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Rural Health
Resources by Topic: Healthcare business and finance

Accounting for Social Risk Factors in Medicare Payment
Fifth and final report in a series designed to identify social risk factors that affect the health outcomes of Medicare beneficiaries and methods to account for these factors in Medicare payment programs. Offers thoughts about selecting the best methods to account for social risk factors and achieve policy goals. Chapter 2 includes a discussion about urbanicity and rurality, and suggests that a beneficiary's place of residence is a stronger indicator of social risk than their provider's location. Report was assembled by an ad hoc committee under the direction of the U.S. Department of Health and Human Services, Office of the Assistant Secretary of Planning and Evaluation.
Additional links: Read Online
Author(s): Committee on Accounting for Socioeconomic Status in Medicare Payment Programs
Date: 01/2017
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
Reports results from a performance audit conducted by the Government Accountability Office (GAO) from March 2016 through January 2017, examining IHS's oversight of quality of care in its federally operated facilities. Draws conclusions based on a review of policies related to quality of care, interviews with IHS officials at the headquarters and area offices, and examination of documents from governance meetings. Makes recommendations to the Secretary of the Department of Health and Human Services (HHS) on actions that can be taken to help ensure quality care is provided in federally operated IHS facilities. Appendices include the responding comments from HHS and provide additional information about leadership turnover at IHS offices and facilities.
Additional links: Full Report
Date: 01/2017
Sponsoring organization: Government Accountability Office
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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
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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
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. 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
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
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
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
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
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
Sponsoring organization: Carsey School of Public Policy
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