Rural Health
Resources by Topic: Healthcare business and finance
U.S. Health Care Expenditures: Costs, Lessons, and Opportunities
Summarizes a March 15-16, 2021, workshop exploring issues related to increasing healthcare spending in the United States. Provides an overview of the scope of healthcare spending in the United States, innovations implemented to address spending, and the role of research in policy change. Includes information on rural payment models.
Additional links: Read Online
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes a March 15-16, 2021, workshop exploring issues related to increasing healthcare spending in the United States. Provides an overview of the scope of healthcare spending in the United States, innovations implemented to address spending, and the role of research in policy change. Includes information on rural payment models.
Additional links: Read Online
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff
Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Rural Health Safety Net Under Pressure: Understanding the Potential Impact of COVID-19
Examines the stability of the rural health safety net at the outset of the COVID-19 pandemic. Outlines key factors that will influence the impact of COVID-19 on rural healthcare, including access to intensive care unit beds, outpatient service revenues, and rural provider days cash on hand. Highlights provisions of the CARES Act aimed at mitigating the impact of the pandemic on rural hospitals.
Date: 2022
Sponsoring organization: Chartis Center for Rural Health
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Examines the stability of the rural health safety net at the outset of the COVID-19 pandemic. Outlines key factors that will influence the impact of COVID-19 on rural healthcare, including access to intensive care unit beds, outpatient service revenues, and rural provider days cash on hand. Highlights provisions of the CARES Act aimed at mitigating the impact of the pandemic on rural hospitals.
Date: 2022
Sponsoring organization: Chartis Center for Rural Health
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Ending Surprise Medical Bills
Offers resources for healthcare providers and consumers regarding surprise billing regulations and policies. Includes information on payment dispute resolution between patients and providers, and between providers and out-of-network health plans.
Date: 2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers resources for healthcare providers and consumers regarding surprise billing regulations and policies. Includes information on payment dispute resolution between patients and providers, and between providers and out-of-network health plans.
Date: 2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Early Patient-Centered Outcomes Research Experience With the Use of Telehealth to Address Disparities: Scoping Review
Provides an overview of Patient-Centered Outcomes Research Institute (PCORI)-funded research on using telehealth to address health disparities. Describes barriers and facilitators to implementing telehealth in populations at risk for disparities, including people in rural areas, and identifies themes across studies.
Citation: Journal of Medical Internet Research, 23(12), e28503
Date: 12/2021
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Provides an overview of Patient-Centered Outcomes Research Institute (PCORI)-funded research on using telehealth to address health disparities. Describes barriers and facilitators to implementing telehealth in populations at risk for disparities, including people in rural areas, and identifies themes across studies.
Citation: Journal of Medical Internet Research, 23(12), e28503
Date: 12/2021
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Provider and Patient Perspectives on Labor and Delivery Unit Closures in Rural New Hampshire
Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Sponsoring organization: Urban Institute
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Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Sponsoring organization: Urban Institute
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State Policy Changes Could Increase Access to Opioid Treatment via Telehealth
Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Sponsoring organization: Pew
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Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Sponsoring organization: Pew
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Medicare and Beneficiaries Pay More for Preadmission Services at Affiliated Hospitals Than at Wholly Owned Settings
Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Oral Health in America: Advances and Challenges
Report explores the relationship oral health has to overall health and wellness. Discusses the societal factors that affect oral health and oral healthcare access. Features a discussion on rural oral health disparities and access to care in rural areas.
Additional links: Errata Notice, Executive Summary
Date: 12/2021
Sponsoring organizations: National Institute of Dental and Craniofacial Research, National Institutes of Health
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Report explores the relationship oral health has to overall health and wellness. Discusses the societal factors that affect oral health and oral healthcare access. Features a discussion on rural oral health disparities and access to care in rural areas.
Additional links: Errata Notice, Executive Summary
Date: 12/2021
Sponsoring organizations: National Institute of Dental and Craniofacial Research, National Institutes of Health
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