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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Rural-Urban Differences in Access to and Attitudes Toward Care for Medicare Beneficiaries
Results of a study using data from the 2016 Medicare Current Beneficiary Survey to analyze differences between rural and urban Medicare beneficiaries in terms of travel time to usual provider, access barriers, and attitudes toward seeking care.
Author(s): Carrie Henning-Smith, Ashley M. Hernandez, Megan Lahr
Date: 12/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Maternal Characteristics and Birth Outcomes among Oklahoma Medicaid: 2016 SoonerCare – Birth Data Linkage Report
Examines birth outcomes of mothers with live births paid by SoonerCare, Oklahoma's Medicaid, versus mothers with live births not paid by SoonerCare using 2016 data from the Oklahoma Medicaid Management Information Systems of the Oklahoma Health Care Authority, and the Center for Health Statistics division of the Oklahoma State Department of Health. Data compared includes personal and clinical demographics, including rural/urban dwelling.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Second Annual Report
Evaluates the first two years 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; implementation of the model; short- and long-term impacts on beneficiaries; and the potential mechanisms that may explain observed impacts.
Author(s): Greg Peterson, Linda Barterian, Keith Kranker, et al.
Date: 11/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of the Maryland All-Payer Model: Volume I - Final Report
Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Rural Health Clinic Costs and Medicare Reimbursement
Policy brief exploring whether updates to the Medicare per-visit reimbursement cap have allowed Rural Health Clinics (RHCs) of various types and sizes to keep pace with increases in staffing and other costs. Features statistics including RHC mean Medicare adjusted cost per visit and RHC mean Medicare healthcare staff costs as of 2014, with breakdowns by 4 sizes of RHCs and private or publicly-owned status.
Author(s): John Gale, Zachariah T. Croll, Andrew F. Coburn
Date: 11/2019
Sponsoring organization: Maine Rural Health Research Center
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Project Sustainability Action Plan SAMPLE: Center States Rural Health Network
Provides a reference model for rural communities to use when establishing a sustainability action plan. Topics covered include strategic thinking, marketing, operational review, financial outlook, network sustainability assessment, and opportunities for sustainability.
Date: 10/2019
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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