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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment
Reports on a study of how health plans are successfully engaging people in substance use disorder treatment for alcohol, opioids, and other substances. Discusses how initiation and engagement can be improved for commercial and Medicaid health insurance plans. Addresses rural factors throughout.
Author(s): Peggy O'Brien, Erika Crable, Catherine Fullerton, Lauren Hughey
Date: 03/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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How Affordable Are 2019 ACA Premiums for Middle-Income People?
Examines the cost of health insurance premiums for plans available through Affordable Care Act Exchanges and discusses the implications for rural areas. Includes an interactive map showing differences in insurance cost by county, income, and age.
Date: 03/2019
Sponsoring organization: KFF
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2019 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Rural Health Outcomes and Infrastructure in Arizona
Summarizes Arizona's health insurance coverage by county, rural population by county, and rural health infrastructure. Includes a map showing the location of Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers in rural areas of the state.
Date: 02/2019
Sponsoring organization: Arizona Center for Rural Health
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Evaluation of the Million HeartsĀ® Cardiovascular Disease Risk Reduction Model: First Annual Report
Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Fact Sheet: Rural Nebraska's Shifting Long-term Care System
Highlights the state of Nebraska's rural long-term care system. Addresses access, capacity, provider shortages, and reimbursements.
Date: 02/2019
Sponsoring organization: Center for Rural Affairs
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Addressing Rural Workforce Shortages and Healthcare Disparities: An Annotated Bibliography
Report designed to inform policy discussions and future publications concerning healthcare disparities and outcomes, the distribution of physicians in rural areas, and the graduate medical education system financing. Also includes sections on rural hospital closures, social determinants of health, and healthcare safety net facilities. Constructed from a literature review, expert-recommended articles, and a search of white and grey literature.
Author(s): Dara Khatib, Alison Huffstetler, Andrew Bazemore
Date: 02/2019
Sponsoring organization: Robert Graham Center
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Do Hospital Closures Affect Patient Time in an Ambulance?
Examines the impact of hospital closures on patient travel time to an emergency department (ED) by ambulance. Uses national data on hospital closures and hospital-based ambulance services and compares rural/urban differences.
Author(s): SuZanne Troske, Alison Davis
Date: 02/2019
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Hospital Sustainability: New Data Show Worsening Situation for Rural Hospitals, Residents
Reports on an analysis of rural hospital financial viability. Identifies the number of hospitals by state at financial risk of closing and the number by state at high financial risk that are considered essential for community trauma access. Discusses factors affecting rural hospitals' finances and offers recommendations for policymakers and regional/academic partnerships.
Author(s): David Mosley, Daniel DeBehnke
Date: 02/2019
Sponsoring organization: Navigant
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Market Concentration and Potential Competition in Medicare Advantage
Examines competition among Medicare Advantage plans using county-level data on plans offered and enrollment for 2009-2017. Addresses market concentration in rural areas. Discusses the importance of plan competition to keep insurance prices down.
Author(s): Richard G. Frank, Thomas G. McGuire
Date: 02/2019
Sponsoring organization: Commonwealth Fund
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