Rural Health
Resources by Topic: Pharmacy and prescription drugs
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Expanded Naloxone Distribution to Reduce Rural Opioid Overdose Mortality
Discusses a study on the effect community-based and pharmacy-initiated naloxone distribution has had on rates of rural opioid overdose mortality. Highlights an intervention that expands naloxone access points in rural communities and pharmacies in addition to traditional provider-based treatment.
Date: 05/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Discusses a study on the effect community-based and pharmacy-initiated naloxone distribution has had on rates of rural opioid overdose mortality. Highlights an intervention that expands naloxone access points in rural communities and pharmacies in addition to traditional provider-based treatment.
Date: 05/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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April 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2021 340B Health Annual Survey: 340B Continues to Support Essential Programs and Services in the Face of Significant Financial Stress on Hospitals
Summarizes the results of an October - December 2021 survey of 510 hospitals, including small and rural hospitals, that participate in the 340B drug pricing program. Describes how these hospitals utilize their savings from the 340B program to benefit patients. Discusses the importance of the program to Critical Access Hospitals, Disproportionate Share Hospitals, and other safety-net facilities. Explores the potential effects of additional cuts to the 340B program.
Date: 04/2022
Type: Document
Sponsoring organization: 340B Health
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Summarizes the results of an October - December 2021 survey of 510 hospitals, including small and rural hospitals, that participate in the 340B drug pricing program. Describes how these hospitals utilize their savings from the 340B program to benefit patients. Discusses the importance of the program to Critical Access Hospitals, Disproportionate Share Hospitals, and other safety-net facilities. Explores the potential effects of additional cuts to the 340B program.
Date: 04/2022
Type: Document
Sponsoring organization: 340B Health
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Epidemiology of Antibiotic Use and Drivers of Cross-Border Procurement in a Mexican American Border Community
Examines preference for antibiotics sourced from either Mexico or the U.S. for Mexican-American antibiotic users in Starr County, Texas since significant changes in prescription regulation in Mexico in 2010. Recruited 616 participants between March 2018 and March 2020 and followed their antibiotic sourcing and use for 1 year from recruitment. Lists associations with crossing the border to obtain antibiotics including health insurance status. Data showing preference for one country over another is broken down by gender, age, education level, insurance status, and more.
Author(s): Heather T. Essigmann, David A. Aguilar, William B, Perkison, et al.
Citation: Frontiers in Public Health, 10, 832266
Date: 03/2022
Type: Document
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Examines preference for antibiotics sourced from either Mexico or the U.S. for Mexican-American antibiotic users in Starr County, Texas since significant changes in prescription regulation in Mexico in 2010. Recruited 616 participants between March 2018 and March 2020 and followed their antibiotic sourcing and use for 1 year from recruitment. Lists associations with crossing the border to obtain antibiotics including health insurance status. Data showing preference for one country over another is broken down by gender, age, education level, insurance status, and more.
Author(s): Heather T. Essigmann, David A. Aguilar, William B, Perkison, et al.
Citation: Frontiers in Public Health, 10, 832266
Date: 03/2022
Type: Document
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Use of Medication for Opioid Use Disorder Among US Adolescents and Adults With Need for Opioid Treatment, 2019
Results of a study to estimate use rates of medication for opioid use disorder (MOUD) and to identify associations between MOUD and characteristics of people who may have needed treatment for opioid use disorder (OUD). Features statistics including characteristics of adolescents and adults with past-year OUD treatment need and likelihood of MOUD among adults who may have needed OUD treatment, with breakdowns by large metropolitan, small metropolitan, or nonmetropolitan location.
Author(s): Pia M. Mauro, Sarah Gutkind, Erin M. Annunziato, Hillary Samples
Citation: JAMA Network Open, 5(3)
Date: 03/2022
Type: Document
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Results of a study to estimate use rates of medication for opioid use disorder (MOUD) and to identify associations between MOUD and characteristics of people who may have needed treatment for opioid use disorder (OUD). Features statistics including characteristics of adolescents and adults with past-year OUD treatment need and likelihood of MOUD among adults who may have needed OUD treatment, with breakdowns by large metropolitan, small metropolitan, or nonmetropolitan location.
Author(s): Pia M. Mauro, Sarah Gutkind, Erin M. Annunziato, Hillary Samples
Citation: JAMA Network Open, 5(3)
Date: 03/2022
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Antibiotic Stewardship Profile Series: Astria Sunnyside Hospital
Profiles the antibiotic stewardship efforts of Astria Sunnyside Hospital, a Critical Access Hospital (CAH) in Sunnyside, Washington. Describes the development of the antimicrobial stewardship program, leadership, drug expertise, tracking and reporting, provider education, and more.
Date: 02/2022
Type: Document
Sponsoring organization: Stratis Health
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Profiles the antibiotic stewardship efforts of Astria Sunnyside Hospital, a Critical Access Hospital (CAH) in Sunnyside, Washington. Describes the development of the antimicrobial stewardship program, leadership, drug expertise, tracking and reporting, provider education, and more.
Date: 02/2022
Type: Document
Sponsoring organization: Stratis Health
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Rural Community Pharmacists' Ability and Interest in Administering COVID-19 Vaccines in the Southern United States
Examines rural, southern community pharmacists' demographic characteristics, COVID-19 vaccine training, and ability to administer COVID-19 vaccines. Utilizes survey responses from 69 pharmacists part of the Rural Research Alliance of Community Pharmacies (RURAL-CP) and provides data on COVID-19 vaccine preparedness, attitudes, and more.
Author(s): Delesha M. Carpenter, Tessa Hastings, Salisa Westrick, et al.
Citation: Journal of the American Pharmacists Association, 62(4), 1379-1383
Date: 01/2022
Type: Document
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Examines rural, southern community pharmacists' demographic characteristics, COVID-19 vaccine training, and ability to administer COVID-19 vaccines. Utilizes survey responses from 69 pharmacists part of the Rural Research Alliance of Community Pharmacies (RURAL-CP) and provides data on COVID-19 vaccine preparedness, attitudes, and more.
Author(s): Delesha M. Carpenter, Tessa Hastings, Salisa Westrick, et al.
Citation: Journal of the American Pharmacists Association, 62(4), 1379-1383
Date: 01/2022
Type: Document
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January 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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