Rural Health
Resources by Topic: Policy
Opioid Treatment Programs: A Key Treatment System Component
Issue brief examining state and federal-level policies related to opioid treatment programs (OTPs). Offers policy recommendations to increase access to opioid treatment in rural communities and other hard-to-reach settings.
Date: 07/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Issue brief examining state and federal-level policies related to opioid treatment programs (OTPs). Offers policy recommendations to increase access to opioid treatment in rural communities and other hard-to-reach settings.
Date: 07/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Access to Affordable Care in Rural America: Current Trends and Key Challenges
Describes geographic and demographic challenges that contribute to healthcare access and health disparities in rural areas. Covers patterns of insurance coverage between rural and urban areas, healthcare provider shortages, and rural hospital vulnerability and closures. Discusses programs and services supported by the U.S. Department of Health and Human Services (HHS) to reduce barriers to care in rural communities, including telehealth, healthcare workforce programs, and Rural Health Clinics and Community Health Centers.
Author(s): Gina Turrini, D.Keith Branham, Lucy Chen, et al.
Date: 07/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Describes geographic and demographic challenges that contribute to healthcare access and health disparities in rural areas. Covers patterns of insurance coverage between rural and urban areas, healthcare provider shortages, and rural hospital vulnerability and closures. Discusses programs and services supported by the U.S. Department of Health and Human Services (HHS) to reduce barriers to care in rural communities, including telehealth, healthcare workforce programs, and Rural Health Clinics and Community Health Centers.
Author(s): Gina Turrini, D.Keith Branham, Lucy Chen, et al.
Date: 07/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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How Many Hospitals Might Convert to a Rural Emergency Hospital (REH)?
Results of a study to predict the number of rural hospitals with 50 beds or fewer that are likely to consider conversion to Rural Emergency Hospital designation under the Medicare program. Features statistics on number and percent of complete closures and converted closures between 2011-2020 among hospitals with 50 beds or fewer, and open hospitals as of 2019-2020, with breakdowns by financial measures, operational measures, Medicare payment type, and census division.
Author(s): George H. Pink, Kristie W. Thompson, H. Ann Howard, G. Mark Holmes
Date: 07/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a study to predict the number of rural hospitals with 50 beds or fewer that are likely to consider conversion to Rural Emergency Hospital designation under the Medicare program. Features statistics on number and percent of complete closures and converted closures between 2011-2020 among hospitals with 50 beds or fewer, and open hospitals as of 2019-2020, with breakdowns by financial measures, operational measures, Medicare payment type, and census division.
Author(s): George H. Pink, Kristie W. Thompson, H. Ann Howard, G. Mark Holmes
Date: 07/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Type: Document
Sponsoring organization: Congressional Research Service
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COVID-19 Vaccination Plan for the Veterans Health Administration
Guidance on the VA's vaccination program, which provides vaccinations for veterans and VA staff. Covers storage and handling, safety monitoring, reporting, education, and communication. Addresses risk stratification approaches to identify those at highest risk, including rural and minority veterans. Appendix P provides detailed information on planned outreach to rural veterans.
Date: 07/2021
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Guidance on the VA's vaccination program, which provides vaccinations for veterans and VA staff. Covers storage and handling, safety monitoring, reporting, education, and communication. Addresses risk stratification approaches to identify those at highest risk, including rural and minority veterans. Appendix P provides detailed information on planned outreach to rural veterans.
Date: 07/2021
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Nevada State Plan for Aging, 2021-2024
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Let's Talk About Mitigation Video
Recording of a June 29, 2021, webinar providing technical assistance regarding the Rural Health Clinic (RHC) COVID-19 Testing and Mitigation Funding program. Discusses reporting requirements and how program funds can be used. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a June 29, 2021, webinar providing technical assistance regarding the Rural Health Clinic (RHC) COVID-19 Testing and Mitigation Funding program. Discusses reporting requirements and how program funds can be used. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recommendations on Strengthening Mental Health Care in Rural Minnesota
Presents policy and practice recommendations from Minnesota's Rural Health Advisory Committee (RHAC) Rural Mental Health Workgroup to improve access to mental healthcare for rural communities. Discusses challenges in accessing mental healthcare services in rural Minnesota.
Date: 06/2021
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Presents policy and practice recommendations from Minnesota's Rural Health Advisory Committee (RHAC) Rural Mental Health Workgroup to improve access to mental healthcare for rural communities. Discusses challenges in accessing mental healthcare services in rural Minnesota.
Date: 06/2021
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2022
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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