Tag Archives: Health

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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Thinking Bigger About Smaller Places: “Adjacent Possible” Design Thinking and Collective Impact Investing for Healthier Rural People and Communities

This presentation recalibrate the rural/urban paradigm and dialogue as well as challenging the hegemony of the urban metaphor in a disruptive milieu. Presented by Charles W. Fluharty (President and CEO, Rural Policy Research Institute) to the Transforming Safety and Health in the Heartland Conference in Ankeny, Iowa on November 19, 2014. View Presentation

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 …

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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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Rural Health Strategies for a Value-Based Future

This presentation touches on rural health context as well as transfer of financial risk. It will also discuss redefine, redesign and a toolbox for value. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) at the ASHNHA Conference in Anchorage, Alaska on April 22, 2014. View Presentation

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 …

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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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RUPRI Health Panel Provides Comments to CMS on Physicians’ Referrals and Exceptions for Certain Electronic Health Records Arrangements. June 2013.

RUPRI Health Panel Provided Comments to CMS-1454-P Proposed Rule Physicians’ Referrals to Health Care Entities with Which They Have Financial Relationships: Exception for Certain Electronic Health Records Arrangements. June 6th, 2013. Read Comment Letter Here.

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

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, …

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Transferring Risk: The Road to Health Care Value

This presentation discusses to increase health care value for rural communities by exploring how to transfer risk from payers to hospitals and physicians. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) to the Rural Health Leadership Conference February 10-13, 2013. View Presentation

RUPRI Health Panel Provides Comments to Office of Personnel Management regarding 45 CFR part 800 proposed rule of Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges. December 2012.

RUPRI Health Panel Provided Comments to 45 CFR part 800 Proposed Rule Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges. December 18, 2012. Read Comment Letter Here

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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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 …

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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 …

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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, …

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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 …

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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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Rural Policy Research Institute

Rural Policy Research Institute
The University of Iowa
College of Public Health
319-384-3857 | info@rupri.org