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Rural Health Information Hub

Rural Health
Resources by Topic: Aging and aging-related services

Going to the Doctor: Rideshare as Nonemergency Medical Transportation
Discusses the role of rideshare-based non-emergency medical transportation (RB-NEMT) in serving the transportation needs across the country, including in rural areas. Details the different types of RB-NEMT services, such as door-to-door, curb-to-curb, hand-to-hand, and area-to-area. Breaks down the different groups that benefit from RB-NEMT by transportation limitations, age, and insurance type, among other factors. Discusses RB-NEMT's efficacy for rural areas, medical and logistical barriers, and makes policy recommendations.
Date: 10/2021
Sponsoring organization: RAND Corporation
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NADTC Best Practices Compendium
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
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Understanding the Rural Swing Bed: More than Just a Reimbursement Policy
Provides an overview of the swing bed program and its role as a patient-centric post-acute care solution that helps rural hospitals serve their communities. Discusses the impact of the program, reimbursement, quality measures, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Sponsoring organization: Rural Health Information Hub
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2020 Transportation Trends
Identifies trends and issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural areas to address transportation needs.
Date: 07/2021
Sponsoring organization: National Aging and Disability Transportation Center
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Examining Opportunities for Growth and Investment in Rural America
Video recording of testimony from rural healthcare and economic organization leadership to the U.S. House Agriculture Committee. Discusses broadband and telehealth, COVID-19 impacts on rural healthcare and economics, education, infrastructure, aging, and agriculture business issues. Transcript available in the video description.
Additional links: Testimony Transcripts
Date: 06/2021
Sponsoring organization: U.S. House Committee on Agriculture
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Nevada State Plan for Aging, 2021-2024
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Sponsoring organization: Nevada Department of Health and Human Services
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Preferences for Long-Term Care Arrangements among Rural and Urban Older Adults
Describes long-term care preferences of 4,333 older people with functional limitations. Features statistics on characteristics of respondents, with breakdowns by urban or rural location.
Author(s): Carrie Henning-Smith, John Mulcahy, Megan Lahr, Jill Tanem
Date: 05/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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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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Demographics and Disability Status of Adults Living Alone in Rural Areas
Policy brief examining differences in age and disability status of people who live alone in rural and urban areas. Describes health impacts of living alone and explores American Community Survey (ACS) data from 2014-2018 to represent demographic characteristics and prevalence of disabilities for rural and urban adults living alone.
Author(s): Jonathan Schroeder, Carrie Henning-Smith, Mariana Tuttle
Date: 04/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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