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Rural Health
Resources by Topic: Healthcare business and finance

Range Matters: Rural Averages Can Conceal Important Information
Findings brief showing how research focusing on averages without considering data range can conceal important information about average rural hospital profitability, distance between hospitals, and HIV prevalence by county.
Author(s): Meagan Clawar, Kristie Thompson, George H. Pink
Date: 01/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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How Can My Organization Connect Children to Coverage? A Guide to Fundamentals and Promising Practices
Includes strategies for enrolling children part of the hardest-to-reach groups in Medicaid or CHIP, such as rural children, American Indian/Alaska Native/Latino, low-income, or teenaged. Discusses outreach and supporting capacities, such as making contact with target populations and fostering trust in communities.
Author(s): Leslie Foster, Frank Martin
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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The Impact of the Vermont Support and Services at Home Program on Healthcare Expenditures
The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
Type: Document
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Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Details the background and highlights models of non-emergency medical transportation (NEMT) for Medicaid beneficiaries. Includes information for human services and public transportation to coordinate with NEMT. Features a companion document that breaks down NEMT by state.
Additional links: Read Online, State-by-State Profiles for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Date: 2018
Type: Document
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Optimizing Rural Health: A Community Healthcare Blueprint
Provides three in-depth case studies of rural Texas communities facing hospital closures to learn more about how communities respond, discussing the findings and similarities. Identifies lessons learned in regards to community awareness, community engagement, how access is defined, hospital board leadership, and finances to guide other rural communities facing similar challenges.
Date: 2018
Type: Document
Sponsoring organizations: A&M Rural and Community Health Institute, Center for Optimizing Rural Health
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Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment
Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Author(s): Carrie M. Farmer, Terri Tanielian, Christine Buttorff, et al.
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Availability of Healthcare Providers for Rural Veterans Eligible for Purchased Care under the Veterans Choice Act
Highlights a study on the utilization of the Veterans Choice Act, specifically rurality of veterans eligible to purchase non-VHA healthcare. Details the role VHA facilities continue to play in providing healthcare to veterans who qualify for Veterans Choice.
Author(s): Michael E. Ohl, Margaret Carrell, Andrew Thurman, et al.
Citation: BMC Health Services Research, 18(1)
Date: 2018
Type: Document
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An Empirical Study of the Determinants of Location of Hospital Mergers and Acquisitions: 1997-2016
Examines trends in hospital mergers and acquisitions based on acquirer ownership status, whether the merger or acquisition was out-of-state, and whether the hospital acquired was rural. Discusses areas for future research based on the findings.
Author(s): David R. Williams, Trent J. Spaulding
Citation: Journal of Health Care Finance, 45(1), 1-20
Date: 2018
Type: Document
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Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
Type: Document
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Connected Care Toolkit: Chronic Care Management Resources for Health Care Professionals and Communities
A guide for healthcare professionals to support them in offering chronic care management (CCM) services. Provides links to CMS resources, including guides targeted to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Also includes educational materials to help patients understand CCM services.
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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