Rural Health
Resources by State: Indiana

Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Promising Practice: Sowing the Seeds of Healthy Eating in Rural Indiana
Illustrates how a training and education program for rural residents living in 7 rural communities within the New Allen Alliance (NAA), a partnership of communities in eastern Allen County, Indiana, encourages healthy cooking, access to healthy foods, and improved health.
Author(s): Beth Blevins
Date: 11/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Drive Times to Opioid Treatment Programs in Urban and Rural Counties in 5 U.S. States
Examines the driving times to opioid treatment programs in urban and rural counties in Indiana, Kentucky, Ohio, Virginia, and West Virginia. Compares drive times to Federally Qualified Health Centers and dialysis centers as possible prescribing and treatment locations.
Author(s): Paul J. Joudrey, E. Jennifer Edelman, Emily A. Wang
Citation: JAMA, 322(13), 1310-1312
Date: 10/2019
Type: Document
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Ending HIV in America: Policy and Program Insights From Local Health Agencies and Providers
Report evaluates strategies for combating HIV and makes policy recommendations. Discusses access to services in rural areas. Highlights rural Scott County, Indiana as a case study.
Date: 09/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Data Report: 2018 Indiana Physician Assistant Licensure Survey
Provides demographic and practice characteristics of the Indiana physician assistant (PA) workforce as well as supply and distribution information, intended to improve the quality and accessibility to primary care. Features statistics including county-level PA geographic distribution with breakdowns by urban and rural location.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 06/2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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The Power of Three: Rural Schools, Healthcare Providers, and a Rural Health Association Collaborate to Expand Primary Care Access Using School-Based Telehealth
Features the Indiana Rural Schools Clinic Network, a federally-funded telehealth program linking 18 rural schools in Indiana with 10 local provider organizations.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Indiana Uplands: Park, Recreation, and Protected Land Inventory and Opportunity Mapping
Reports on the 11 rural counties of the Indiana Uplands and includes inventory and map resources of available park, tourism, and recreation areas. Provides recommendations to develop park and recreation infrastructure with the aim of improving the health and quality of life of rural communities. Includes demographic and health data on Uplands Counties.
Author(s): Stephen A. Wolter, Gina Depper, Hana Cleveland, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Eppley Institute for Parks and Public Lands, Indiana Center for Rural Engagement
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Scratching the Surface of Psychiatric Services Distribution and Public Health: An Indiana Assessment
Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
Type: Document
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