Rural Health
Resources by Topic: Access
Rural Barriers to Early Lung Cancer Detection: Exploring Access to Lung Cancer Screening Programs in New Hampshire and Vermont
Evaluates how geographic access to lung cancer screening facilities is related to population density, adult smoker distribution, and education level in New Hampshire and Vermont. Utilizes 2013-2017 County Health Rankings data. Discusses the significance of rural-urban access disparities in lung cancer screening, and describes the value of identifying access barriers.
Author(s): Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley
Citation: American Journal of Surgery, 221(4), 725-730
Date: 04/2021
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Evaluates how geographic access to lung cancer screening facilities is related to population density, adult smoker distribution, and education level in New Hampshire and Vermont. Utilizes 2013-2017 County Health Rankings data. Discusses the significance of rural-urban access disparities in lung cancer screening, and describes the value of identifying access barriers.
Author(s): Rian M. Hasson, Kayla A. Fay, Joseph D. Phillips, Timothy M. Millington, David J. Finley
Citation: American Journal of Surgery, 221(4), 725-730
Date: 04/2021
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Correlates of Personal Health Record Registration and Utilization among Veterans with HIV
Examines the relationship of registration and utilization of the Veteran Health Administration's (VHA) personal health record - My HealtheVet (MHV) - by a national cohort of veterans registered in MHV and who, prior to their registration, were diagnosed with HIV. Comparisons were made with veterans living with HIV who were not registered. Differences in registration and utilization were analyzed by age, sex, rurality, housing status, and behavior health.
Author(s): Tigran Avoundjian, Lara Troszak, Shayna Cave, et al.
Citation: JAIMA Open, 4(2)
Date: 04/2021
Sponsoring organization: American Medical Informatics Association
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Examines the relationship of registration and utilization of the Veteran Health Administration's (VHA) personal health record - My HealtheVet (MHV) - by a national cohort of veterans registered in MHV and who, prior to their registration, were diagnosed with HIV. Comparisons were made with veterans living with HIV who were not registered. Differences in registration and utilization were analyzed by age, sex, rurality, housing status, and behavior health.
Author(s): Tigran Avoundjian, Lara Troszak, Shayna Cave, et al.
Citation: JAIMA Open, 4(2)
Date: 04/2021
Sponsoring organization: American Medical Informatics Association
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
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) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part III: Availability among Current Healthcare.gov Enrollees under the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among current HealthCare.gov enrollees under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability for both pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes enrollee data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among current HealthCare.gov enrollees under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability for both pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes enrollee data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Hunger and the Local Economy: Integrated State-Level Approaches to Food Access
Describes food insecurity challenges in rural America. Explores state policy options to improve food access such as food bucks, food procurement reforms, farm to school programs, cooperative development tax incentives, farmers markets, establishing food hubs, and supporting small grocers. Offers policy recommendations to increase access to healthy food and address food insecurity in rural communities.
Author(s): Nathan Beacom
Date: 04/2021
Sponsoring organization: Center for Rural Affairs
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Describes food insecurity challenges in rural America. Explores state policy options to improve food access such as food bucks, food procurement reforms, farm to school programs, cooperative development tax incentives, farmers markets, establishing food hubs, and supporting small grocers. Offers policy recommendations to increase access to healthy food and address food insecurity in rural communities.
Author(s): Nathan Beacom
Date: 04/2021
Sponsoring organization: Center for Rural Affairs
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Case Study: Avera Behavioral Health
Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Sponsoring organization: American Hospital Association
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Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Sponsoring organization: American Hospital Association
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How Grayson County is Getting Connected
Discusses efforts to build broadband infrastructure in Grayson County, Virginia, in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Sponsoring organization: AARP
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Discusses efforts to build broadband infrastructure in Grayson County, Virginia, in rural Appalachia. Describes the planning process, health implications of broadband access in the county, and advice for communities seeking broadband.
Author(s): AARP Livable Communities
Date: 04/2021
Sponsoring organization: AARP
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Road to Equity: Examining Structural Racism in Health Care
Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Sponsoring organization: CDC's Office of Minority Health
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Recordings of a 2-day forum on health equity, structural racism in healthcare, and the role of federal agencies in responding to issues of inequity. Day 2 includes a presentation on rural-specific issues including health disparities, access to healthcare, facility closures and workforce issues.
Additional links: Day 1 Transcript, Day 2 Recording, Day 2 Transcript
Date: 04/2021
Sponsoring organization: CDC's Office of Minority Health
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