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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

The Hub-and-Spoke Organization Design Revisited: A Lifeline for Rural Hospitals
Provides an overview of the hub-and-spoke organization design and how Willis-Knighton Health System in Louisiana used it to partner with rural hospitals in their region. Discusses the model's outcomes and implications for rural hospitals.
Author(s): James K. Elrod, John L. Fortenberry, Jr.
Citation: BMC Health Services Research, 17(Suppl 4), 795
Date: 2017
Type: Document
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2017 Minnesota Statewide Health Assessment
Reports on an assessment of health for the people of Minnesota. Includes rural specific information on race/ethnicity, access to oral care, income, transportation, public water sources, food access, and healthcare. Provides maps of population changes since 1990 and health provider shortage areas by county.
Date: 2017
Type: Document
Sponsoring organization: Minnesota Department of Health
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Employment, Poverty, and Public Assistance in the Rural United States
Compares economic and demographic characteristics of rural counties by county income level. Includes data on employment, race/ethnicity, and English-language proficiency. Also examines reliance on public sector supports: the Earned Income Tax Credit (EITC), the Supplemental Nutrition Assistance Program (SNAP), and children's health insurance.
Author(s): Rebecca Glauber, Andrew Schaefer
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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State Law Fact Sheet: A Summary of State Community Health Worker Laws
Details the state laws pertaining to Community Health Workers as of June 30, 2016. Includes laws defining scope of practice, team-based care models, reimbursement, and the core certification process.
Date: 2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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What's Next? Practical Suggestions for Rural Communities Facing a Hospital Closure
Presents alternative healthcare solutions for rural Texas communities that are facing a rural hospital closure. Examines the current state of healthcare delivery and outlines the regulatory and legislative obstacles to maintaining rural hospital services. Appendices provide additional information including maps of rural Texas hospital closures, a list of useful resources, reflections from rural hospital leaders, and more.
Date: 2017
Type: Document
Sponsoring organizations: A&M Rural and Community Health Institute, Episcopal Health Foundation
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Three in Ten Rural and Urban Medicaid Recipients May Be Affected by Potential Work Requirements
Identifies work-related activities for rural and urban Medicaid recipients age 19-64, exploring how many Medicaid recipients would potentially be impacted by a work requirement.
Author(s): Andrew Schaefer, Jessica A. Carson
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Critical Access Hospital Financial Model
Excel-based modeling tool designed to help Critical Access Hospitals (CAHs) anticipate and analyze the financial impacts of joining a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO).
Date: 2017
Type: Tool
Sponsoring organization: Rural Health Value
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More Than 95 Percent of U.S. Children Had Health Insurance in 2015
Reports on the percent of children with any type of health insurance in 2015 by state and region for rural, suburban, and urban areas. Includes changes in health insurance coverage since 2014 and since 2008.
Author(s): Michael J. Staley
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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Health Districts in Oregon
Describes Oregon's current health district landscape and explains the legal role of health districts under Oregon law. Includes background information on the organization and purpose of health districts, and the role they play in maintaining healthcare access for rural areas.
Author(s): Paul B. McGinnis, Sonya Howk, Emerson Ong, Jennifer Simeon
Date: 12/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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