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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare 3 LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Sponsoring organization: Center for Health Care Strategies
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State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Leveraging Quality Measurement to Improve Rural Health, Telehealth, and Healthcare System Readiness: Final Environmental Scan Report
Presents the results of an environmental scan of literature related to barriers and facilitators of rural telehealth for healthcare system readiness, as well as a scan of quality measures relevant to rural telehealth during emergencies. Summarizes policies and practices related to telehealth and the healthcare system, with a focus on federal policy changes due to the COVID-19 pandemic.
Date: 07/2021
Sponsoring organization: National Quality Forum
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Evolving Roles of Rural Hospitals: Evidence from Pandemic Experiences
Slides presented at the 2021 Southern Legislative Conference annual meeting. Presents data on the spread of COVID-19 in rural communities over time and compares confirmed COVID-19 cases and COVID-19 deaths in urban and rural counties in the southern states. Highlights how state policies can invest in and support rural hospitals.
Date: 07/2021
Sponsoring organization: Rural Policy Research Institute
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COVID-19: Continued Attention Needed to Enhance Federal Preparedness, Response, Service Delivery, and Program Integrity
Discusses the federal government's response to the COVID-19 pandemic. Provides an overview of federal actions on healthcare and economic policy areas through mid-June 2021, including data on vaccine administration and COVID-19 relief spending. Offers 15 new recommendations to federal agencies regarding public health, the economy, and program integrity that would improve the federal response.
Additional links: Full Report
Date: 07/2021
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: Pew
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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
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
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
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
Sponsoring organization: U.S. Department of Veterans Affairs
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