Rural Health
Resources by Topic: Healthcare business and finance
Bridging the Gap Between Clinical Care and Community Population Health
Podcast episode with Kevin Barnett, senior investigator at the Public Health Institute and board member for Michigan's Trinity Health, discussing how hospitals can use community benefit spending to promote community health and health equity.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Kevin Barnett, senior investigator at the Public Health Institute and board member for Michigan's Trinity Health, discussing how hospitals can use community benefit spending to promote community health and health equity.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Rural Health Policy Landscape: Implications for Addressing Behavioral Health
Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2023
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Updated Medicare FFS Telehealth Trends by Beneficiary Characteristics, Visit Specialty and State, 2019-2021
Examines telehealth visits by Medicare beneficiaries from 2019 through 2021. Compares telehealth use by patient characteristics, including urban and rural residence and Primary Care Health Professional Shortage Area (HPSA), visit specialty, health conditions, and state.
Author(s): Lok Wong Samson, Sara J. Couture, Tim B. Creedon, Laura Jacobus-Kantor, Steven Sheingold
Date: 07/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines telehealth visits by Medicare beneficiaries from 2019 through 2021. Compares telehealth use by patient characteristics, including urban and rural residence and Primary Care Health Professional Shortage Area (HPSA), visit specialty, health conditions, and state.
Author(s): Lok Wong Samson, Sara J. Couture, Tim B. Creedon, Laura Jacobus-Kantor, Steven Sheingold
Date: 07/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Expanded Medical Training Could Help Hospitals in Rural, Underserved Areas
Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Targeted Provider Relief Funds Allocated to Hospitals Had Some Differences with Respect to the Ethnicity and Race of Populations Served
Examines how early Provider Relief Fund Targeted Distributions (Targeted PRF) in 2020 correlated with the racial, ethnic, and economic characteristics of the communities providers serve. Analyzes the Targeted PRF allocations to hospitals and explores if there are statistically significant correlations between PRF per person and the racial, ethnic, and economic composition of the census tracts. Covers four Targeted PRF allocations to COVID-19 High Impact Area Hospitals, Safety Net Hospitals, Rural Hospitals, and Indian Health Service and Tribal Hospitals. Identifies and describes trends in the allotment to rural hospitals.
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines how early Provider Relief Fund Targeted Distributions (Targeted PRF) in 2020 correlated with the racial, ethnic, and economic characteristics of the communities providers serve. Analyzes the Targeted PRF allocations to hospitals and explores if there are statistically significant correlations between PRF per person and the racial, ethnic, and economic composition of the census tracts. Covers four Targeted PRF allocations to COVID-19 High Impact Area Hospitals, Safety Net Hospitals, Rural Hospitals, and Indian Health Service and Tribal Hospitals. Identifies and describes trends in the allotment to rural hospitals.
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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The Other Side of Rural Health Care
Podcast episode with Terry Scoggin, CEO of Titus Regional Medical Center in northeast Texas, discussing how the hospital uses innovative data to understand and meet the needs of its community.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Terry Scoggin, CEO of Titus Regional Medical Center in northeast Texas, discussing how the hospital uses innovative data to understand and meet the needs of its community.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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