Rural Health
Resources by State: State-by-state
Safety Net Activities of Independent Rural Health Clinics
Explores to what extent independent Rural Health Clinics (RHCs) are serving a safety net role and whether the proximity of a Federally Qualified Health Center (FQHC) affects that role.
Additional links: Policy Brief: Are Rural Health Clinics Part of the Rural Safety Net?
Author(s): David Hartley, John A. Gale, Al Leighton, Stuart Bratesman
Date: 09/2010
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Explores to what extent independent Rural Health Clinics (RHCs) are serving a safety net role and whether the proximity of a Federally Qualified Health Center (FQHC) affects that role.
Additional links: Policy Brief: Are Rural Health Clinics Part of the Rural Safety Net?
Author(s): David Hartley, John A. Gale, Al Leighton, Stuart Bratesman
Date: 09/2010
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Increases in Primary Care Physician Income due to the Patient Protection and Affordable Care Act of 2010--Continued Tweaking of Physician Payment
Examines changes authorized by the Patient Protection and Affordable Care Act (ACA) to the Resource-Based Relative Value Scale (RBRVS) system aimed at increasing primary care physician personal income and reducing geographic variation in primary care payment. Looks at ACA-authorized primary care payment adjustments in a prototypical rural primary care practice to assess the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome.
Author(s): A. Clinton MacKinney
Date: 07/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines changes authorized by the Patient Protection and Affordable Care Act (ACA) to the Resource-Based Relative Value Scale (RBRVS) system aimed at increasing primary care physician personal income and reducing geographic variation in primary care payment. Looks at ACA-authorized primary care payment adjustments in a prototypical rural primary care practice to assess the potential impact on physician personal income and the likelihood that the changes will achieve the desired policy outcome.
Author(s): A. Clinton MacKinney
Date: 07/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems
Examines State Flex Program trauma-related and emergency medical system (EMS) activities and the designation of Critical Access Hospitals (CAHs) as trauma centers. Includes data by state on CAH trauma center designation.
Additional links: Policy Brief
Author(s): Walter Gregg, Nicholas Jennings, Christopher Dickerson
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines State Flex Program trauma-related and emergency medical system (EMS) activities and the designation of Critical Access Hospitals (CAHs) as trauma centers. Includes data by state on CAH trauma center designation.
Additional links: Policy Brief
Author(s): Walter Gregg, Nicholas Jennings, Christopher Dickerson
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Year 5 Hospital Compare Participation and Quality Measure Results
Report examines 2008 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice, Adam Hofer
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Report examines 2008 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice, Adam Hofer
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Impact of the Recession on Rural America: Rising Unemployment Leading to More Uninsured in 2009
Presents the results of state and county analysis of unemployment rates nationally in rural (nonmetropolitan) and urban areas over the period 2007-February 2009. Discusses the impact of rising unemployment on uninsurance in rural areas and their combined impact on the need for healthcare reform.
Author(s): Timothy McBride, Leah Kemper
Date: 06/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents the results of state and county analysis of unemployment rates nationally in rural (nonmetropolitan) and urban areas over the period 2007-February 2009. Discusses the impact of rising unemployment on uninsurance in rural areas and their combined impact on the need for healthcare reform.
Author(s): Timothy McBride, Leah Kemper
Date: 06/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid: Source of Screening Affects Women's Eligibility for Coverage of Breast and Cervical Cancer Treatment in Some States
Examines data on women screened for breast or cervical cancer through the Early Detection Program, how states have implemented the Treatment Act, and related data on Medicaid enrollment and spending. Contains several case studies, including one addressing rural access to early detection programs and treatment resources for breast and cervical cancer.
Additional links: Full Report
Date: 05/2009
Type: Document
Sponsoring organization: Government Accountability Office
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Examines data on women screened for breast or cervical cancer through the Early Detection Program, how states have implemented the Treatment Act, and related data on Medicaid enrollment and spending. Contains several case studies, including one addressing rural access to early detection programs and treatment resources for breast and cervical cancer.
Additional links: Full Report
Date: 05/2009
Type: Document
Sponsoring organization: Government Accountability Office
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Loss of Community Pharmacies Since 2006: State Experiences
Reports on the number of rural communities that no longer have a pharmacy and the number of rural communities that now only have one retail pharmacy by state. Highlights how policies and telepharmacy could help.
Author(s): Liyan Xu, Fred Ullrich, Keith Mueller
Date: 04/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the number of rural communities that no longer have a pharmacy and the number of rural communities that now only have one retail pharmacy by state. Highlights how policies and telepharmacy could help.
Author(s): Liyan Xu, Fred Ullrich, Keith Mueller
Date: 04/2009
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Eligible But Not Enrolled? Potential for Targeting Over a Half-Million Rural Medicare Beneficiaries for Enrollment in the Low-Income Subsidy Prescription Drug Program
Discusses the Medicare Part D low-income subsidy (LIS), which is designed to help low-income persons access the prescription drug benefit with reduced premiums and lower out-of-pocket costs. Included chart shows enrollment in Medicare Part D prescription drug plans and the LIS by state.
Additional links: State Tables
Author(s): Timothy D. McBride, Keith J. Mueller
Date: 12/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the Medicare Part D low-income subsidy (LIS), which is designed to help low-income persons access the prescription drug benefit with reduced premiums and lower out-of-pocket costs. Included chart shows enrollment in Medicare Part D prescription drug plans and the LIS by state.
Additional links: State Tables
Author(s): Timothy D. McBride, Keith J. Mueller
Date: 12/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Enrollment in Medicare Advantage Continues to Grow Rapidly in 2008, Led by Private Fee-for-Service Plans
Provides findings about enrollment in the Medicare Advantage program in rural areas and across the U.S. by state.
Author(s): Yolonda Y. Campbell, Timothy D. McBride, Keith Mueller
Date: 08/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides findings about enrollment in the Medicare Advantage program in rural areas and across the U.S. by state.
Author(s): Yolonda Y. Campbell, Timothy D. McBride, Keith Mueller
Date: 08/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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