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Category Archives: Health

Announcements from the Federal Office of Rural Health Policy

October 21, 2014

Hot Off the Presses

1. On October 8, the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) released a report examining Medicare beneficiaries’ payments for outpatient services at Critical Access Hospitals (CAHs). The report found that Medicare beneficiaries paid more in required coinsurance** at Critical Access Hospitals (CAHs) than they would have if they received the same services at a prospective payment system (PPS) hospital, because cost sharing calculations are different in the two settings. As noted in some of the media coverage of the report, many people have Medicare supplemental insurance policies that cover the coinsurance, so many beneficiaries are not paying the higher cost sharing directly. For specific services investigated, beneficiary cost sharing averaged 2 to 6 times more at CAHs than at PPS hospitals. Since the method for calculating outpatient coinsurance at CAHs (20 percent of charges) is set by statute, it would require Congress to change the law to change the amount of cost sharing paid by beneficiaries. Additionally, any reduction in beneficiary payments due to lower beneficiary cost sharing would require an increase in Medicare payments to CAHs so that they continue to receive a total payment of 101 percent of costs (the sum of the Medicare payment and the cost sharing).

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Announcements from the Federal Office of Rural Health Policy

October 10, 2014

Hot Off the Presses

1. The Centers for Medicare and Medicaid have a contract with the  National Quality Forum (NQF) to convene a multi-stakeholder committee to provide recommendations to the Department of Health and Human Services regarding performance measurement issues for rural and low-volume providers, which include; critical access hospitals, rural health clinics, community health centers, and the clinicians who serve in these types of facilities. These providers often face unique issues, such as low payment volume and scarcity of resources, that make measurement difficult. The committee will consider how to mitigate these challenges in payment incentive programs for those providers; identify which measures are most appropriate for those programs; and recommend how future development resources are best directed to address particular measurement gaps areas.  The Federal Office of Rural Health Policy (ORHP) will serve as the lead for this project under CMS’s larger work with NQF.

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Announcements from the Federal Office of Rural Health Policy

October 6, 2014

Hot Off the Presses

1. The Centers for Medicare and Medicaid have a contract with the  National Quality Forum (NQF) to convene a multi-stakeholder committee to provide recommendations to the Department of Health and Human Services regarding performance measurement issues for rural and low-volume providers, which include; critical access hospitals, rural health clinics, community health centers, and the clinicians who serve in these types of facilities. These providers often face unique issues, such as low payment volume and scarcity of resources, that make measurement difficult. The committee will consider how to mitigate these challenges in payment incentive programs for those providers; identify which measures are most appropriate for those programs; and recommend how future development resources are best directed to address particular measurement gaps areas.  The Federal Office of Rural Health Policy (ORHP) will serve as the lead for this project under CMS’s larger work with NQF.
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Rural Health Conference Registration

NEW!  Register for the 7th Annual Rural Health Conference.

FY15 Rural Health Care Services Outreach Grant Program

September 8, 2014

The Federal Office of Rural Health Policy (ORHP) is pleased to announce that the FY15 Rural Health Care Services Outreach Grant Program funding opportunity announcement (announcement number: HRSA-15-039) is now available. To access the application package and learn more about the funding opportunity announcement, please click on: http://www.grants.gov/view-opportunity.html?oppId=264030 (look under ‘application package’ tab)

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Funding Opportunity

September 5, 2014

Rural Community Development Initiative Funding Opportunity

Announcements from the Federal Office of Rural Health Policy

September 5, 2014

Hot Off the Presses

1. The “ORHP, ACA, and You” Office Hours webinar series officially kicked off last week with a presentation featuring ORHP staff member Linda Kwon speaking about the lessons learned from the FY 13 Outreach Program ACA Outreach and Enrollment supplemental funding grantees. The next Office Hours webinar will be held September 10 from 3-4 pm Eastern Time, with Donna Cohen Ross, Director of Enrollment Initiatives at CMS speaking about ongoing outreach and enrollment strategies in Medicaid and CHIP. Information about call logistics and webinar log-in will be sent out shortly to the ORHP ACA questions listserv. To join the listserv, e-mail orhp-acaquestions@hrsa.gov with subject line “Subscribe.”
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