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Rural Health
Resources by Topic: Healthcare business and finance

Key Characteristics of COVID-19 Patients: Profiles Based on Analysis of Private Healthcare Claims
Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Visionary Board Leadership and the Transition to Value Video Series
A 6-part video series on healthcare leadership for Critical Access Hospital (CAH) board members. Details best practices for CAH leadership through training modules that include hospital board interviews, discussion questions, and example activities to use in the development of long-term visioning plans.
Date: 07/2020
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Advocacy in New Hampshire Procures More Funding for Provider Recruitment
Describes how the New Hampshire Health Care Workforce Coalition lobbied for state legislation to increase the annual budget for the State Loan Repayment Program (SLRP) to enhance recruitment of healthcare providers. SLRP activities include securing hospitalists for Critical Access Hospitals, Medicaid school psychologists, and other healthcare professionals; developing loan repayment programs for dentists and behavioral health providers; and more.
Author(s): Beth Blevins
Date: 07/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206-22
Date: 07/2020
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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The Role of Public Health in COVID-19 Emergency Response Efforts From a Rural Health Perspective
Examines the difficulties rural communities face in responding to the COVID-19 pandemic, especially in the southeastern region of the U.S. Discusses the COVID-19 Community Vulnerability Index, a tool that analyzes epidemiological factors, socioeconomic status, and other indicators to determine which communities are at an increased risk of COVID-19.
Author(s): Sandra Melvin, Corey Wiggins, Nakeitra Burse, Erica Thompson, Mauda Monger
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Hospitals Face Financial Challenges Due to COVID-19
Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Sponsoring organization: American Hospital Association
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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Changes in Care-Seeking after Rural Hospitals Merge
Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Sponsoring organization: North Carolina Rural Health Research Program
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