Rural Health
Resources by Topic: Policy
Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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2024 National Veteran Suicide Prevention Annual Report
Report highlights the rate of suicide among veterans and the VA's role in suicide prevention. Discusses the causes of veteran suicide and the steps the VA is taking for suicide prevention. Breaks down rates of suicide by gender, contact with the VHA, and rurality, among other factors. The 2024 report is split into two parts. The second part is added as and additional link.
Additional links: Data Appendix, Part 2: Report Findings
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Report highlights the rate of suicide among veterans and the VA's role in suicide prevention. Discusses the causes of veteran suicide and the steps the VA is taking for suicide prevention. Breaks down rates of suicide by gender, contact with the VHA, and rurality, among other factors. The 2024 report is split into two parts. The second part is added as and additional link.
Additional links: Data Appendix, Part 2: Report Findings
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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The Pennsylvania Rural Health Model (PARHM): Fourth Annual Evaluation Report
Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Water Fluoridation in the U.S.: The Federal Role in Policy and Practice
Examines water fluoridation across the United States, with a focus on policy, best practices, dental health impacts, and state-by-state percentages of people using community water systems (CWS) that receive fluoridated water. Discusses water fluoridation barriers in rural and small communities.
Author(s): Josh Michaud, Jennifer Kates, Nambi Ndugga
Date: 12/2024
Type: Document
Sponsoring organization: KFF
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Examines water fluoridation across the United States, with a focus on policy, best practices, dental health impacts, and state-by-state percentages of people using community water systems (CWS) that receive fluoridated water. Discusses water fluoridation barriers in rural and small communities.
Author(s): Josh Michaud, Jennifer Kates, Nambi Ndugga
Date: 12/2024
Type: Document
Sponsoring organization: KFF
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National Plan to Address Alzheimer's Disease: 2024 Update
Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining 6 goals for the U.S. Department of Health and Human Services to address the challenges facing people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) and their families and to minimize the burden of AD/ADRD. Includes action items related to AD/ADRD treatment and care quality, public awareness and engagement, data tracking, and collaboration to support underserved populations, including rural and tribal communities.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Variation in Elder Abuse State Statutes by State Level of Rurality
Examines elements of state-level elder abuse statutes' definitions and reporting requirements. Discusses potential differences in these policies by state rurality that could influence the understanding of elder abuse among rural and urban areas. Features statistics including types of abuse and reporting laws, and most common types of mandatory reporter categories, with breakdowns by three levels of rurality.
Author(s): Alexis Swendener, Alyssa Fritz, Marti DeLiema, Carrie Henning-Smith
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines elements of state-level elder abuse statutes' definitions and reporting requirements. Discusses potential differences in these policies by state rurality that could influence the understanding of elder abuse among rural and urban areas. Features statistics including types of abuse and reporting laws, and most common types of mandatory reporter categories, with breakdowns by three levels of rurality.
Author(s): Alexis Swendener, Alyssa Fritz, Marti DeLiema, Carrie Henning-Smith
Date: 12/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association
Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
Type: Document
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Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
Type: Document
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Center for Medicare and Medicaid Innovation: 2024 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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