Rural Health
Resources by Topic: Healthcare business and finance
Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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One in Three Adults Used Telehealth during the First Six Months of the Pandemic, but Unmet Needs for Care Persisted
Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Mental Health Systems Solutions Explorer
Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Sponsoring organization: RAND Corporation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Sponsoring organization: Government Accountability Office
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Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Sponsoring organization: Government Accountability Office
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Telemedicine Services During COVID‐19: Considerations for Medically Underserved Populations
Discusses the use of telehealth during the COVID-19 pandemic and details some of the barriers to its use in underserved areas. Highlights the lack of broadband internet in rural areas and on tribal lands, as well the lack of technological capability among older people.
Author(s): Tasha Woodall, Melinda Ramage, John T. LaBruyere, et al.
Citation: Journal of Rural Health, 37(1), 231-234
Date: 01/2021
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Discusses the use of telehealth during the COVID-19 pandemic and details some of the barriers to its use in underserved areas. Highlights the lack of broadband internet in rural areas and on tribal lands, as well the lack of technological capability among older people.
Author(s): Tasha Woodall, Melinda Ramage, John T. LaBruyere, et al.
Citation: Journal of Rural Health, 37(1), 231-234
Date: 01/2021
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Will Community Health Centers Survive COVID-19?
Evaluates the financial vulnerability of rural Federally Qualified Health Centers (FQHCs) during the COVID-19 pandemic. Discusses the importance of FQHCs to rural and underserved areas and makes suggestions to fortify FQHC revenue.
Author(s): Brad Wright, Erin Fraher, Marni Gwyther Holder, et al.
Citation: Journal of Rural Health, 37(1), 235-238
Date: 01/2021
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Evaluates the financial vulnerability of rural Federally Qualified Health Centers (FQHCs) during the COVID-19 pandemic. Discusses the importance of FQHCs to rural and underserved areas and makes suggestions to fortify FQHC revenue.
Author(s): Brad Wright, Erin Fraher, Marni Gwyther Holder, et al.
Citation: Journal of Rural Health, 37(1), 235-238
Date: 01/2021
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Telehealth Policies Impacting Federally Qualified Health Centers in Face of COVID‐19
Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health, 37(1), 158-160
Date: 01/2021
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Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health, 37(1), 158-160
Date: 01/2021
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Economics of Using Telemedicine to Supplement Hospice Care in Rural Areas
Describes a tele-hospice program implemented in 2015 by Hospice Services, Inc., a community-based hospice provider that serves rural and frontier counties in northwest and north central Kansas, in partnership with the University of Kansas Medical Center. Explores the financial impact of the tele-hospice intervention, comparing tele-hospice costs with costs of in-person services. Also identifies cost savings related to the use of virtual technology to conduct administrative meetings.
Author(s): Adam F. Lomenick, Sandy J. Kuhlman, Joe L. Barnes, et al.
Citation: Journal of Palliative Medicine, 24(10), 1461–1466
Date: 2021
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Describes a tele-hospice program implemented in 2015 by Hospice Services, Inc., a community-based hospice provider that serves rural and frontier counties in northwest and north central Kansas, in partnership with the University of Kansas Medical Center. Explores the financial impact of the tele-hospice intervention, comparing tele-hospice costs with costs of in-person services. Also identifies cost savings related to the use of virtual technology to conduct administrative meetings.
Author(s): Adam F. Lomenick, Sandy J. Kuhlman, Joe L. Barnes, et al.
Citation: Journal of Palliative Medicine, 24(10), 1461–1466
Date: 2021
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Rural Michigan Farmers' Health Concerns and Experiences: A Focus Group Study
Interviewed 14 members of the Michigan Farm Bureau in 2019 to explore their healthcare system experiences. Overall themes discussed include formal healthcare, well-being and health supports, health insurance, and virtual healthcare. Data show basic demographics of participants in addition to their access to internet, cell phones, and virtual healthcare.
Author(s): Nathan Wright, Marylee Scherdt, Michelle L. Aebersold, et al.
Citation: Journal of Primary Care & Community Health, 12(2021)
Date: 2021
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Interviewed 14 members of the Michigan Farm Bureau in 2019 to explore their healthcare system experiences. Overall themes discussed include formal healthcare, well-being and health supports, health insurance, and virtual healthcare. Data show basic demographics of participants in addition to their access to internet, cell phones, and virtual healthcare.
Author(s): Nathan Wright, Marylee Scherdt, Michelle L. Aebersold, et al.
Citation: Journal of Primary Care & Community Health, 12(2021)
Date: 2021
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