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Rural Health
Resources by Type: Document

MedPAC Comment on CMS's Proposed Rule on the Skilled Nursing Facility PPS for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on Hospice for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for hospice and hospice quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Case Study: New England
Results of a field study focused on two rural funding organizations in Maine and New Hampshire, documenting how philanthropy and community can work together to support rural vitality. Part of the Rural Philanthropic Analysis series.
Date: 06/2019
Type: Document
Sponsoring organization: Campbell University Office of Rural Philanthropic Analysis
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2019
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Cost-Sharing as a Barrier to Accessing Care at FQHCs and RHCs for Rural Medicare Beneficiaries
Results of a national study investigating cost barriers, using data acquired after enactment of the Affordable Care Act and viewed from perspectives other than ambulatory care sensitive hospitalizations. Features statistics including descriptive data of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) from the study sample, with breakdowns by rural and urban location.
Author(s): Alex R. Schulte, George H. Pink, Mark Holmes, Denise Kirk
Date: 06/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Assessment of Mortality and Smoking Rates Before and After Reduction in Community-wide Prevention Programs in Rural Maine
Results of a study comparing smoking and mortality rates in Franklin County, Maine with other Maine counties, by 5-year intervals between 1970-2015. Features statistics including demographics, mortality rates, and income data.
Author(s): Daniel K. Onion, Roderick E. Prior, N. Burgess Record
Citation: JAMA Network Open 2(6)
Date: 06/2019
Type: Document
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Mandated Report - Medicaid in Puerto Rico
Chapter 5 of the semi-annual Report to Congress from the Medicaid and CHIP Payment and Access Commission. Analyzes Puerto Rico's Medicaid program and factors affecting its future. Features statistics including selected health indicators for Puerto Rico compared with U.S. mainland states, projected Medicaid benefit spending for Fiscal Year (FY) 2020, and Medicaid spending in Puerto Rico by year and source of funds for FYs 2011-2019.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Coteau des Prairies (CDP) Health System: Improving Quality of Care
Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Report to Congress on Medicaid and CHIP, June 2019
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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