Rural Health
Resources by State: Montana
Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Organizing Complex Care for Rural Populations: A Case Study of Three Montana Communities
Discusses qualitative and quantitative data from interventions designed to address the complex health and social needs of residents in three Montana communities: Kalispell, Billings, and Helena. Covers patient demographics and patient health information for all three sites; lessons learned; and experiences from intervention program staff.
Author(s): Derek DeLia, Jolene Chou
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Discusses qualitative and quantitative data from interventions designed to address the complex health and social needs of residents in three Montana communities: Kalispell, Billings, and Helena. Covers patient demographics and patient health information for all three sites; lessons learned; and experiences from intervention program staff.
Author(s): Derek DeLia, Jolene Chou
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Air Ambulance: Available Data Show Privately-Insured Patients Are at Financial Risk
Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Potential Effects of Work Requirements in Montana's Medicaid Program
Explores the potential impacts of Montana's proposed Medicaid reform legislation, Medicaid Reform and Integrity Act (MeRIA). Reports on Montana residents most likely to be affected by MeRIA's work requirements, and the potential loss of Medicaid coverage and resulting effects. Includes statistics describing the characteristics of Montana Medicaid expansion beneficiaries mostly likely to be impacted by the proposed work requirements by age, race/ethnicity, education, barriers to employment, and rurality.
Author(s): Leighton Ku, Erin Brantley
Date: 02/2019
Type: Document
Sponsoring organization: George Washington University Milken Institute School of Public Health Center for Health Policy Research
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Explores the potential impacts of Montana's proposed Medicaid reform legislation, Medicaid Reform and Integrity Act (MeRIA). Reports on Montana residents most likely to be affected by MeRIA's work requirements, and the potential loss of Medicaid coverage and resulting effects. Includes statistics describing the characteristics of Montana Medicaid expansion beneficiaries mostly likely to be impacted by the proposed work requirements by age, race/ethnicity, education, barriers to employment, and rurality.
Author(s): Leighton Ku, Erin Brantley
Date: 02/2019
Type: Document
Sponsoring organization: George Washington University Milken Institute School of Public Health Center for Health Policy Research
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Cost-Effectiveness of a Community-Based Cardiovascular Disease Prevention Intervention in Medically Underserved Rural Areas
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
Type: Document
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Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
Type: Document
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Support and Sabotage: A Qualitative Study of Social Influences on Health Behaviors among Rural Adults
Examines the impact of social relationships on health behavior adoption and maintenance by interviewing midlife and older adults in rural Montana at increased risk of chronic disease. Addresses family and peer influences on diet, physical activity, and tobacco use.
Author(s): Urshila Sriram, Emily H. Morgan, Meredith L. Graham, Sara C. Folta, Rebecca A. Seguin
Citation: Journal of Rural Health, 34(1), 88-97
Date: 12/2018
Type: Document
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Examines the impact of social relationships on health behavior adoption and maintenance by interviewing midlife and older adults in rural Montana at increased risk of chronic disease. Addresses family and peer influences on diet, physical activity, and tobacco use.
Author(s): Urshila Sriram, Emily H. Morgan, Meredith L. Graham, Sara C. Folta, Rebecca A. Seguin
Citation: Journal of Rural Health, 34(1), 88-97
Date: 12/2018
Type: Document
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State Laws and Policies Affecting Broadband Access in Eight Northern Region States
Highlights several state-level broadband policies and their effect on healthcare access in rural communities in Idaho, Iowa, Minnesota, Montana, North Dakota, South Dakota, Wisconsin, and Wyoming. Compares broadband access in rural areas to state and national averages and breaks down the policies in each state.
Date: 11/2018
Type: Document
Sponsoring organization: The Network for Public Health Law
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Highlights several state-level broadband policies and their effect on healthcare access in rural communities in Idaho, Iowa, Minnesota, Montana, North Dakota, South Dakota, Wisconsin, and Wyoming. Compares broadband access in rural areas to state and national averages and breaks down the policies in each state.
Date: 11/2018
Type: Document
Sponsoring organization: The Network for Public Health Law
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Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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2018 Montana Oral Health Workforce Assessment
Provides an overview of the oral health workforce in Montana. Includes information on the scope of practice, education and continuing education, and distribution within the state for dentists, dental hygienists, dental auxiliaries, and denturists. Covers county-level data on dental Health Professional Shortage Areas (HPSAs) by type. Discusses initiatives to expand dental education in Montana to meet the needs in rural areas.
Date: 09/2018
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Provides an overview of the oral health workforce in Montana. Includes information on the scope of practice, education and continuing education, and distribution within the state for dentists, dental hygienists, dental auxiliaries, and denturists. Covers county-level data on dental Health Professional Shortage Areas (HPSAs) by type. Discusses initiatives to expand dental education in Montana to meet the needs in rural areas.
Date: 09/2018
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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