Rural Health
Resources by Topic: Clinics
Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Does Patient-Centered Medical Home Recognition Relate to Accountable Care Organization Participation?
Examines factors influencing Rural Health Clinic (RHC) participation in the Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) based on a survey of all RHCs in 9 states. Offers recommendations for increasing ACO model adoption in rural areas.
Author(s): Yi-Ling Lin, Yuan Du, Cristina Gomez, Judith Ortiz
Citation: Population Health Management, 21(3), 188-195
Date: 06/2018
Type: Document
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Examines factors influencing Rural Health Clinic (RHC) participation in the Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) based on a survey of all RHCs in 9 states. Offers recommendations for increasing ACO model adoption in rural areas.
Author(s): Yi-Ling Lin, Yuan Du, Cristina Gomez, Judith Ortiz
Citation: Population Health Management, 21(3), 188-195
Date: 06/2018
Type: Document
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
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Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
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Conducting a Randomized Trial in Rural and Urban Safety-Net Health Centers: Added Value of Community-Based Participatory Research
Results of a colorectal cancer screening study using data from two health networks comprising 11 Federally Qualified Health Centers (FQHCs) in metropolitan St. Louis and rural Missouri. Examines characteristics of the 483 participants and differences between the rural and urban health centers where the screenings took place. Features demographic statistics.
Author(s): Meera Muthukrishnan, Siobhan Sutcliffe, Jean M. Hunleth, et al.
Citation: Contemporary Clinical Trials Communications, 10, 29-35
Date: 06/2018
Type: Document
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Results of a colorectal cancer screening study using data from two health networks comprising 11 Federally Qualified Health Centers (FQHCs) in metropolitan St. Louis and rural Missouri. Examines characteristics of the 483 participants and differences between the rural and urban health centers where the screenings took place. Features demographic statistics.
Author(s): Meera Muthukrishnan, Siobhan Sutcliffe, Jean M. Hunleth, et al.
Citation: Contemporary Clinical Trials Communications, 10, 29-35
Date: 06/2018
Type: Document
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Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes
Analyzes data from Rural Health Clinics (RHCs) in eight Southeastern states to determine if clinical outcomes of Medicare beneficiaries vary by level of practice autonomy that states grant to nurse practitioners (NPs).
Author(s): Judith Ortiz, Richard Hofler, Angeline Bushy, et al.
Citation: Healthcare, 6(2), 65
Date: 06/2018
Type: Document
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Analyzes data from Rural Health Clinics (RHCs) in eight Southeastern states to determine if clinical outcomes of Medicare beneficiaries vary by level of practice autonomy that states grant to nurse practitioners (NPs).
Author(s): Judith Ortiz, Richard Hofler, Angeline Bushy, et al.
Citation: Healthcare, 6(2), 65
Date: 06/2018
Type: Document
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Drug Discount Program: Federal Oversight of Compliance at 340B Contract Pharmacies Needs Improvement
Focuses on the 340B Drug Pricing Program, which allows certain facilities such as Disproportionate Share Hospitals (DSHs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) to purchase prescription and non-prescription medications at reduced cost. Describes financial arrangements participating facilities have with contract pharmacies, the extent to which they provide discounts on 340B drugs dispensed by contract pharmacies to low-income, uninsured patients, and examines the Health Resources and Services Administration's efforts to ensure compliance with 340B Program requirements at contract pharmacies.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Focuses on the 340B Drug Pricing Program, which allows certain facilities such as Disproportionate Share Hospitals (DSHs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) to purchase prescription and non-prescription medications at reduced cost. Describes financial arrangements participating facilities have with contract pharmacies, the extent to which they provide discounts on 340B drugs dispensed by contract pharmacies to low-income, uninsured patients, and examines the Health Resources and Services Administration's efforts to ensure compliance with 340B Program requirements at contract pharmacies.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of Its Community Care Programs
Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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A Statewide Program Providing Colorectal Cancer Screening to the Uninsured of South Carolina
Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
Type: Document
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Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
Type: Document
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Immigrant Health Policy Paper
Policy position brief about new immigrants in rural areas, in terms of health care access, health disparities, economic contributions, health care facilities and Community Health Workers, and service strategies to benefit immigrants. Includes case studies of immigrants in Minnesota and immigrants employed in the meat-processing industry and in rural farming.
Author(s): Susan Kunz, April Fernandez, Matt Gilleskie, et al.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position brief about new immigrants in rural areas, in terms of health care access, health disparities, economic contributions, health care facilities and Community Health Workers, and service strategies to benefit immigrants. Includes case studies of immigrants in Minnesota and immigrants employed in the meat-processing industry and in rural farming.
Author(s): Susan Kunz, April Fernandez, Matt Gilleskie, et al.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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