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Rural Health
Resources by Topic: Health insurance

MACPAC Response to Senate Finance Committee Request for Information on Behavioral Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MBQIP Quality Measures National Annual Report - 2020
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2020. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Nathan Bean, Ira Moscovice
Date: 11/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Impact of Aging Baby Boomers in Rural America
Policy brief discussing the impact of the increasing proportion of the population turning 65 years old on rural communities. Offers policy recommendations for addressing barriers rural older adults face accessing healthcare and social services.
Author(s): Sarah Huling, Elizabeth Crouch, Whitney Zahnd
Date: 11/2021
Type: Document
Sponsoring organization: National Rural Health Association
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How States Use ARPA Funds to Support Telehealth, Technology and Data Infrastructure
Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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The Tennessee Medicaid Medication Therapy Management Program: Early Stage Contextual Factors and Implementation Outcomes
Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
Type: Document
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Data from the 2017 – 2018 National Agricultural Workers Survey
Summarizes demographic and healthcare data from Findings from the National Agricultural Workers Survey (NAWS) 2017-2018: A Demographic and Employment Profile of United States Farmworkers. Presents information on the health of migratory and seasonal agricultural workers, including demographics, employment and housing, access to healthcare, and utilization of need-based programs.
Date: 10/2021
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
Type: Document
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Caring for America: Legislation to Support Patients, Caregivers, and Providers
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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2021 CMS Hospital Quality Star Ratings of Rural Hospitals
Results of a study comparing the 2021 Centers for Medicare & Medicaid Services (CMS) Hospital Quality Star Rating results for rural and urban hospitals, comparing the 2021 and 2016 results for rural hospitals, and identifying implications for the usefulness of these ratings for rural hospitals. Features statistics including percentages of hospitals by Star Ratings with breakdowns by urban or rural location, and numbers of unrated rural hospitals by Medicare payment classification, net patient revenue, and census region.
Author(s): Laura Bozovich, Randall John, Kristie Thompson, George H. Pink
Date: 10/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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