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Rural Health Information Hub

Rural Health
Resources by Topic: Access

National Advisory Committee on Rural Health and Human Services Meeting Summary, Lawrence, Kansas, September 14-16, 2022
Summarizes the 90th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Lawrence, Kansas. Presents an overview of national and state perspectives on Programs of All-Inclusive Care for the Elderly (PACE).
Date: 09/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Configuration and Delivery of Primary Care in Rural and Urban Settings
Compares structure, capabilities, and payment reform participation of isolated, small town, micropolitan, and metropolitan physician practices. Features statistics on characteristics of physician practices, Medicare beneficiaries, and beneficiary utilization in 2017, with breakdowns by rurality.
Author(s): Taressa K. Fraze, Valerie A. Lewis, Andrew Wood, Helen Newton, Carrie H. Colla
Citation: Journal of General Internal Medicine, 37(12), 3045-3053
Date: 09/2022
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Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida
Examines barriers and strategies affecting COVID-19 vaccination and testing uptake in rural Latino communities in southwest Florida. Uses data from interviews conducted between March-April 2021 with 25 key stakeholders including rural Latino community members, local leaders, and community health workers.
Author(s): Acadia W. Buro, Kevin Roman Candelaria, Rocio Bailey, et al.
Citation: International Journal of Environmental Research and Public Health, 19(18), 11785
Date: 09/2022
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September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in the Supply and Rural-Urban Distribution of Psychologists in the U.S., 2014-2021
Describes the distribution of psychologists in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychologists per 100,000 population in rural counties, from 2014-2021.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 09/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Masterclass in Telling the Stories of Rural Health in America
A recording of a web event focused around storytelling and reporting on rural health issues. Discusses strategies to communicate and cover health disparities, access barriers, workforce shortages, and inequities while also highlighting the power of rural resilience and change agents in communities.
Date: 09/2022
Sponsoring organization: National Organization of State Offices of Rural Health
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Medicaid: Efforts to Address Fraud in Nonemergency Medical Transportation
Describes state approaches to administering the non-emergency medical transportation (NEMT) Medicaid benefit. Highlights how Colorado uses different approaches to serve urban and rural counties. Discusses the outcomes and findings of related fraud investigations and program audits and strategies selected states used to address related fraud.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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Opioid-Related Outcomes Among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights three essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Next Steps for the Rural Emergency Hospital Model
Blog post discussing rural hospital closures and how the Rural Emergency Hospital (REH) model can help financially vulnerable hospitals align their services to the needs of the community. Highlights recommendations to the U.S. Department of Health and Human Services regarding REH Conditions of Participation and payment.
Date: 09/2022
Sponsoring organization: Bipartisan Policy Center
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September 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, state processes and stakeholder engagement for unwinding continuous coverage requirement, countercyclical disproportionate share hospital policies, and integrating care for dually eligible beneficiaries in Medicaid fee-for-services, among other things. Includes rural references throughout.
Date: 09/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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