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Rural Health
Resources by Topic: Healthcare business and finance

Critical Access Hospitals' Community Benefit Activities: An Updated Review
Examines community benefit data from a sample of Critical Access Hospitals (CAHs) to understand how they are fulfilling their community benefit obligations, including related spending. Discusses how state Flex programs can help CAHs meet their community benefit obligations and the related Internal Revenue Service (IRS) requirements. Second of two briefs reporting project results.
Author(s): John A. Gale, Zachariah Croll, Lauren Zoll, Andrew F. Coburn
Date: 12/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Fee-for-Service: Information on the Second Year of Nationwide Reduced Payment Rates for Durable Medical Equipment
Analyzes 2017 Medicare claims data to describe changes in the number of beneficiaries receiving and suppliers furnishing Medicare beneficiaries with rate-adjusted versus non-adjusted items in non-bid areas. Includes information on changes in rural and non-rural non-bid areas.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Medicaid Work Requirements in Arkansas: Experience and Perspectives of Enrollees
Reports on focus groups with enrollees and providers regarding their perspectives of the Arkansas Works Medicaid waiver requirements. Covers enrollee awareness of the new requirements, the reporting process, impact on work activities, coverage losses, and more. Identifies challenges for rural areas.
Author(s): MaryBeth Musumeci, Robin Rudowitz, Barbara Lyons
Date: 12/2018
Type: Document
Sponsoring organization: KFF
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Health Insurance Coverage for Women of Reproductive Age, 2013-16
Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Type: Document
Sponsoring organization: Urban Institute
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Methods Used to Enable Interoperability among U.S. Non-Federal Acute Care Hospitals in 2017
Analyzes 2017 American Hospital Association IT Supplement survey data to describe the methods used by acute care hospitals in the U.S. to support interoperability. Discusses hospital participation in health information networks by hospital size and location. Includes information on the rates of small, rural, and Critical Access Hospitals' (CAH) use of non-electronic methods to exchanging patient health information with partners outside their hospital system.
Author(s): Christian Johnson, Yuriy Pylypchuk, Vaishali Patel
Date: 12/2018
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Indian Health Service: Spending Levels and Characteristics of IHS and Three Other Federal Health Care Programs
Compares Indian Health Services (IHS) spending with other federal programs that provide healthcare services, such as the Veterans Health Administration (VHA), Medicare, and Medicaid. Looks at the different services provided by each program and the way each program is funded.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Reforming America's Healthcare System Through Choice and Competition
Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Arkansas Medicaid Program Overview SFY 2017
Provides an overview of Arkansas's Medicaid program, including county-level data on enrolled and participating providers, program enrollees, Medicaid expenditures, and waiver beneficiaries on pages 32-35.
Date: 12/2018
Type: Document
Sponsoring organization: Arkansas Department of Human Services
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A Rural Hospital Gets A Second Chance
Describes efforts undertaken in 2016 and 2017 to save an independent rural North Carolina hospital from closure, by affiliating with a larger healthcare system.
Author(s): Dana M. Weston
Citation: North Carolina Medical Journal, 79(6), 373-374
Date: 11/2018
Type: Document
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