Charlie Alfero, MA

Email: calfero@chi-phi.org

Center for Health Innovation and NM Primary Care Training Consortium
301 W College Ave #8
Silver City, NM 88061

Publications - (5)

Insuring Rural America: Health Insurance Challenges and Opportunities
Policy Brief
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 07/2018
This brief discusses a series of policy considerations in three main categories: policies related to rural insurance risk, policies related to provider networks, and policies related to rural payment rates and structures.

Rural Long-Term Services and Supports: A Primer
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 11/2017
This paper provides policymakers and other interested stakeholders a primer on the fundamentals of the rural LTSS system, rural access to and use of LTSS, and the opportunities and limitations of current federal and state LTSS policy for advancing rural health system transformation toward a high-performing rural health delivery system.
After Hospital Closure: Pursuing High Performance Rural Health Systems Without Inpatient Care
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 06/2017
A new paper describing 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 hospital-based locus of care to new models of care delivery in rural places.

Medicare Value-Based Payment Reform: Priorities for Transforming Rural Health Systems
Report
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 11/2015
As Medicare moves to value-based payment, healthcare groups are made more accountable for patient health. But the changes have been concentrated in urban areas. Policies meant to strengthen rural health systems are complicating payment and delivery system reform in rural areas. This study examines ways to include rural areas in the changes.
Care Coordination in Rural Communities Supporting the High Performance Rural Health System
Report
RUPRI Health Panel: Rural Policy Analysis and Applications
Date: 06/2015
This paper examines care coordination programs and processes that affect rural areas to discover what is happening in rural communities, how various programs and approaches are working, who benefits, and to make policy recommendations that will facilitate care coordination efforts in support of high performance rural health system development.