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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Electronic Prescribing of Controlled Substances among Office-Based Physicians, 2017
Examines rates of electronic prescribing of controlled substances (EPCS), with information by type of physician practice, including rural or urban location, practice size, practice ownership, physician specialty, and technology available. EPCS is mandated for Medicare Part D providers by 2021, through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act.
Author(s): Sonal Parasrampuria, Martin Blanco, Wesley Barker
Date: 09/2019
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Child Care Challenges for Medicaid Work Requirements
Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Type: Document
Sponsoring organization: Urban Institute
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections
Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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A New Portrait of Rural America
Examines nine different types of rural counties: the African American South, aging farmlands, evangelical hubs, graying America, Hispanic centers, LDS enclaves, Native American lands, rural middle America, and working class country. Reports on factors impacting rural communities overall and by county type, including health insurance coverage and health status as well as demographic and socioeconomic factors. Includes county-level data for all counties and features on individual counties for each county type.
Additional links: Interactive: Explore Rural America's Diversity, Report, Resources: Community Type Maps and Data, Videos: Rural Report Findings and Discussion With Community Leaders
Date: 09/2019
Type: Document
Sponsoring organization: American Communities Project
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The Older Population in Rural America: 2012-2016
Describes the rural older population, those 65 years and older, compared to urban older adults. Includes rural-urban data on population size for the nation, by region, and by state. Also covers demographic, social, and economic characteristics, age distribution, and sex ratio by age. Some data is available by level of rurality for mostly urban, mostly rural, and completely rural counties.
Author(s): Amy Symens Smith, Edward Trevelyan
Date: 09/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Work Requirements in Kentucky Medicaid: A Policy in Limbo
Highlights a study on the effects of Kentucky's proposed work requirement policy for Medicaid. Examines the awareness of the policy among the public and its effect on employment and healthcare coverage. Details participants' age, marital status, and whether they live in a rural or urban area.
Author(s): Joy Madubuonwu, Lucy Chen, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Type: Document
Sponsoring organization: AHIP
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ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities
Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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