Rural Health
Resources by Topic: Policy
Taskforce on Telehealth Policy (TTP) Findings and Recommendations
Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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Report from the Taskforce on Telehealth Policy (TTP) examining the rapid expansion of telehealth use during the COVID-19 pandemic and possible permanent shifts in telehealth policy. Offers findings and policy recommendations related to patient safety, program integrity, data flow and care coordination, quality measurement, cost of care, and overarching issues.
Date: 09/2020
Sponsoring organizations: Alliance for Connected Care, ATA, National Committee for Quality Assurance
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COVID-19: Federal Efforts Could Be Strengthened by Timely and Concerted Actions
Examines key actions the federal government has taken to address the COVID-19 pandemic. Identifies lessons learned and issues that require continued attention by federal policymakers. Details recommendations to prepare for and improve the ongoing federal response.
Additional links: Full Report
Date: 09/2020
Sponsoring organization: Government Accountability Office
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Examines key actions the federal government has taken to address the COVID-19 pandemic. Identifies lessons learned and issues that require continued attention by federal policymakers. Details recommendations to prepare for and improve the ongoing federal response.
Additional links: Full Report
Date: 09/2020
Sponsoring organization: Government Accountability Office
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Evaluation of the Accountable Care Organization Investment Model: Final Report
Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Timing of State and Territorial COVID-19 Stay-at-Home Orders and Changes in Population Movement — United States, March 1–May 31, 2020
Reports on changes in population movement relative to COVID-19 stay-at-home orders issued from March 1 through May 31, 2020, based on anonymized location data from mobile devices. Includes data by county urban-rural classification using Rural-Urban Continuum Codes.
Additional links: Supplementary Table: Sample Size by Date of Stay-at-Home Order and Rural-Urban Strata
Author(s): Amanda Moreland, Christine Herlihy, Michael A. Tynan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(35), 1198-1203
Date: 09/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on changes in population movement relative to COVID-19 stay-at-home orders issued from March 1 through May 31, 2020, based on anonymized location data from mobile devices. Includes data by county urban-rural classification using Rural-Urban Continuum Codes.
Additional links: Supplementary Table: Sample Size by Date of Stay-at-Home Order and Rural-Urban Strata
Author(s): Amanda Moreland, Christine Herlihy, Michael A. Tynan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(35), 1198-1203
Date: 09/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Action Plan
Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Sponsoring organization: U.S. Department of Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2021
Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19 Testing - What RHCs Are Doing For Their Communities
Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 27, 2020, webinar discussing the efforts of three rural health clinics (RHCs) to provide COVID-19 testing services using COVID-19 funding in rural communities of South-Central Idaho, Michigan's Upper Peninsula and Northern Wisconsin, and Eastern North Carolina. Covers the challenges related to the availability of COVID-18 testing instruments and test kits, testing capacity and turnaround time, the provision of treatment for patients with COVID-19, and the RHC data collection requirement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2020
Sponsoring organization: National Association of Rural Health Clinics
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What is Rural?
Provides an overview of the different ways the federal government describes areas as rural. Discusses confusion that can arise from multiple definitions of rural areas. Compares how different urban-rural designations classify each county in South Carolina.
Author(s): Samantha Renaud, Kevin Bennett
Date: 08/2020
Sponsoring organization: South Carolina Center for Rural and Primary Healthcare
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Provides an overview of the different ways the federal government describes areas as rural. Discusses confusion that can arise from multiple definitions of rural areas. Compares how different urban-rural designations classify each county in South Carolina.
Author(s): Samantha Renaud, Kevin Bennett
Date: 08/2020
Sponsoring organization: South Carolina Center for Rural and Primary Healthcare
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Policy Goals to Improve Behavioral Health Needs of Individuals, Employers and Communities in Rural New Mexico
Report examining behavioral health workforce needs and the growing older adult population in rural New Mexico. Presents data analysis, survey results, and group discussion with stakeholders in Grant, Socorro, Sierra, Valencia, and Catron counties. Offers policy recommendations related to training and certification of behavioral healthcare workers.
Author(s): Susan Wilger, Anne Hayes Egan, Alexis Brandt, Micaela Imar de la Rosa
Date: 08/2020
Sponsoring organization: Center for Health Innovation
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Report examining behavioral health workforce needs and the growing older adult population in rural New Mexico. Presents data analysis, survey results, and group discussion with stakeholders in Grant, Socorro, Sierra, Valencia, and Catron counties. Offers policy recommendations related to training and certification of behavioral healthcare workers.
Author(s): Susan Wilger, Anne Hayes Egan, Alexis Brandt, Micaela Imar de la Rosa
Date: 08/2020
Sponsoring organization: Center for Health Innovation
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