Rural Healthcare Payment and Reimbursement – Resources
Selected recent or important resources focusing on Rural Healthcare Payment and Reimbursement.
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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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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CMS Cross Cutting Initiative: Rural Health
A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Medicaid Links
Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Shared Savings Program
Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Making Care Primary (MCP) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model, which offers a pathway for primary care clinicians in eight states to gradually adopt prospective, population-based payments while building infrastructure to improve behavioral health and specialty care integration and enhance equitable access to care.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model, which offers a pathway for primary care clinicians in eight states to gradually adopt prospective, population-based payments while building infrastructure to improve behavioral health and specialty care integration and enhance equitable access to care.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, which is intended to encourage healthcare coordination to improve care for people with Medicare, especially those from underserved communities.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, which is intended to encourage healthcare coordination to improve care for people with Medicare, especially those from underserved communities.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Costs, Coverage and Delivery State Legislation Database
Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Type: Database
Sponsoring organization: National Conference of State Legislatures
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Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Type: Database
Sponsoring organization: National Conference of State Legislatures
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PubMed Search: Rural Payment and Reimbursement
Searches PubMed's collection of journal article citations on the topic of rural healthcare payment and reimbursement.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Searches PubMed's collection of journal article citations on the topic of rural healthcare payment and reimbursement.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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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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Additional resources are available related to this guide. See the full list of resources by topic for:
- Accountable Care Organizations
- Care coordination
- Health insurance
- Healthcare business and finance
- Medicaid
- Medicare
- Policy
- Reimbursement and payment models
- Service delivery models
Last Updated: 3/19/2024