January 17, 2018 Wednesday, January 17, 2018 9:30 a.m. to 11:00 a.m. ETBipartisan Policy Center, 1225 Eye St NW, Suite 1000, Washington, DC, 20005 To better understand the challenges and opportunities rural communities face with health care delivery and infrastructure, the Bipartisan Policy Center led an effort over the past 6 months to learn from …
Tag Archives: Health Panel
Primer on Rural Long-Term Services and Support
Rural Long-Term Services and Supports: A Primer provides policymakers and other interested stakeholders a primer on rural long-term services and supports (LTSS): (1) the fundamentals of the rural LTSS system, (2) rural access to and use of LTSS, and (3) discussion of the opportunities within and limitations of current Federal and State LTSS policy for advancing …
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Accessing Behavioral Health Services in Rural Communities
This presentation explains the concepts of affordability and availability as well as broadening network of participating local organizations to include social services. It also discusses the future of health homes and behavioral health services. Presented by Keith J. Mueller, PhD (College of Public Health, University of Iowa) at the National Academies on November 14, 2017. …
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Rural Health and the Law: Emerging Issues and Trends
This presentation discusses the transformation underway as a result of payer policies designed to improve the value and outcomes of health care while attempting to slow cost growth. It also touches on gaps affecting rural people, places, and providers. Presented by Jennifer P. Lundblad, PhD (President and CEO, Stratis Health; Member RUPRI Health Panel) on …
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After Hospital Closure: Pursuing High Performance Rural Health System without Inpatient Care
The RUPRI Health Panel describes opportunities for rural communities to develop a high-performance rural health system after hospital closure, including three case studies that describe real-world transitions from a hospital-based locus of care to new models of care delivery in rural places. After Hospital Closure: Pursuing High Performance Rural Health System without Inpatient Care This paper describes …
RUPRI Health Panel Member, Jennifer Lundblad, Discusses Antibiotic Stewardship for Rural Hospitals
In a recent Rural Monitor article for the Rural Health Information Hub, Jennifer Lundblad, CEO of Stratis Health and a member of the RUPRI Health Panel, discusses the economic impact of antibiotic stewardship (AS) programs for rural hospitals. She also referenced a RUPRI Health Panel public comment letter on a proposed rule from the Centers on Medicare and Medicaid that would require …
RUPRI Health Panel member, Jennifer Lundblad, discusses rural hospital innovation
In Health & Hospitals Networks latest publication, Jennifer Lundblad, RUPRI Health Panel Member and president and CEO of Stratis Health, discusses how rural hospitals and rural communities are well-positioned to create innovative population health and wellness programs. “A rural environment lends itself to population health and wellness,” she says. “Providers probably know the patient and their family, they …
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Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems
Medicaid has grown significantly in its importance to rural health systems and communities; a higher proportion (22 percent) of rural residents was enrolled in Medicaid than Medicare (20 percent) in 2014. At the same time, the use of payment and delivery innovations has grown significantly, but varies across the U.S. As a result of expansions …
Featured RUPRI Leader: Jennifer Lundblad
Jennifer is the President and CEO of Stratis Health, a non-profit based in Minnesota that focuses on collaboration and innovation in health care quality and safety. She has been a member of the RUPRI Health Panel since 2009, in addition to Stratis Health and RURPI partnering on a national Rural Health Value Project that focuses …
Policy Brief: Medicare Value-Based Payment Reform
Medicare Value-Based Payment Reform: Priorities for Transforming Rural Health Systems View Policy Brief | Related: View Full Report In January 2015, Department of Health and Human Services (HHS) Secretary Burwell announced new goals and timelines for moving Medicare reimbursement from fee-for-service to value-based payment. These payment changes are driving delivery system reforms by making healthcare …
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Medicare Value-based Payment Reform: Priorities for Transforming Rural Health Systems
View Report | Related: View Policy Brief In recognition of unsustainable healthcare cost growth and sub-optimal delivery system performance, the Patient Protection and Affordable Care Act of 2010 (ACA) contains provisions that redesign healthcare payment and delivery. ACA payment change provisions are driving delivery system reform by making healthcare organizations more accountable for patients’ health …
Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, CA – 2015
This joint paper was authored by members of both the Health and Human Services Panel in June 2015. The paper presents a case for the viability of Accountable Care Community (ACC) models in rural communities, including in rural Humboldt County, California. Accountable Care Communities reflect a unified approach to improving the health and reducing the …
Transitioning to a High Performance Rural Health System
This presentation discusses how hospitals should respond and why response should be other than incremental adjustment. It will touch base on change and how it creates opportunities as well as threats. Presented by Keith J. Mueller, PhD (Director, RUPRI Center for Rural Health Policy Analysis) and Charles W. Fluharty, M. Div. (President, Rural Policy Research …
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Advancing the Transition to a High-Performance Rural Health System. RUPRI Health Panel. November 2014.
In Advancing the Transition to a High-Performance Rural Health System, the RUPRI Health Panel discusses strategies and options for creating a pathway to a transformed, high-performing rural health system. This paper builds on the RUPRI Health Panel’s earlier paper that conceptually defined the core elements of a high-performance rural health system. We have also incorporated …
Access to Rural Health Care – Literature Review and New Synthesis
This report reviews important access definitions and frameworks from the literature. The review serves as a concept map to create a unique synthesis of perspectives that may be used by researches and policy makers to design or clarify access to health care providers. Prepared in August 2014 by the RUPRI Health Panel: A. Clinton MacKinney, …
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: 2010 First and 2014 Second Look
These two policy documents from 2010 and 2014 take a first and second look at the implementation of the Patient Protection and Affordable Care Act of 2010 and how it contributes to reshaping the health care delivery landscape, particularly in rural areas. Prepared in September 2010 and April 2014 by the RUPRI Health Panel: Andrew …
A Second Look at the Patient Protection and Affordable Care Act of 2010
Presented by the Rural Policy Research Institute Health Panel: Keith Mueller, PhD; Timothy McBride, PhD; Andrew Coburn, PhD. At the Annual Meeting of the National Rural Health Association in April 2014 in Las Vegas, Nevada. View Presentation
Transitioning to a Value-Based Health Care Future
This presentation discusses the climate of change in health care, payment policies and price reduction threats. It will also touch base on the Affordable Care Act. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) at the Improving Health in a Climate of Change NACo in San …
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The Impact of Payment Reform on Rural Medicare Advantage Enrollment and Quality
This project examines the implications of changes in Medicare Advantage (MA) payment implemented in the Patient Protection and Affordable Care Act of 2010 (ACA) and in the current Centers for Medicare and Medicaid (CMS) demonstration of quality-based bonus payments. This research also focuses on key issues including: how the changes to MA payment, including bonus …
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How to Succeed by Trying: Adapting to Change
This presentation discusses important ways rural hospitals need to think about adapting to the changing policy and demographic landscape. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the Rural Hospital Conference Colorado Hospital Association in Colorado Springs, CO on May 8, 2013. View Presentation
ACOs and Much More: Health Reform Comes to Rural America
This presentation explores the utility of Accountable Care Organizations in a rural context. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) to the Colorado Rural Hospital Conference in Colorado Springs, CO on May 8, 2013. View Presentation
Frontier Extended Stay Clinics: A Sustainable Community Model
This presentation examine the unique advantages that the Frontier Extended Stay Clinic model offers to rural populations. Presented by A. Clinton MacKinney and Patricia Atkinson at the NRHA Annual Rural Health Conference in Louisville, Kentucky on May 8, 2013. View Presentation
Impact on Health System Market Changes on Rural Health: ACO, PCMH, VBP Consolidation
This presentation discusses how the rural healthcare landscape is changing and explores emerging implications for rural healthcare providers. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the State Offices of Rural Health – Region D meeting in San Diego, California on May 1, 2013. View Presentation
Rural Emergency Care: Stepping Up to the Challenge
This presentation explores the Rural Emergency Department as a flagship healthcare service provider for rural hospitals, hospital systems, and communities. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) on April 26, 2013. View Presentation
Research to Policy and Practice: Sustaining Rural Health Services
This presentation explores how current and emerging research might impact rural health care providers and policy makers in strengthening sustainable models of healthcare provision in rural areas. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the IAHL Roundtable Discussion in Des Moines, Iowa on February 28, 2013. View Presentation
Transforming Health Care in Rural America: Turning Change into Improvements for Rural Residents
This presentation provides analysis of current changes to health care and health care systems that provide services in rural areas. Mueller offers tips for transitioning toward an optimal system that fits within this evolving context. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) to the Rural Health Leadership Conference in Phoenix, …
The Current and Future Role and Impact of Medicaid in Rural Health
This brief outlines and describes the current Medicaid program and its importance to rural America. It also discusses rural implications of program expansion, including whether and how states choose to implement changes. View Report This report was written by Health Panel Members Keith Mueller, Andrew Coburn, Jennifer Lundblad, A. Clinton MacKinney, Timothy McBride, Sidney Watson …
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Anticipating the Rural Impact of Medicare Value-Based Purchasing. RUPRI Rural Health Panel. April 2012.
Click Here for Brief
Pursuing High Performance In Rural Health Care. RUPRI Rural Futures Lab. January 2012.
Authored by RUPRI Health Panel. Click Here for Brief
The High Performance Rural Health Care System of the Future
The RUPRI Health Panel offers an aspirational vision, for a highperformance rural health care system. The RUPRI Health Panel envisions rural health care that is affordable andaccessible for rural residents through a sustainable health system thatdelivers high quality, high value services. A high performance rural healthcare system informed by the needs of each unique rural …
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Place-Based Policies and Public Health
Place-Based Policies and Public Health: The Road to Healthy Rural People and Places View Report This joint paper by the RUPRI Health Panel and Human Service Panel examines how effective place-based policies can influence how rural and metropolitan areas develop, how well they function as places to live, work, operate a business, preserve heritage, and …
RUPRI Rural Health Panel: Comments responding to Request for Information Regarding Accountable Care Organizations and the Medicare Shared Saving Program: CMS‐1345‐NC. December 2010
Click Here for Comment Letter
Securing High Quality Health Care in Rural America: The Impetus for Change in the Affordable Care Act
View Report The ACA calls for the development of a National Health Care Quality Strategy and Plan (National Quality Strategy) that, by definition, will affect health care that is delivered to millions of Americans who live in rural areas and thousands of health care providers who care for them. The goal of this paper is …
RUPRI Rural Health Panel Comment Letter: Reply to request for comments regarding Exchange‐related provisions of the ACA. October 2010
Click Here for Comment Letter
Designation HPSAs & Medically Underserved Populations: A Primer. RUPRI Health Panel. August 2010.
Click Here for Brief
Impact of the Patient Protection and Affordable Care Act on Covered Persons. RUPRI Rural Health Panel. December 2009.
Authored by Timothy McBride, PhD Click Here for Report
A Rural Perspective/Commentary Regarding “Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans” Senate Finance Committee. RUPRI Rural Health Panel. May 2009.
Click Here for Brief Click Here for Executive Summary
A Rural Perspective/Commentary Regarding “Transforming the Health Care Delivery System: Proposals to Improve Patient Care and Reduce Health Care Costs. Senate Finance Committee. RUPRI Rural Health Panel. April 2009
Click Here for Brief Click Here for Executive Summary
CMS Value-Based Purchasing Program & Critical Access Hospitals. RUPRI Health Panel. January 2009
Click Here for Brief Click Here for Summary
RUPRI Rural Health Panel Response to CMS Report to Congress: Plans to Implement Medicare Hospital Value-Based Purchasing Program. October 2008.
Click Here for Comments
Medicaid and Its Importance to Rural Health. RUPRI Rural Health Panel. 2008.
Click Here for Brief
Implementing a New USDA Rural Development Program Targeting Small Rural Hospitals & Their Communities. RUPRI Rural Health Panel. March 2008.
Click Here for Brief
Medicare Advantage Plans in Rural America. RUPRI Rural Health Panel. October 2007.
Click Here for Brief
Bridging Rural Health Research & Policy: Dissemination Strategies. RUPRI Rural Health Panel. August 2007
Click Here for Brief
Choosing Rural Definitions: Implications for Health Policy. RUPRI Rural Health Panel. March 2007.
Click Here for Brief
Institutes of Medicine (IOM) Rural Health Report: Next Steps in Legislation and Programs. RUPRI Rural Health Panel. February 2006.
Click Here for Brief
Impacts of the Medicare Modernization Act on Rural Health Systems & Beneficiaries. Rural Health Panel. February 2005.
Click Here for Brief
Assessment of Proposals for a Medicare Outpatient Prescription Drug Benefit: The Rural Perspective
View Report This Policy Paper assesses legislative proposals to add an outpatient prescription drug benefit to the Medicare program and their implications for the delivery of services and the welfare of beneficiaries in rural areas. Included are comments on five proposals introduced in the 107th Congress: one that was passed by the House of Representatives, …
Comments on the June 2001 Report of the Medicare Payment Advisory Commission: “Medicare in Rural America”
View Policy Paper The Rural Health Panel is publishing this policy paper to provide a foundation for a discussion of the recommendations and findings presented in the June 2001 report (Report) of the Medicare Payment Advisory Commission (MedPAC), Medicare in Rural America. In this paper, the Panel comments on MedPAC’s recommendations and offers a critique …
Redesigning Medicare: Considerations for Rural Beneficiaries and Health Systems
View report The enactment of the Balanced Budget Act of 1997 (BBA) dramatically changed the context for discussions of Medicare policy. Two major pathways for discussion were identified: Appropriate and equitable payment for services, either through traditional fee-for service (FFS) Medicare payments or through Medicare+Choice monthly premiums; and Appropriate and necessary changes to the program …
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