Rural Health
Resources by Topic: Healthcare business and finance
Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Reporting of Indian Health Service Coverage in the American Community Survey
Evaluates the extent to which American Indian and Alaska Native (AIAN) people incorrectly report Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Evaluates the extent to which American Indian and Alaska Native (AIAN) people incorrectly report Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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Rural Health Care in America: Challenges and Opportunities
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Is Bigger Better? Exploring the Impact of System Membership on Rural Hospitals
Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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Medicaid Managed Care and the Rural Exception: A Review of Issues and Perspectives from the Field
Analyzes Medicaid waivers through September 2017 to examine how state Medicaid procedures affect rural populations. Covers information gathered from State Offices of Rural Health (SORHs), state Medicaid offices, and other stakeholders to describe the process of waiver development.
Author(s): Janice C. Probst, Amy B. Martin, Victor Kirksey
Date: 05/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Analyzes Medicaid waivers through September 2017 to examine how state Medicaid procedures affect rural populations. Covers information gathered from State Offices of Rural Health (SORHs), state Medicaid offices, and other stakeholders to describe the process of waiver development.
Author(s): Janice C. Probst, Amy B. Martin, Victor Kirksey
Date: 05/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost
Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
Type: Document
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Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
Type: Document
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Changes in Hospital Utilization Three Years into Maryland's Global Budget Program for Rural Hospitals
Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
Type: Document
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Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
Type: Document
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Saratoga Springs, New York, April 16-18, 2018
Summarizes the 83rd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Saratoga Springs, New York. Meeting discussion focused on two topics: how Adverse Childhood Experiences (ACEs) can affect health and factors affecting health insurance costs for people in rural areas.
Date: 04/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 83rd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Saratoga Springs, New York. Meeting discussion focused on two topics: how Adverse Childhood Experiences (ACEs) can affect health and factors affecting health insurance costs for people in rural areas.
Date: 04/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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