Rural Health
Resources by Topic: Healthcare business and finance
Accountable Care Organizations Exiting the Medicare Shared Savings Program: Policy and Organizational Determinants
Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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Poster presented at the 2019 AcademyHealth Annual Research Meeting on trends in Accountable Care Organization (ACO) exits. Identifies organizational factors such as rural/urban location affecting ACO exit, as well as policy-related motivations, such as financial incentives.
Author(s): Huang Huang, Xi Zhu, Keith Mueller, Clinton MacKinney
Date: 06/2019
Type: Document
Sponsoring organization: University of Iowa College of Public Health
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How Rural Communities Adapt to Hospital Closure
Poster from the 2019 AcademyHealth Annual Research Meeting examining how rural communities have responded to hospital closures since 2010 based on a review of the literature. Focuses on short and long-term results related to access to emergency services, care delivery models, and community response.
Author(s): Redwan Bin Abdul Baten, Erin M. Mobley, Mina Shrestha, Fred Ullrich, Keith J. Mueller
Date: 06/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Poster from the 2019 AcademyHealth Annual Research Meeting examining how rural communities have responded to hospital closures since 2010 based on a review of the literature. Focuses on short and long-term results related to access to emergency services, care delivery models, and community response.
Author(s): Redwan Bin Abdul Baten, Erin M. Mobley, Mina Shrestha, Fred Ullrich, Keith J. Mueller
Date: 06/2019
Type: Document
Sponsoring organization: Rural Policy Research Institute
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The Rural Hospital Problem
Provides a perspective on rural hospital closures, summarizing literature on contributing factors and impacts on healthcare access and rural economies. Also discusses hospital quality and hospital competition.
Author(s): Austin B. Frankt
Citation: JAMA, 321(23), 2271-2272
Date: 06/2019
Type: Document
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Provides a perspective on rural hospital closures, summarizing literature on contributing factors and impacts on healthcare access and rural economies. Also discusses hospital quality and hospital competition.
Author(s): Austin B. Frankt
Citation: JAMA, 321(23), 2271-2272
Date: 06/2019
Type: Document
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How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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HELP Committee Executive Session: S. 1199, S. 1173, and S.1895
Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Strengthening Health Care in the U.S. Territories for Today and Into the Future
Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides a hearing of the U.S. House Subcommittee on Health regarding healthcare issues in the U.S. territories with a focus on Medicaid. Addresses differences between state and territory Medicaid federal funding, health workforce shortages, the effects of recent hurricanes on healthcare, healthcare needs, prescription drug costs, and more. Includes testimony from the Medicaid and CHIP Payment and Access Commission, Puerto Rico Health Insurance Administration, American Samoa State Agency, Guam Division of Public Welfare, Commonwealth of the Northern Mariana Islands State Medicaid Agency, and the U.S. Virgin Islands Department of Human Services.
Additional links: Angela Avila Testimony, Maria Theresa Arcangel Testimony, Sandra King Young Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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In Support of Family Caregivers: A Snapshot of Five States
Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Type: Document
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Type: Document
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Serving Rural America: How Health Insurance Providers Break Down Barriers to Ensure Access to Care
Highlights healthcare challenges in the rural U.S. and provides examples of how health insurance providers have helped address those challenges through telehealth, remote patient monitoring, incentives for rural providers, payment models, and targeting the opioid epidemic. Offers recommendations for state and federal policymakers related to rural recruitment, telehealth, insurance affordability, and population health.
Date: 06/2019
Type: Document
Sponsoring organization: AHIP
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Highlights healthcare challenges in the rural U.S. and provides examples of how health insurance providers have helped address those challenges through telehealth, remote patient monitoring, incentives for rural providers, payment models, and targeting the opioid epidemic. Offers recommendations for state and federal policymakers related to rural recruitment, telehealth, insurance affordability, and population health.
Date: 06/2019
Type: Document
Sponsoring organization: AHIP
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Insurer Participation in Rural Health Insurance Marketplaces: Are Some Markets Intrinsically More Competitive Than Others?
Policy position brief reporting on analyses of insurer participation data in the Federal Employees Health Benefits Program, Medicare Advantage, and Health Insurance Marketplaces (HIMs). Assesses to what extent participation in HIMs may be associated with prior levels of local market competition. Includes statistics on prior market competition in low-population-density counties in 2014 and 2017, and county characteristics associated with low insurer participation, with comparisons between metro and nonmetro counties.
Author(s): Abigail R. Barker, Timothy D. McBride, Keith J. Mueller
Date: 06/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy position brief reporting on analyses of insurer participation data in the Federal Employees Health Benefits Program, Medicare Advantage, and Health Insurance Marketplaces (HIMs). Assesses to what extent participation in HIMs may be associated with prior levels of local market competition. Includes statistics on prior market competition in low-population-density counties in 2014 and 2017, and county characteristics associated with low insurer participation, with comparisons between metro and nonmetro counties.
Author(s): Abigail R. Barker, Timothy D. McBride, Keith J. Mueller
Date: 06/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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