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Rural Health
Resources by State: Maryland

What States Can Learn from Maryland's Experience with Hospital Global Budgeting
Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024
Type: Audio
Sponsoring organization: Mathematica
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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2023 Maryland Hunger Profiles
Provides state- and county-level data on age of population, median household income, childhood and older adult poverty levels, and food program usage in Maryland. Discusses the impact of the COVID-19 pandemic on food access as well as strategies to end hunger in the state.
Date: 09/2023
Type: Document
Sponsoring organization: Maryland Hunger Solutions
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Strengthening Two-Generation Initiatives that Support Child Development and Improve Family Economic Security: Insights from the Next Steps for Rigorous Research on Two-Generation Approaches Project
Provides an overview of the two-generation initiative meant to strengthen families through targeted human services that support child development and family economic security. Provides an overview of 4 organizations engaged in the formative evaluation stage of the initiative, focusing on research and implementation, built capacity to improve evaluations, and measurements used to evaluate and improve learning. Includes a case study of the Garrett County Community Action Committee in rural Maryland and their work with the two-generation initiative.
Author(s): Scott Baumgartner, Christine Ross, Emily Sama-Miller, et al.
Date: 08/2023
Type: Document
Sponsoring organizations: Administration for Children and Families, Mathematica
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National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, June 27–28, 2023
Minutes from the June 27-28, 2023 meeting, including presentations on a family medicine residency program at the Northern Navajo Medical Center in Shiprock, New Mexico, the Choptank Community Health System community-based program in Maryland, managing patients with complex conditions, empowering clinicians for resiliency and transformative care, reports from Bureau of Health Workforce council meetings, and National Health Service Corps updates.
Additional links: Agenda, Choptank Community Health System Community-Based Program, Shiprock-UNM Family Medicine Residency
Date: 06/2023
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Using Rapid Cycle Learning to Build Momentum for Change in Two-Generation Service Delivery
Provides an overview of programs utilizing rapid cycle learning to quickly implement initiatives that help sustain changes for two or more generations aimed at improving outcomes for children, primary caregivers, and their families. Includes information on a Community Action Agency in a rural Maryland county and a human services organization that serves a rural Latino community in Colorado. Discusses their processes to improve data usage, referral systems, professional presentations, and more.
Author(s): Alex Bauer, Nickie Fung, Scott Baumgartner
Date: 06/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Rural Maryland Council Report on the Transportation Health Care Roundtable Meetings
Summaries of a series of roundtable discussions between healthcare and transportation providers to determine how health and human services transportation can be improved in Maryland. Mentions rural throughout.
Date: 03/2023
Type: Document
Sponsoring organizations: Rural Maryland Council, Tri-County Council for Southern Maryland
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A Feasibility Study of Augmented Reality Intervention for Safety Education for Farm Parents and Children
Interviewed 10 Maryland farm families to determine the need for and experience using augmented reality (AR) technology for the promotion of safety on the farm for children. Describes the creation of an AR program.
Author(s): Kang Namkoong, John Leach, Junhan Chen, Jiawen Zhang, Bryan Weichelt
Citation: Frontiers in Public Health, 10, 903933
Date: 01/2023
Type: Document
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