Rural Health
Resources by Topic: Healthcare business and finance
Availability of Health Insurance Literacy Resources Fails to Meet Consumer Needs in Rural, Appalachian Communities: Implications for State Medicaid Waivers
Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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COVID-19: Opportunities to Improve Federal Response and Recovery Efforts
Provides an overview of key federal actions and spending allocations in response to the health and economic effects of the COVID-19 pandemic. Identifies challenges related to federal actions including the Payment Protection Program, economic impact payments, and Medicaid's Federal Medical Assistance Percentage (FMAP) formula. Offers lesson learned from the initial pandemic response and recommends areas for further legislative action.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of key federal actions and spending allocations in response to the health and economic effects of the COVID-19 pandemic. Identifies challenges related to federal actions including the Payment Protection Program, economic impact payments, and Medicaid's Federal Medical Assistance Percentage (FMAP) formula. Offers lesson learned from the initial pandemic response and recommends areas for further legislative action.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Out‐of‐Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions
Examines the prevalence and cost of surprise air ambulance bills among privately insured patients. Describes air ambulance rates for commercial payers in relation to Medicare rates. Compares the number of air ambulance claims from urban and rural locations. Offers policy solutions to address surprise and out-of-network bills for these services.
Author(s): Erin C. Fuse Brown, Erin Trish, Bich Ly, Mark Hall, Loren Adler
Citation: Milbank Quarterly, 98(3), 747-774
Date: 06/2020
Type: Document
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Examines the prevalence and cost of surprise air ambulance bills among privately insured patients. Describes air ambulance rates for commercial payers in relation to Medicare rates. Compares the number of air ambulance claims from urban and rural locations. Offers policy solutions to address surprise and out-of-network bills for these services.
Author(s): Erin C. Fuse Brown, Erin Trish, Bich Ly, Mark Hall, Loren Adler
Citation: Milbank Quarterly, 98(3), 747-774
Date: 06/2020
Type: Document
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How Telehealth Policy is Structured in the United States
June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zacharia Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zacharia Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Farm Households Reported That Working Off the Farm Provided Greater and More Stable Income, Along with Health and Retirement Benefits
Bar chart showing reasons for off-farm jobs, comparing small family farms, midsize family farms, and large-scale family farms. Includes health benefits as one reason for off-farm employment.
Date: 06/2020
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Bar chart showing reasons for off-farm jobs, comparing small family farms, midsize family farms, and large-scale family farms. Includes health benefits as one reason for off-farm employment.
Date: 06/2020
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Grantee Sourcebook: Rural Health Network Planning Development Program, 2019
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Rural Health Network Development Planning Program
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Compacts of Free Association: Populations in U.S. Areas Have Grown, with Varying Reported Effects
Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Type: Document
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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