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Rural Health
Resources by Topic: Policy

State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Type: Document
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Student Loan Programs Authorized by the Public Health Service Act: An Overview
Provides an overview of student loan programs for health profession students authorized by the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA). Describes borrower eligibility requirements, loan terms and conditions, and administrative rules. Includes a table comparing the programs by borrower type, repayment terms, the number of participating schools, and the number and financial amount of outstanding loans.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Oversight Hearing: Business Meeting to consider S. 421, S. 789 & Oversight Hearing "Build Back Better: Water Infrastructure Needs for Native Communities"
Recording of an oversight hearing of the Senate Committee on Indian Affairs to discuss the Western Tribal Water Infrastructure Act of 2021 and hear testimony on its potential effect on the health and wellness of native communities. Features testimonies by representatives of the Confederated Tribes of Warm Springs, the Colorado River Indian Tribes, Alaska Native Tribal Health Consortium, and Navajo Department of Water Resources.
Additional links: Amelia Flores Testimony, Jason John Testimony, Raymond Tsumpti Testimony, Valerie Nurr'Araaluk Davidson Testimony
Date: 03/2021
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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COVID-19 Response: Broadband Funding for Tribes, Tribal Colleges and Universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service
Identifies indirect and direct broadband funding for American Indian tribes, tribal colleges and universities, the Bureau of Indian Affairs, the Bureau of Indian Education, and the Indian Health Service authorized in the Coronavirus Aid, Relief, and Economic Security Act; Consolidated Appropriations Act, 2021; and American Rescue Plan Act of 2021.
Date: 03/2021
Type: Document
Sponsoring organization: Congressional Research Service
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COVID-19: Sustained Federal Action Is Crucial as Pandemic Enters Its Second Year
Discusses the federal government's response to the COVID-19 pandemic. Provides an overview of federal actions on healthcare and economic policy areas through March 10, 2021, including data on vaccine administration and COVID-19 relief spending. Offers 28 new recommendations to federal agencies regarding public health, the economy, and program integrity that would improve the federal response.
Additional links: Full Report
Date: 03/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Determining Rural Communities: Current Changes and Updated Federal Program Eligibility
Presentation slides from a March 11, 2021, webinar discussing the various definitions of rural used by the federal government. Provides an overview of revisions to the eligibility for grant programs administered by the Federal Office of Rural Health Policy (FORHP), as well as a proposal from the U.S. Census Bureau to reclassify certain counties as rural. Describes implications for FORHP funding programs.
Date: 03/2021
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Organization of State Offices of Rural Health
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Update to Rural Health Clinic (RHC) Payment Limits
Provides an overview of the updates to Rural Health Clinic (RHC) payment limits per visit beginning April 1, 2021, through 2028.
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing the Maternal Health Crisis
Documentation of a March 23, 2021, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies hearing on maternal health disparities. Discusses causes and possible policy options to reduce these disparities.
Date: 03/2021
Type: Website
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Which Hospitals Could Be Financially Affected by a Public Option?
Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Type: Document
Sponsoring organization: Urban Institute
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