Download - Lisa Kilawee 2016 NRHA President National Rural Health Association Rural Health Care and NRHA
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Lisa Kilawee2016 NRHA PresidentNational Rural Health Association
Rural Health Care and NRHA
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Improving the health of the 62 million who call rural America home.
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National Rural Health Association Membership
2015
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Support theRural Health Foundation.
NRHA introduced the Rural HealthFoundation in 2012 to establish a permanent endowment for rural leadership development for generations to come.
To give, visit RuralHealthWeb.org/donate.
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Destination NRHAPlan now to attend these upcoming events.
Policy Institute- Feb. 2-4, Washington, DC
21st Health Equity Conference, May 10th, Minneapolis, MN
39th Annual Conference, May 10-13, Minneapolis, MN
Visit RuralHealthWeb.orgfor details and discounts.
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National Rural Health Day/ Importance of Advocacy
Federal Government’s big impact on rural health care• Appropriations• Medicare/Medicaid• Regulations
Great challenges of today• Health disparities on the rise• Federal funding in jeopardy
• Medicare cuts continue; sequestration extended for yet another year.• Federal appropriations uncertainty
• Access to care for rural patients significantly impeded• Workforce shortages• Rural hospital closure crisis
United voice is needed • Even if you can’t advocate - - you can educate• Join NRHA’s monthly grassroots calls
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15 More Closures since Last National Rural Health Day
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A Rural Hospital Closure Crisis
• 59 rural hospitals have closed since 2010; 15 have closed since our last National Rural Health Day;
• Rate will likely double in 2015-16;• 283 rural hospitals are vulnerable.
• Nye Regional Medical Center, Tonopah, NV, the only hospital in a 100-mile radius, closed August 21, 2015. This was a Sole Community Hospital (SCH).
2010 2011 2012 2013 2014 2015 2016 20170
3
6
9
12
15
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In Oct 2014, 283 rural hospitals identified as statistically clustered in the bottom tier of performance by iVantage
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The Save Rural Hospital Act:
1. Stops the bleeding. Halt additional proposed cuts to rural hospitals from the Administration and Congress immediately. Support pro-rural provisions such as Medicaid expansion, elimination of the 2% sequestration cuts and 101% reimbursement for CAHs to stabilize the rural safety net.
2. Builds bridge to the future. Promote new provider payment models to create a new rural reality.
We ask you to join our campaign: #SaveRural
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Save Rural Hospitals Act, HR 3225
Rural hospital stabilization (Stop the bleeding) Elimination of Medicare Sequestration for rural hospitals; Reversal of all “bad debt” reimbursement cuts (Middle Class Tax Relief and Job Creation Act of 2012);
Permanent extension of current Low-Volume and Medicare Dependent Hospital payment levels;
Reinstatement of Sole Community Hospital “Hold Harmless” payments; Extension of Medicaid primary care payments; Elimination of Medicare and Medicaid DSH payment reductions; and Establishment of Meaningful Use support payments for rural facilities
struggling. Permanent extension of the rural ambulance and super-rural ambulance
payment.
Rural Medicare beneficiary equity. Eliminate higher out-of pocket charges for rural patients (total charges vs. allowed Medicare charges.)
Regulatory Relief Elimination of the CAH 96-Hour Condition of Payment (See Critical Access
Hospital Relief Act of 2014); Rebase of supervision requirements for outpatient therapy services at CAHs
and rural PPS See PARTS Act); Modification to 2-Midnight Rule and RAC audit and appeals process.
Future of rural health care (Bridge to the Future) Innovation model for rural hospitals who continue to struggle.
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The Save Rural Hospitals Act – Join NRHA efforts.
• SRHA is not legislation for rural hospitals that struggle.• SRHA will mean millions of dollars to your facility.• SRHA will offer key regulatory relief.
Current Status• House: Introduced - - Reps. Graves (R-MO) , Loebsack (D-
IA), July 31, 2015.• Senate: Not yet introduced.
• We need you grassroots efforts. We need your hospital boards and your community to be involved.
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“Rural hospitals and the rural economy rise and fall together”
• On average, 14% of total employment in rural areas is attributed to the health sector. Natl. Center for Rural Health Works. (RHW)
• The average CAH creates 107 jobs and generates $4.8 million in payroll annually. (RHW)
• Health care often represent up to 20 percent of a rural community's employment and income. (RHW)
• A rural physician generates 23 jobs in the local economy
“Three years after a rural hospital community closes, it costs about $1000 in per capita income.”
Mark Holmes, professor, University of North Carolina
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National Rural Health Association
Go Rural!