Rural Health
Resources by Topic: Healthcare business and finance
Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
view details
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
view details
The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Additional links: Report in Brief
Date: 09/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
view details
Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Additional links: Report in Brief
Date: 09/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
view details
Health Care in Rural America: Examining Experiences and Costs
Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
view details
Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
view details
Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion. Provides county-level data, information on health insurance coverage for children, and maps in the additional links.
Additional links: Full Report, Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Press Release, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
view details
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion. Provides county-level data, information on health insurance coverage for children, and maps in the additional links.
Additional links: Full Report, Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Press Release, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
view details
One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: KFF
view details
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: KFF
view details
Examining Barriers to Expanding Innovative, Value-Based Care in Medicare
Presents the September 2018 U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
view details
Presents the September 2018 U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
view details
Health Insurance Coverage in the United States: 2017
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
view details
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
view details
Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
view details
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
view details
Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Value
view details
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Value
view details
2017 QIO Program Progress Report: Putting Patients at the Core
Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Type: Document
Sponsoring organization: Quality Improvement Organization Program
view details
Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Type: Document
Sponsoring organization: Quality Improvement Organization Program
view details