS Listening Sessions: Report to the Governor's Healthcare Task Force
A summary of 6 listening sessions on emergency medical services in Wyoming. Discusses issues and potential solutions related to essential service designation, EMS districts, regionalization, education and licensing, reimbursement, the use of 911, and defining critical care. Discusses rural and frontier issues throughout.
Date: 10/2022
Sponsoring organization: Wyoming Department of Health
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A summary of 6 listening sessions on emergency medical services in Wyoming. Discusses issues and potential solutions related to essential service designation, EMS districts, regionalization, education and licensing, reimbursement, the use of 911, and defining critical care. Discusses rural and frontier issues throughout.
Date: 10/2022
Sponsoring organization: Wyoming Department of Health
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Rural Medicare Beneficiaries are Increasingly Likely to Be Admitted to Urban Hospitals
Examines whether the proportion of rural Medicare fee-for-service beneficiaries admitted to urban hospitals increased between 2010 and 2018 using data from the Hospital Service Area File (HSAF) and the American Hospital Association (AHA) survey. Explores whether distance to the nearest hospital and system affiliation of the nearest rural hospital were associated with increases in urban hospital admissions from rural ZIP codes.
Author(s): Hannah R. Friedman, George Mark Holmes
Citation: Health Services Research, 57(5), 1029-1034
Date: 10/2022
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Examines whether the proportion of rural Medicare fee-for-service beneficiaries admitted to urban hospitals increased between 2010 and 2018 using data from the Hospital Service Area File (HSAF) and the American Hospital Association (AHA) survey. Explores whether distance to the nearest hospital and system affiliation of the nearest rural hospital were associated with increases in urban hospital admissions from rural ZIP codes.
Author(s): Hannah R. Friedman, George Mark Holmes
Citation: Health Services Research, 57(5), 1029-1034
Date: 10/2022
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Social Media and Use of Electronic Nicotine Delivery Systems among School-Going Adolescents in a Rural Distressed Appalachian Community
Evaluates the influence of social media engagement on electronic nicotine delivery system (ENDS) use among 399 8th and 9th grade students in a rural Appalachian county in Tennessee. Provides data on current and ever ENDS use, social media use by type of platform, use of social media to discuss ENDS, attitudes toward ease of ENDS access and danger to health, parental advice against tobacco use, and participant demographics.
Author(s): H.M. Mamudu, C.A. Nwabueze, J.S. Yang, et al.
Citation: Preventive Medicine Reports, 29, 101953
Date: 10/2022
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Evaluates the influence of social media engagement on electronic nicotine delivery system (ENDS) use among 399 8th and 9th grade students in a rural Appalachian county in Tennessee. Provides data on current and ever ENDS use, social media use by type of platform, use of social media to discuss ENDS, attitudes toward ease of ENDS access and danger to health, parental advice against tobacco use, and participant demographics.
Author(s): H.M. Mamudu, C.A. Nwabueze, J.S. Yang, et al.
Citation: Preventive Medicine Reports, 29, 101953
Date: 10/2022
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Ohio 2023-2026 State Plan on Aging
Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Sponsoring organization: Ohio Department of Aging
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Highlights the state's health, equity, and justice goals for aging Ohioans. Notes priorities in the areas of community conditions, healthy living, access to care, social connectedness, population health, and preserving independence including those of particular importance to rural or Appalachian residents.
Date: 10/2022
Sponsoring organization: Ohio Department of Aging
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