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Rural Health
Resources by Topic: Healthcare business and finance

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities
Examines characteristics of Medicare beneficiaries who use inpatient psychiatric facilities (IPF) to help reduce preventable admissions and readmissions and create quality of care measures. Addresses the types of care patients receive before, during, and after their stay at an IPF. Includes a chart identifying the number of freestanding and psychiatric unit IPFs in rural and mental health shortage areas.
Date: 04/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Trends in Emergency Department Use by Rural and Urban Populations in the United States
Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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Bacon County Hospital Advances Toward Population Health
Highlights a 25-bed acute care hospital in Alma, Georgia that worked with the Small Rural Hospital Transition (SRHT) project to improve its finances and operations. Summarizes projects that expanded telemedicine services, increased point-of-service collections, built awareness of quality performance and services, and addressed community needs.
Date: 04/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
Examines state and federal policy options for increasing alignment and integration of people eligible for Medicare and Medicaid through Dual Eligible Special Needs Plans (D-SNPs). Reviews the literature on the topic, provides case studies from 5 states, reports on a meeting with officials from states working on D-SNPs, and addresses challenges for offering D-SNPs in rural areas.
Author(s): Nancy Archibald, Michelle Soper, Leah Smith, Alexandra Kruse, Joshua Wiener
Date: 04/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Small Area Health Insurance Estimates: 2017
Reports on health insurance coverage in the U.S. in 2017 and changes between 2016 and 2017, as well as changes between 2013 and 2017. Includes maps showing county-level uninsured rates.
Author(s): Lauren Bowers, Carolyn Gann
Date: 04/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Health Insurance in Rural America
A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Date: 04/2019
Type: Website
Sponsoring organization: U.S. Census Bureau
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Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
Focuses on differences between community-admitted and post-acute care Medicare home health patients over time in order to identify reasons for the increase in community-admitted patients. Addresses differences in rural/urban residency in Tables B.1. and E.1., as well as whether the county of residence is a primary care shortage area.
Author(s): Andrea Wysocki, Valerie Cheh
Date: 04/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Oral Health: Targeting Rural Areas
Compiles articles from a special issue of the Texas Public Health Journal focusing on rural oral health in Texas, Louisiana, and Oklahoma. Covers emergency department use in Texas for oral health needs in rural versus urban counties, geriatric oral health and workforce options such as teledentistry, a Delivery System Reform Incentive Payment project under a state waiver targeting rural communities, partnerships to reach underserved areas and pregnant women, and oral health initiatives in Louisiana and Oklahoma.
Citation: Texas Public Health Journal, 71(2), 2-16
Date: 04/2019
Type: Document
Sponsoring organization: Texas Public Health Association
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Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods
Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
Type: Document
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Is Duration of Hospital Participation in Meaningful Use Associated with Value in Medicare?
Analyzes hospital participation in Medicare's meaningful use (MU) of electronic health records (EHRs) to determine the extent of their use of value-based initiatives in order to evaluate whether the duration of participation was linked with lower Medicare inpatient spending and lower readmission rates. Data was extracted from CMS sources including the Hospital Compare Website. Hospital-level data for analysis included inpatient spending, accreditation status, hospital location (urban/rural), ownership status, and hospital size.
Author(s): Yanick N. Brice, Karen E. Joynt Maddox
Citation: Journal of the American Medical Informatics Association (JAMIA) Open, 2(2), 238-245
Date: 03/2019
Type: Document
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