Rural Health
Resources by State: Nebraska
Aging in Place: The Vital Role of Home Health in Access to Care
Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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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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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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Disparities in Melanoma Outcomes In Urban Versus Rural Settings: An Analysis from the Nebraska Cancer Registry 2001-2016
A research letter that analyzes health disparities related to melanoma outcomes in rural versus urban populations. Examines 9,688 individuals with melanoma between 2001 and 2016 utilizing the Nebraska Cancer Registry to observe the mortality rate of patients when considering rurality, race, sex, age, and stage/site of the cancer.
Author(s): Elizabeth M. Mata, Natalia Trinidad, Elliot Blue, et al.
Citation: Journal of the American Academy of Dermatology, 89(2), 350-352
Date: 08/2023
Type: Document
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A research letter that analyzes health disparities related to melanoma outcomes in rural versus urban populations. Examines 9,688 individuals with melanoma between 2001 and 2016 utilizing the Nebraska Cancer Registry to observe the mortality rate of patients when considering rurality, race, sex, age, and stage/site of the cancer.
Author(s): Elizabeth M. Mata, Natalia Trinidad, Elliot Blue, et al.
Citation: Journal of the American Academy of Dermatology, 89(2), 350-352
Date: 08/2023
Type: Document
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A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Leveraging Career Pathway Programs: State Strategies to Combat Health Care Workforce Shortages
Provides an overview of healthcare career pathway programs states have implemented to address or mitigate workforce shortages. Describes programs across various stages of education, including K-12, community college, and undergraduate programs. Highlights two undergraduate programs focused on rural healthcare - Nebraska's Rural Health Opportunities Program and Utah's Rural and Underserved Utah Training Experience (RUUTE) - as well as a regional rural nurse practitioner residency program in Minnesota, North Dakota, and Wisconsin.
Date: 06/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Provides an overview of healthcare career pathway programs states have implemented to address or mitigate workforce shortages. Describes programs across various stages of education, including K-12, community college, and undergraduate programs. Highlights two undergraduate programs focused on rural healthcare - Nebraska's Rural Health Opportunities Program and Utah's Rural and Underserved Utah Training Experience (RUUTE) - as well as a regional rural nurse practitioner residency program in Minnesota, North Dakota, and Wisconsin.
Date: 06/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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"Hopeful Forecasting": Farmers Showing Increased Interest in Mental Health Resources
Discusses a growing openness among farmers to accessing mental health resources. Shares insights from experts regarding stigma reduction and challenges that remain in addressing farmers' mental health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses a growing openness among farmers to accessing mental health resources. Shares insights from experts regarding stigma reduction and challenges that remain in addressing farmers' mental health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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How Often Do Households in the North Central Region Run out of Food?
Provides 2022 data on the percentage of households in the North Central Region who run out of food before they have funds to purchase groceries. Examines households by frequency of food insecurity, specific North Central Region state, race, marital status, income, education, and rural, urban, or suburban location.
Author(s): Antara Chowdhury
Date: 06/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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Provides 2022 data on the percentage of households in the North Central Region who run out of food before they have funds to purchase groceries. Examines households by frequency of food insecurity, specific North Central Region state, race, marital status, income, education, and rural, urban, or suburban location.
Author(s): Antara Chowdhury
Date: 06/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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When It's Not Enough: Sleep's Impact on Rural America's Health and Safety
Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Comparing Public Transportation Services for Rural States in the Upper Midwest and Great Plains Region
Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, gender, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Date: 01/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, gender, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Date: 01/2023
Type: Document
Sponsoring organization: North Central Regional Center for Rural Development
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