Rural Health
Resources by Topic: Healthcare business and finance
Assessing Disparities in Pneumococcal Vaccine Service Delivery in the Rural Fee-for-Service Medicare Population
Slides from a March 2019 National Vaccine Program Office (NVAC) meeting discussing pneumococcal vaccine service disparities in rural Medicare fee-for-service populations based on data from 2012 to 2015. Includes data describing rural and urban vaccination services by provider type. Examines community pharmacies as a potential vaccine service provider.
Author(s): Jeffery Talbert, Patricia R. Freeman
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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Slides from a March 2019 National Vaccine Program Office (NVAC) meeting discussing pneumococcal vaccine service disparities in rural Medicare fee-for-service populations based on data from 2012 to 2015. Includes data describing rural and urban vaccination services by provider type. Examines community pharmacies as a potential vaccine service provider.
Author(s): Jeffery Talbert, Patricia R. Freeman
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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Addressing Low Case-Volume in Healthcare Performance Measurement of Rural Providers: Recommendations from the MAP Rural Health Technical Expert Panel
Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Facility-Based Ambulatory Care Provided to Rural Medicare Beneficiaries in 2014
Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Relationship Between Adherence to Antihypertensive Medication Regimen and Out-of-Pocket Costs Among People Aged 35 to 64 With Employer-Sponsored Health Insurance
Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Type: Document
Sponsoring organization: KFF
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Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Type: Document
Sponsoring organization: KFF
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Type: Document
Sponsoring organization: AHIP
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Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Type: Document
Sponsoring organization: AHIP
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Air Ambulance: Available Data Show Privately-Insured Patients Are at Financial Risk
Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Comparing Rural and Urban Medicare Advantage Beneficiary Characteristics
Describes differences in rural and urban populations enrolled in the Medicare Advantage (MA) program. Features statistics from the 2012-13 Medicare Current Beneficiary Survey, including measures of access by MA Beneficiaries, with breakdowns by rural and urban residence.
Author(s): Abigail Barker, Lindsey Nienstedt, Leah Kemper, Timothy McBride, Keith Mueller
Date: 03/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes differences in rural and urban populations enrolled in the Medicare Advantage (MA) program. Features statistics from the 2012-13 Medicare Current Beneficiary Survey, including measures of access by MA Beneficiaries, with breakdowns by rural and urban residence.
Author(s): Abigail Barker, Lindsey Nienstedt, Leah Kemper, Timothy McBride, Keith Mueller
Date: 03/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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