Rural Health
Resources by Topic: Home and community-based services
Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care
Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: Duke Margolis Institute for Health Policy
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Recording of a panel discussion on home-based primary care for rural older adults and policies that could address challenges with offering and accessing home-based primary care. Discusses telehealth, broadband, community infrastructure, service models, community health workers, and more. Transcript available in the video description.
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: Duke Margolis Institute for Health Policy
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Addressing the Direct Care Workforce Shortage: A Bipartisan Call to Action
Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Report discusses direct care worker shortages throughout the country. Details shortages of home health aids, certified nursing assistants, and residential care aids, among other direct care workers, and makes recommendations for decreasing shortages. Highlights some of the added barriers faced by rural communities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, gender, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Includes data on the share of enrollees who participated in a Section 1915(c) waiver program overall and by age, gender, race and ethnicity, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2023 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Place to Thrive: Creating Opportunities to Age Well in North Carolina
Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions rural population throughout as a disproportionately affected group.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions rural population throughout as a disproportionately affected group.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation
Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Research Insight: How Do Workforce Challenges and Strategies Vary Across Area Agencies on Aging?
Report analyzing workforce data for Area Agencies on Aging (AAAs) to identify connections between workforce challenges and organizational characteristics. Includes rural and urban comparisons.
Date: 07/2023
Type: Document
Sponsoring organization: USAging
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Report analyzing workforce data for Area Agencies on Aging (AAAs) to identify connections between workforce challenges and organizational characteristics. Includes rural and urban comparisons.
Date: 07/2023
Type: Document
Sponsoring organization: USAging
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Arkansas State Plan on Aging: Fiscal Years 2024-2027
Provides direction for long-term care efforts in the state of Arkansas. Focuses on implementation of the Older American Act (OAA), COVID-19 recovery, equity, access to home and community-based services, and caregiving infrastructure. Highlights population data on rural Arkansas citizens and rural-specific priorities.
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Human Services
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Provides direction for long-term care efforts in the state of Arkansas. Focuses on implementation of the Older American Act (OAA), COVID-19 recovery, equity, access to home and community-based services, and caregiving infrastructure. Highlights population data on rural Arkansas citizens and rural-specific priorities.
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Human Services
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Report to Congress on Medicaid and CHIP, June 2023
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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