Rural Health
Resources by Topic: Clinics
Health Center-Based Medical-Legal Partnerships: Where They Are, How They Work, and How They Are Funded
Describes the expansion of medical-legal partnerships (MLPs) among America's health centers. Highlights programs in four states - Colorado, Oregon, Indiana, and California - and explains how MLPs operate, how they are financed, and how state primary care associations are supporting them. Briefly describes the reasons MLPs are more prevalent in urban areas than in rural areas.
Author(s): Alanna Williamson, Jennifer Trott, Marsha Regenstein
Date: 01/2018
Sponsoring organization: National Center for Medical-Legal Partnership
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Describes the expansion of medical-legal partnerships (MLPs) among America's health centers. Highlights programs in four states - Colorado, Oregon, Indiana, and California - and explains how MLPs operate, how they are financed, and how state primary care associations are supporting them. Briefly describes the reasons MLPs are more prevalent in urban areas than in rural areas.
Author(s): Alanna Williamson, Jennifer Trott, Marsha Regenstein
Date: 01/2018
Sponsoring organization: National Center for Medical-Legal Partnership
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Access to Care: Populations in Counties with No FQHC, RHC, or Acute Care Hospital
Findings brief focusing on the 3 main facility types providing primary care in rural areas and examining how many people will likely have limited access to primary care based on their locations. Includes statistics on numbers of people living in counties without these facilities, with breakdowns by 9 census divisions.
Author(s): Meagan Clawar, Randy Randolph, Kristie Thompson, George H. Pink
Date: 01/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief focusing on the 3 main facility types providing primary care in rural areas and examining how many people will likely have limited access to primary care based on their locations. Includes statistics on numbers of people living in counties without these facilities, with breakdowns by 9 census divisions.
Author(s): Meagan Clawar, Randy Randolph, Kristie Thompson, George H. Pink
Date: 01/2018
Sponsoring organization: North Carolina Rural Health Research Program
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ACOs' Impact on Hospitalization Rates of Rural Older Adults with Diabetes: Early Indications
Examines the impact of Accountable Care Organizations (ACOs) on reducing the hospitalization rate for diabetes related conditions of older adults living in rural southeast areas of the U.S. where the prevalence of diagnosed diabetes is higher. Highlights the characteristics of Rural Health Clinics (RHCs) participating in ACOs and the adult patients they serve.
Author(s): Yi-Ling Lin, Judith Ortiz, Celeste Boor
Citation: Family & Community Health, 41(4), 265-273
Date: 2018
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Examines the impact of Accountable Care Organizations (ACOs) on reducing the hospitalization rate for diabetes related conditions of older adults living in rural southeast areas of the U.S. where the prevalence of diagnosed diabetes is higher. Highlights the characteristics of Rural Health Clinics (RHCs) participating in ACOs and the adult patients they serve.
Author(s): Yi-Ling Lin, Judith Ortiz, Celeste Boor
Citation: Family & Community Health, 41(4), 265-273
Date: 2018
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Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
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Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
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Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Sponsoring organization: RAND Corporation
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Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Sponsoring organization: RAND Corporation
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The Differential Effects of Rural Health Care Access on Race-Specific Mortality
Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
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Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
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Healthcare Resource Availability and Cardiovascular Health in the USA
A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
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A cross sectional, multivariate analysis investigating the relationship between provider supply and physical facilities, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and cardiovascular health of individuals and populations in rural and urban areas.
Author(s): Courtney S Pilkerton, Sarah S Singh, Thomas K Bias, Stephanie J Frisbee
Citation: BMJ Open, 7(12)
Date: 12/2017
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Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices
Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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