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Rural Health
Resources by Topic: Healthcare business and finance

Health and Health Care for American Indians and Alaska Natives (AIANs)
Compares the rates of poverty, job security, insurance coverage, and chronic health needs in the American Indian and Alaska Native populations in the U.S.
Additional links: Infographic, Slides
Date: 05/2019
Type: Document
Sponsoring organization: KFF
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Profile of American Indian Mothers with Oklahoma Medicaid Reimbursed Live Birth in 2016
An assessment of selected maternal characteristics and birth outcomes among American Indian mothers who gave live birth in Oklahoma in 2016 using data based on deliveries reimbursed by Oklahoma Medicaid, and data from Vital Records Division of Oklahoma State Department of Health (OSDH).
Author(s): Lu Zhou, Shelly Patterson, Tram Nguyen
Date: 04/2019
Type: Document
Sponsoring organizations: Oklahoma Health Care Authority, Oklahoma State Department of Health
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Trends in Risk of Financial Distress among Rural Hospitals from 2015 to 2019
Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Characteristics of Communities Served by Rural Hospitals Predicted to be at High Risk of Financial Distress in 2019
Uses updated results from the Financial Distress Index to compare communities that are home to rural hospitals at high financial risk with areas having rural hospitals not at high risk. Features statistics including demographics, socioeconomics, and health status, with breakdowns by location in the South, the Midwest, the Northeast, and the West.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Geographic Variation in the 2019 Risk of Financial Distress among Rural Hospitals
Uses updated results from the Financial Distress Index to show geographic variation in rural hospitals at risk of financial distress and possible closure or reduction of services. Features statistics showing percentage of rural hospitals in each risk category in 2019 by census region, and a state-level map showing the number and percentage of rural hospitals at high risk.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Primary Care Clinician Participation in the CMS Quality Payment Program
Analyzes primary care clinician participation in the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program (QPP). Provides data by provider type, specialty, practice location for metro and nonmetro areas, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicare Advantage Enrollment Update 2018
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) and other prepaid enrollment plans by metropolitan and nonmetropolitan location, and variability by state.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith Mueller
Date: 04/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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