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Rural Health
Resources by Topic: Policy

Medicare and Telehealth: Coverage and Use During the COVID-19 Pandemic and Options for the Future
Provides an overview of changes made to Medicare's coverage of telehealth during the COVID-19 pandemic. Explores Medicare beneficiaries' use of telehealth in summer and fall 2020, and presents data by beneficiary age, race and ethnicity, dual-eligibility, presence and type of chronic conditions, and metropolitan status. Examines issues and questions regarding telehealth coverage beyond the COVID-19 public health emergency.
Author(s): Wyatt Koma, Juliette Cubanski, Tricia Neuman
Date: 05/2021
Type: Document
Sponsoring organization: KFF
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AHA Future of Rural Health Care Task Force: Final Recommendations
Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Type: Document
Sponsoring organization: American Hospital Association
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5G Fund for Rural America
Provides an overview of Federal Communications Commission (FCC) efforts to expand universal service to include telecommunications and high-speed internet services. Describes the 5G Fund, how data will be collected, how funds will be awarded, and the two phases of the program.
Date: 05/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Health Equity and COVID-19: The Impact of Rural Residence on COVID-19 Disparities
Policy brief discussing rural health disparities, social determinants of health, access to care, and COVID-19 impacts in rural Georgia. Compares rural and urban COVID-19 case and death rates, distribution of cases by race, and disparities in Black and Hispanic rural counties. Offers policy recommendations to address disparities.
Date: 05/2021
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Health Equity Assessment Guide
Offers guidance to community partners in their efforts to advance health equity for populations impacted by racial and unconscious bias in rural communities. Identifies strategies and actions focused on collaborative decision-making, capacity and skill-building, and resident engagement in community health activities.
Date: 04/2021
Type: Document
Sponsoring organization: Partnership for Southern Equity
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Law and Policy Pathways to Addressing Rising Youth Suicide Rates
Provides information on how to prevent death by suicide in vulnerable populations, such as rural, indigenous, and LGBTQ youth. Includes evidence-based suicide prevention strategies and ways to engage communities in prevention efforts.
Author(s): April Shaw
Date: 04/2021
Type: Document
Sponsoring organization: Network for Public Health Law
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Caring for American Indian and Alaska Native Children and Adolescents
Examines the influence of historical trauma and health inequities on the socioeconomic and health status of AI/AN youth. Discusses the disproportionate mental and cardiovascular health needs, and disease processes of AI/AN youth. Identifies strategies for culturally sensitive care to lessen morbidity, and makes policy recommendations supporting institutional and system changes for improving health outcomes.
Author(s): Bell. S., Deen, J.F., Fuentes, M., Moore, K.
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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