Rural Health
Resources by Topic: Healthcare business and finance
The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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MedPAC Comment on CMS's Proposed Rule on the CY 2020 Home Health PPS Update and Home Infusion Therapy
Comments on a July 18, 2019, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the proposed rural add-on payments for calendar years 2019 through 2022.
Date: 08/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 18, 2019, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments addressing the proposed rural add-on payments for calendar years 2019 through 2022.
Date: 08/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medi-Cal Telehealth Updated Policy
Summarizes a California Department of Health Care Services telehealth policy update for the Medi-Cal fee-for-service program. Highlights key changes related to the definitions, reimbursable services, e-consults, and more.
Date: 08/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Summarizes a California Department of Health Care Services telehealth policy update for the Medi-Cal fee-for-service program. Highlights key changes related to the definitions, reimbursable services, e-consults, and more.
Date: 08/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examining Rural Cancer Prevention and Control Efforts: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Geography of Uninsurance in Massachusetts: An Update for 2013-2017
Identifies high-uninsurance communities in Massachusetts using three measures: uninsurance rate, number of uninsured, and concentration of uninsured. Describes socioeconomic characteristics of high-uninsurance communities and uninsured residents. Supplemental tables include data by county, county subdivision, place, and additional geographies.
Additional links: Full Report
Author(s): Michael Karpman, Dulce Gonzalez, Sharon K. Long
Date: 08/2019
Type: Document
Sponsoring organizations: Blue Cross Blue Shield of Massachusetts Foundation, Urban Institute
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Identifies high-uninsurance communities in Massachusetts using three measures: uninsurance rate, number of uninsured, and concentration of uninsured. Describes socioeconomic characteristics of high-uninsurance communities and uninsured residents. Supplemental tables include data by county, county subdivision, place, and additional geographies.
Additional links: Full Report
Author(s): Michael Karpman, Dulce Gonzalez, Sharon K. Long
Date: 08/2019
Type: Document
Sponsoring organizations: Blue Cross Blue Shield of Massachusetts Foundation, Urban Institute
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Type: Document
Sponsoring organization: National Bureau of Economic Research
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Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Type: Document
Sponsoring organization: National Bureau of Economic Research
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Rural Health Research Recap: Poverty and Health Insurance Coverage Among Rural Children
Provides summaries of recent research on poverty among rural children, their access to insurance, and care available to Medicaid beneficiaries. Features statistics from 2012 on groups covered by Medicaid and distribution of Medicaid enrollment of children by race or ethnicity, with breakdowns by urban, large rural, small rural, or isolated rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Provides summaries of recent research on poverty among rural children, their access to insurance, and care available to Medicaid beneficiaries. Features statistics from 2012 on groups covered by Medicaid and distribution of Medicaid enrollment of children by race or ethnicity, with breakdowns by urban, large rural, small rural, or isolated rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Developing Risk-Adjusted Avoidable Hospitalizations and Emergency Department Visits Quality Measures: Final Report
Defines avoidable hospitalization (AH) and avoidable emergency department (ED) visits (AVs) and summarizes the development of a model for calculating expected AH and AV rates using Medicare claims data. Seeks to inform Medicare quality payment models and target areas for quality improvement. Table 3-10 includes AH and AV risk-standardized rates for a number of rural market areas.
Author(s): Zhanlian Feng, Benjamin Silver, Micah Segelman, et al.
Date: 08/2019
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, RTI International
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Defines avoidable hospitalization (AH) and avoidable emergency department (ED) visits (AVs) and summarizes the development of a model for calculating expected AH and AV rates using Medicare claims data. Seeks to inform Medicare quality payment models and target areas for quality improvement. Table 3-10 includes AH and AV risk-standardized rates for a number of rural market areas.
Author(s): Zhanlian Feng, Benjamin Silver, Micah Segelman, et al.
Date: 08/2019
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, RTI International
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Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Type: Document
Sponsoring organization: Bipartisan Policy Center
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