Rural Health
Resources by Topic: Pharmacy and prescription drugs
Dismantling Buprenorphine Policy Can Provide More Comprehensive Addiction Treatment
Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Academy of Medicine
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Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Academy of Medicine
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Current Perceptions, Behaviors & Prevention Strategies of Prescription Opioid Misuse
Reports the findings of a survey of 379 rural Montanans about the perception of prescription opioid misuse in their communities. Offers data on opioid use behavior and accessibility, medication disposal options, and methods of distributing information about opioids to family, friends, and community members.
Author(s): Michelle Grocke, Barbara Allen, Wendy Stevens, Kristen Vardanega, Sandra Bailey
Date: 08/2019
Type: Document
Sponsoring organization: Montana State University Extension
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Reports the findings of a survey of 379 rural Montanans about the perception of prescription opioid misuse in their communities. Offers data on opioid use behavior and accessibility, medication disposal options, and methods of distributing information about opioids to family, friends, and community members.
Author(s): Michelle Grocke, Barbara Allen, Wendy Stevens, Kristen Vardanega, Sandra Bailey
Date: 08/2019
Type: Document
Sponsoring organization: Montana State University Extension
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noëlle Siegfried, et al.
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noëlle Siegfried, et al.
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Utilization of the 340B Drug Pricing Program in Rural Practices Policy Paper
Policy brief describing the 340B Drug Pricing Program with a focus on rural hospitals. Discusses the challenges with measuring its impact on rural hospitals and the program's benefits for rural communities.
Author(s): Austin Gillard, Dennis Shelby, Karen White
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief describing the 340B Drug Pricing Program with a focus on rural hospitals. Discusses the challenges with measuring its impact on rural hospitals and the program's benefits for rural communities.
Author(s): Austin Gillard, Dennis Shelby, Karen White
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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HELP Committee Executive Session: S. 1199, S. 1173, and S.1895
Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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