Rural Health
Resources by Topic: Access
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 various access to care and Medicare spending issues. 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
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 various access to care and Medicare spending issues. 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
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
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
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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
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
Sponsoring organization: KFF
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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
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
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
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
Sponsoring organization: American Hospital Association
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Assessing Access to Digital Services in Health Care–Underserved Communities in the United States: A Cross-Sectional Study
Grouped 3108 counties in the contiguous U.S. based on their access to broadband, access to healthcare, and social vulnerability. Discusses trends in rural counties and regions of the country within these groups and makes recommendations to decrease the digital divide.
Author(s): Diego F. Cuadros, Claudia M. Moreno, F. DeWolfe Miller, Ryosuke Omori, Neil J. MacKinnon
Citation: Mayo Clinic Proceedings: Digital Health, 1(3), 217-225
Date: 09/2023
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Grouped 3108 counties in the contiguous U.S. based on their access to broadband, access to healthcare, and social vulnerability. Discusses trends in rural counties and regions of the country within these groups and makes recommendations to decrease the digital divide.
Author(s): Diego F. Cuadros, Claudia M. Moreno, F. DeWolfe Miller, Ryosuke Omori, Neil J. MacKinnon
Citation: Mayo Clinic Proceedings: Digital Health, 1(3), 217-225
Date: 09/2023
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Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Public School Nurses in the U.S.
An infographic that provides data on nurses in U.S. public schools, with rural versus urban as well as regional information on schools with access to full-time and part-time nurses.
Date: 08/2023
Sponsoring organization: National Association of School Nurses
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An infographic that provides data on nurses in U.S. public schools, with rural versus urban as well as regional information on schools with access to full-time and part-time nurses.
Date: 08/2023
Sponsoring organization: National Association of School Nurses
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Addressing HPV-related Stigma to Increase HPV Vaccination in Rural Communities
Discusses how stigma related to human papillomavirus (HPV) infection creates barriers to vaccination for a variety of populations, including people in rural areas. Details strategies to increase rural HPV vaccine access by addressing stigma.
Author(s): Caryn Peterson
Date: 08/2023
Sponsoring organization: St. Jude Children's Research Hospital
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Discusses how stigma related to human papillomavirus (HPV) infection creates barriers to vaccination for a variety of populations, including people in rural areas. Details strategies to increase rural HPV vaccine access by addressing stigma.
Author(s): Caryn Peterson
Date: 08/2023
Sponsoring organization: St. Jude Children's Research Hospital
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