Rural Health
Resources by Topic: Access
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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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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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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Philanthropy, Cross-Collaboration, and the Ecosystem That Is Rural Healthcare Delivery: Q&A with Dr. Shao-Chee Sim
An interview with Shao-Chee Sim, PhD, vice president for research, innovation, and evaluation for the Texas-based Episcopal Health Foundation. Discusses how philanthropic organizations can support community engagement, make research investments, and leverage cross-funder collaboration to impact the rural healthcare delivery system.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2022
Sponsoring organization: Rural Health Information Hub
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An interview with Shao-Chee Sim, PhD, vice president for research, innovation, and evaluation for the Texas-based Episcopal Health Foundation. Discusses how philanthropic organizations can support community engagement, make research investments, and leverage cross-funder collaboration to impact the rural healthcare delivery system.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2022
Sponsoring organization: Rural Health Information Hub
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Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature
Summarizes the results of a review of 62 studies published between January 1, 2016, and May 1, 2022, that compare Medicare Advantage and traditional Medicare across beneficiary experience, affordability, service utilization, and quality. Includes information on Medicare enrollment patterns in rural areas and identifies gaps in research on rural Medicare beneficiaries and other subgroups. Builds on a literature review that examined studies published between 2000 and early 2014.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek
Date: 09/2022
Sponsoring organization: KFF
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Summarizes the results of a review of 62 studies published between January 1, 2016, and May 1, 2022, that compare Medicare Advantage and traditional Medicare across beneficiary experience, affordability, service utilization, and quality. Includes information on Medicare enrollment patterns in rural areas and identifies gaps in research on rural Medicare beneficiaries and other subgroups. Builds on a literature review that examined studies published between 2000 and early 2014.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek
Date: 09/2022
Sponsoring organization: KFF
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HHS Roadmap for Behavioral Health Integration
Issue brief describing behavioral healthcare needs, barriers to access, and plans to integrate behavioral health and other forms of healthcare. Offering policy solutions to strengthen system capacity, connect patients to care, and create healthy, supportive environments. Notes rural disparities in mental healthcare access and rural-specific behavioral health training.
Date: 09/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Issue brief describing behavioral healthcare needs, barriers to access, and plans to integrate behavioral health and other forms of healthcare. Offering policy solutions to strengthen system capacity, connect patients to care, and create healthy, supportive environments. Notes rural disparities in mental healthcare access and rural-specific behavioral health training.
Date: 09/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Transportation Insecurity in the United States: A Descriptive Portrait
Examines transportation insecurity in the United States in individuals aged 25 and older. Analyzes survey data from 1,999 respondents and includes demographic data such as age, income, car ownership, race/ethnicity, sex, education, presence of children in the household, immigration status, and location by urban, suburban, and rural. Discusses issues related to transportation insecurity such as poorer health outcomes, residential segregation, education inequity, crime, poverty, and more.
Author(s): Alexandra K. Murphy, Karina McDonald-Lopez, Natasha Pilkauskas, Alix Gould-Werth
Citation: Socius: Sociological Research for a Dynamic World, 8
Date: 09/2022
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Examines transportation insecurity in the United States in individuals aged 25 and older. Analyzes survey data from 1,999 respondents and includes demographic data such as age, income, car ownership, race/ethnicity, sex, education, presence of children in the household, immigration status, and location by urban, suburban, and rural. Discusses issues related to transportation insecurity such as poorer health outcomes, residential segregation, education inequity, crime, poverty, and more.
Author(s): Alexandra K. Murphy, Karina McDonald-Lopez, Natasha Pilkauskas, Alix Gould-Werth
Citation: Socius: Sociological Research for a Dynamic World, 8
Date: 09/2022
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Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use Disorder
Presents survey responses of physicians who provide Opioid Use Disorder (OUD) treatment on telehealth flexibilities driven by the COVID-19 pandemic, particularly their OUD telehealth policy preferences. Notes rural implications of access equity issues and policy changes.
Author(s): Tamara Beetham, David A. Fiellin, Susan H. Busch
Citation: The American Journal of Managed Care, 28(9)
Date: 09/2022
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Presents survey responses of physicians who provide Opioid Use Disorder (OUD) treatment on telehealth flexibilities driven by the COVID-19 pandemic, particularly their OUD telehealth policy preferences. Notes rural implications of access equity issues and policy changes.
Author(s): Tamara Beetham, David A. Fiellin, Susan H. Busch
Citation: The American Journal of Managed Care, 28(9)
Date: 09/2022
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Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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Broadband Internet Subscription Rates and Opioid Prescribing via Telemedicine During the COVID-19 Pandemic
Explores the effect of the DEA's temporary permission for providers to prescribe opioids via telehealth during the COVID-19 pandemic in Kentucky. Discusses the effect this permission had on rural areas and in counties with low and high rates of broadband access.
Author(s): Douglas R. Oyler, Svetla Slavova, Patricia R. Freeman, et al.
Citation: Journal of Rural Health, 38(4), 900-907
Date: 09/2022
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Explores the effect of the DEA's temporary permission for providers to prescribe opioids via telehealth during the COVID-19 pandemic in Kentucky. Discusses the effect this permission had on rural areas and in counties with low and high rates of broadband access.
Author(s): Douglas R. Oyler, Svetla Slavova, Patricia R. Freeman, et al.
Citation: Journal of Rural Health, 38(4), 900-907
Date: 09/2022
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National Veteran Health Equity Report
Examines Veterans Affairs (VA) data concerning the sociodemographics, utilization patterns, and rates of diagnosed health conditions among various groups of veterans to monitor, evaluate and act on identified disparities in healthcare access, use, quality, and health outcomes. Chapter 5 developed by the VA Office of Rural Health provides detailed information comparing rural and urban data.
Additional links: American Indian or Alaska Native Veteran Chartbook, Asian and Native Hawaiian and Other Pacific Islander Veteran Chartbook, Black Veteran Chartbook, Full Report, Hispanic and Latino Veteran Chartbook
Date: 09/2022
Sponsoring organization: Veterans Health Administration
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Examines Veterans Affairs (VA) data concerning the sociodemographics, utilization patterns, and rates of diagnosed health conditions among various groups of veterans to monitor, evaluate and act on identified disparities in healthcare access, use, quality, and health outcomes. Chapter 5 developed by the VA Office of Rural Health provides detailed information comparing rural and urban data.
Additional links: American Indian or Alaska Native Veteran Chartbook, Asian and Native Hawaiian and Other Pacific Islander Veteran Chartbook, Black Veteran Chartbook, Full Report, Hispanic and Latino Veteran Chartbook
Date: 09/2022
Sponsoring organization: Veterans Health Administration
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