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Rural Health
Resources by Topic: Federally Qualified Health Centers

Getting Started with the Quality Payment Program: An Overview of MIPS for Small, Rural, and Underserved Practices
Provides a webinar recording discussing the effects of the Merit-Based Incentive Payment System (MIPS) on small, rural, and underserved practices. Includes sections on eligibility, participation, reporting, performance categories, and submission and scoring methods. Outlines specific eligibility requirements for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs), and provides a checklist for preparing and participating in MIPS.
Additional links: Presentation Slides, Transcript, Webinar Playlist by Section
Date: 02/2017
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Centers: Recent Growth and the Role of the ACA
Uses 2015 federal data on health centers and survey results from the 2016 Survey of Health Centers' Experiences and Activities to provide an overview of health centers and their patients. Compares health centers in Medicaid expansion and non-expansion states, covering topics such as revenue sources, service capacity, patient demographics, patient health coverage, and more. Also discusses the distribution and impact of health centers in rural and medically underserved communities.
Author(s): Sara Rosenbaum, Julia Paradise, Anne Markus, et al.
Date: 01/2017
Type: Document
Sponsoring organization: KFF
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Communities in Action: Pathways to Health Equity
Identifies elements of effective solutions to advance health equity at the local or community level. Featured examples include the Delta Health Center, a rural Federally Qualified Health Center that uses a community-oriented primary care model to address population health. A brief overview of rural health disparities which includes a discussion on Appalachian health is found on pages 2-19 and 2-20. Appendix A provides a historical and legal context for understanding Native American health disparities.
Additional links: Read Online
Author(s): Committee on Community Based Solutions to Promote Health Equity in the United States
Date: 01/2017
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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2017 Healthcare Delivery Sites in Rural Missouri
Provides an overview of the healthcare facilities throughout rural and urban Missouri. Includes county-by-county information on rurality, hospitals, Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs). Covers these healthcare facilities by transportation, age, poverty, and insurance.
Date: 2017
Type: Document
Sponsoring organization: Missouri Office of Rural Health and Primary Care
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"How Can We Talk about Patient-centered Care without Patients at the Table?" Lessons Learned from Patient Advisory Councils
Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
Type: Document
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Oral Health Care Service in North Dakota Community Health Care Centers
Presents an overview of the federally funded Community Health Center (CHC) program in North Dakota. Addresses their locations within the state, services provided, sources of revenue, and patient demographics. Particular attention is given to the oral health services provided by CHCs, including a cost comparison between oral health services and medical services.
Author(s): Jun Lee, Shawnda Schroeder
Date: 07/2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Medicare Accountable Care Organizations: Beneficiary Assignment Update
Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care
Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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