Rural Health
Resources by Topic: Healthcare business and finance
The Effects of Medicaid Expansion under the ACA: Studies from January 2014 to January 2020
Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Sponsoring organization: KFF
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Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Sponsoring organization: KFF
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The Rural Health Safety Net Under Pressure: Rural Hospital Vulnerability
Examines financial and operational metrics for closed hospitals in the 36 months prior to closure. Identifies 453 rural facilities vulnerable to closure and the performance variables that have the greatest impact on a facility's likelihood of closure.
Date: 02/2020
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for closed hospitals in the 36 months prior to closure. Identifies 453 rural facilities vulnerable to closure and the performance variables that have the greatest impact on a facility's likelihood of closure.
Date: 02/2020
Sponsoring organization: Chartis Center for Rural Health
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Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients
Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by race, sex, and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Eight Priorities for Improving Primary Care Access Management in Healthcare Organizations: Results of a Modified Delphi Stakeholder Panel
Details the results of a panel on improving access to primary healthcare in the Veterans Health Administration. Includes panelists representing rural populations and provides recommendation for improving access management.
Author(s): Lisa Rubenstein, Susanne Hempel, Margie Danz, et al.
Citation: Journal of General Internal Medicine, 35(2), 523-530
Date: 02/2020
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Details the results of a panel on improving access to primary healthcare in the Veterans Health Administration. Includes panelists representing rural populations and provides recommendation for improving access management.
Author(s): Lisa Rubenstein, Susanne Hempel, Margie Danz, et al.
Citation: Journal of General Internal Medicine, 35(2), 523-530
Date: 02/2020
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Healthcare from Anywhere: Telehealth Use and Perceptions in Rural Michigan
Examines the current state of telehealth services in rural Michigan. Discusses state and local policies related to access to telehealth services, perceptions of telehealth services, and how these services are used by physicians. Identifies barriers rural Michigan healthcare providers and residents face in utilizing telehealth services. Presents recommendations that would increase access to telehealth services for rural Michigan residents. Includes an overview of the telehealth policy environment of all 50 states, with a focus on states with moderate or progressive telehealth policy environments.
Date: 02/2020
Sponsoring organizations: AARP, Connected Nation, Michigan Health Endowment
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Examines the current state of telehealth services in rural Michigan. Discusses state and local policies related to access to telehealth services, perceptions of telehealth services, and how these services are used by physicians. Identifies barriers rural Michigan healthcare providers and residents face in utilizing telehealth services. Presents recommendations that would increase access to telehealth services for rural Michigan residents. Includes an overview of the telehealth policy environment of all 50 states, with a focus on states with moderate or progressive telehealth policy environments.
Date: 02/2020
Sponsoring organizations: AARP, Connected Nation, Michigan Health Endowment
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Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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Making a Difference for Generations to Come: School-Based Oral Healthcare in Louisiana
Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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