Rural Health
Resources by Topic: Access
State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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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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Health Panel Comment Letter - 2024 Physician Fee Schedule and Medicare Part B Proposed Rule
Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Quantifying Arizona's Mental Health Workforce Shortage Using Health Professional Shortage Area (HPSA) Data
Report describing the shortages of psychiatrist physicians in Arizona. Data include shortages in both tribal nations and at a county-level.
Date: 09/2023
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Report describing the shortages of psychiatrist physicians in Arizona. Data include shortages in both tribal nations and at a county-level.
Date: 09/2023
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Medicare Advantage Enrollment, Plan Availability and Premiums in Rural Areas
Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Author(s): Jeannie Fuglesten Biniek, Gabrielle Clerveau, Anthony Damico, Tricia Neuman
Date: 09/2023
Type: Document
Sponsoring organization: KFF
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Research brief analyzing Medicare Advantage enrollment, availability, and premiums in rural areas to identify trends since 2010. Offers rural and urban comparisons.
Author(s): Jeannie Fuglesten Biniek, Gabrielle Clerveau, Anthony Damico, Tricia Neuman
Date: 09/2023
Type: Document
Sponsoring organization: KFF
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Meeting the Health and Social Needs of LGBTQ+ Older Adults Through Medicaid
Brief describing the unique healthcare needs for older LGBTQ+ adults. Discusses health outcome disparities, discrimination, intersectionality, barriers to care, and the challenges for rural residents. Offers recommendations for improving outcomes for older, Medicaid-enrolled LGBTQ+ adults in California.
Author(s): Matthew Phan, Carrie Graham, Torshira Moffet, Jason Flatt
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Brief describing the unique healthcare needs for older LGBTQ+ adults. Discusses health outcome disparities, discrimination, intersectionality, barriers to care, and the challenges for rural residents. Offers recommendations for improving outcomes for older, Medicaid-enrolled LGBTQ+ adults in California.
Author(s): Matthew Phan, Carrie Graham, Torshira Moffet, Jason Flatt
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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'Planting Seeds of Change': In Rural Counties, Expanding Jail-Based Mental Health Services is a Community Effort
Examines the challenges of providing access to mental health services in rural jails. Features a telehealth counseling program in rural Texas and an Ohio program offering case management and mental health services to people in the county jail.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 09/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Examines the challenges of providing access to mental health services in rural jails. Features a telehealth counseling program in rural Texas and an Ohio program offering case management and mental health services to people in the county jail.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 09/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Improving Maternal and Infant Services in Rural Iowa
Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Type: Audio
Sponsoring organization: American Hospital Association
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