Rural Health
Resources by Topic: Access
Medicare Advantage 2025 Spotlight: A First Look at Plan Offerings
Offers an overview of Medicare Advantage plan availability across the country for 2025. Discusses how many plans are available, who is offering plans, and costs. Offers data for metropolitan, micropolitan, and rural areas as well as county-level data.
Author(s): Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, Tricia Neuman
Date: 11/2024
Type: Document
Sponsoring organization: KFF
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Offers an overview of Medicare Advantage plan availability across the country for 2025. Discusses how many plans are available, who is offering plans, and costs. Offers data for metropolitan, micropolitan, and rural areas as well as county-level data.
Author(s): Meredith Freed, Jeannie Fuglesten Biniek, Anthony Damico, Tricia Neuman
Date: 11/2024
Type: Document
Sponsoring organization: KFF
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Future Directions for Rural Population Research: Findings from RPRN's Listening Sessions
Summarizes 5 listening sessions with rural development practitioners aiming to identify areas of research need by rural population researchers. Discusses trends in agriculture and food systems, community and economic development, the environment and natural resources, and health, healthcare, and disability services. Offers recommendations related to information sharing, community involvement in research, data gathering, and best practices and evaluation.
Author(s): Kristina Brant, Paige, Kelly, Danielle Rhubart, et al.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Population Research Network
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Summarizes 5 listening sessions with rural development practitioners aiming to identify areas of research need by rural population researchers. Discusses trends in agriculture and food systems, community and economic development, the environment and natural resources, and health, healthcare, and disability services. Offers recommendations related to information sharing, community involvement in research, data gathering, and best practices and evaluation.
Author(s): Kristina Brant, Paige, Kelly, Danielle Rhubart, et al.
Date: 11/2024
Type: Document
Sponsoring organization: Rural Population Research Network
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Tele-Collaborative Outreach to Rural Patients with Chronic Pain: Pragmatic Effectiveness Trial Protocol for the CORPs Study
Presents a trial protocol to examine the effectiveness of the Tele-Collaborative Outreach to Rural Patients (CORPs), a remote collaborative care intervention to improve pain interference among rural veterans with high-impact chronic pain. The intervention will be delivered through Veterans Health Administration (VA) system and will include pain education, care coordination, and navigation support provided by a nurse care manager (NCM). Discusses program implementation, evaluation, and cost-effectiveness.
Author(s): Benjamin J Morasco, Natassja Pal, Sarah S Ono, et al.
Citation: Pain Medicine, 25, S91-S98
Date: 11/2024
Type: Document
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Presents a trial protocol to examine the effectiveness of the Tele-Collaborative Outreach to Rural Patients (CORPs), a remote collaborative care intervention to improve pain interference among rural veterans with high-impact chronic pain. The intervention will be delivered through Veterans Health Administration (VA) system and will include pain education, care coordination, and navigation support provided by a nurse care manager (NCM). Discusses program implementation, evaluation, and cost-effectiveness.
Author(s): Benjamin J Morasco, Natassja Pal, Sarah S Ono, et al.
Citation: Pain Medicine, 25, S91-S98
Date: 11/2024
Type: Document
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Bridging Gaps in Breast Cancer Screening: A Comparative Study of Mexican Women in U.S. Rural and Urban Areas
Examines factors influencing breast cancer screening disparities among 350 Mexican immigrant women aged 40+ in rural and urban communities in Illinois. Compares rural and urban prevalence of barriers and facilitators to screening, including data on geographic and cultural factors.
Author(s): Venera Bekteshi, Mario Schootman
Citation: Journal of Primary Care & Community Health, 15
Date: 11/2024
Type: Document
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Examines factors influencing breast cancer screening disparities among 350 Mexican immigrant women aged 40+ in rural and urban communities in Illinois. Compares rural and urban prevalence of barriers and facilitators to screening, including data on geographic and cultural factors.
Author(s): Venera Bekteshi, Mario Schootman
Citation: Journal of Primary Care & Community Health, 15
Date: 11/2024
Type: Document
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Supply and Geographic Distribution of Geriatric Physicians and Geriatric Nurse Practitioners
Results of a study to explore trends in the supply of geriatric physicians (GMDs) and geriatric nurse practitioners (GNPs) from 2010 to 2020, and disparities between metropolitan and nonmetropolitan counties. Features county-level maps showing geographic trends in older adults, GMDs, and GNPs among U.S. counties in 2010 and 2020, and statistics with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): Ying Xue, Lusine Poghosyan, Qinyun Lin
Citation: JAMA Network Open, 7(11), e2444659
Date: 11/2024
Type: Document
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Results of a study to explore trends in the supply of geriatric physicians (GMDs) and geriatric nurse practitioners (GNPs) from 2010 to 2020, and disparities between metropolitan and nonmetropolitan counties. Features county-level maps showing geographic trends in older adults, GMDs, and GNPs among U.S. counties in 2010 and 2020, and statistics with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): Ying Xue, Lusine Poghosyan, Qinyun Lin
Citation: JAMA Network Open, 7(11), e2444659
Date: 11/2024
Type: Document
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2024 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2023, with breakdowns by race and ethnicity. Describes trends in quality of care for rural and urban residents between 2017 and 2023.
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2023, with breakdowns by race and ethnicity. Describes trends in quality of care for rural and urban residents between 2017 and 2023.
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Re-Imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center "Hackathon" Series
Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Cross-Sectional Study of Stigma Towards Opioid Users among Rural Law Enforcement and Community Members in Tennessee
Examines stigma toward people who use opioids among 48 law enforcement officers (LEOs) and 393 community members in rural Tennessee. Compares perceptions of opioid use and opioid user demographics among LEOs and community members, including data on attitudes related to dangerousness, blame, social distance, and fatalism. Discusses the effects of stigma on access to harm reduction and treatment for opioid use disorder.
Author(s): Kahler W. Stone, Gabrielle M. Chesak, Angela S. Bowman, Michael Ayalon, Cynthia Chafin
Citation: Harm Reduction Journal, 21, 195
Date: 11/2024
Type: Document
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Examines stigma toward people who use opioids among 48 law enforcement officers (LEOs) and 393 community members in rural Tennessee. Compares perceptions of opioid use and opioid user demographics among LEOs and community members, including data on attitudes related to dangerousness, blame, social distance, and fatalism. Discusses the effects of stigma on access to harm reduction and treatment for opioid use disorder.
Author(s): Kahler W. Stone, Gabrielle M. Chesak, Angela S. Bowman, Michael Ayalon, Cynthia Chafin
Citation: Harm Reduction Journal, 21, 195
Date: 11/2024
Type: Document
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