Rural Health
Resources by State: Montana
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
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
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
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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
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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
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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
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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
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
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
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
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
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
Sponsoring organization: Government Accountability Office
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Perceptions of Driving after Marijuana Use Compared to Alcohol Use among Rural American Young Adults
Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
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Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
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Activities and Situations When Young Adults Drive Drunk in Rural Montana
Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
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Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
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