Rural Health
Resources by Topic: Policy
Health Resources and Services Administration (HRSA): Maternal Health Programs
Provides an overview of five maternal health programs administered by the Health Resources and Services Administration (HRSA). Describes the core activities or focus areas, applicant eligibility, reporting requirements and performance measures, and funding history for each program. Features the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program, a pilot program that aims to improve access to maternity and obstetrics services in rural areas.
Date: 03/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of five maternal health programs administered by the Health Resources and Services Administration (HRSA). Describes the core activities or focus areas, applicant eligibility, reporting requirements and performance measures, and funding history for each program. Features the Rural Maternity and Obstetrics Management Strategies (RMOMS) Program, a pilot program that aims to improve access to maternity and obstetrics services in rural areas.
Date: 03/2020
Type: Document
Sponsoring organization: Congressional Research Service
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The Effects of Medicaid Expansion under the ACA: Studies from January 2014 to January 2020
Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Type: Document
Sponsoring organization: KFF
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Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Type: Document
Sponsoring organization: KFF
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Recruiting and Retaining Behavioral Health Workers in Rural America: A Toolkit for Action
Explores successful tactics and programs, and elements missing from many current efforts to recruit and retain behavioral health workers. Describes funding opportunities, pipeline programs, telehealth initiatives, innovative approaches to recruitment and retention, and legislative changes in 2019 that helped promote recruitment and retention.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organizations: Center for Health and Research Transformation, University of Michigan Behavioral Health Workforce Research Center
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Explores successful tactics and programs, and elements missing from many current efforts to recruit and retain behavioral health workers. Describes funding opportunities, pipeline programs, telehealth initiatives, innovative approaches to recruitment and retention, and legislative changes in 2019 that helped promote recruitment and retention.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organizations: Center for Health and Research Transformation, University of Michigan Behavioral Health Workforce Research Center
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The Behavioral Health Workforce in Rural America: Developing a National Recruitment Strategy
Describes successful strategies to recruit and retain behavioral health workers in rural areas, based on phone interviews with state-level experts in rural health and behavioral health. Explores financial incentives, education and training programs, telehealth, licensure or scope of practice changes, innovative state approaches, and policy considerations.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organization: Center for Health and Research Transformation
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Describes successful strategies to recruit and retain behavioral health workers in rural areas, based on phone interviews with state-level experts in rural health and behavioral health. Explores financial incentives, education and training programs, telehealth, licensure or scope of practice changes, innovative state approaches, and policy considerations.
Author(s): Nancy Baum, Jaque King
Date: 02/2020
Type: Document
Sponsoring organization: Center for Health and Research Transformation
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Healthcare from Anywhere: Telehealth Use and Perceptions in Rural Michigan
Examines the current state of telehealth services in rural Michigan. Discusses state and local policies related to access to telehealth services, perceptions of telehealth services, and how these services are used by physicians. Identifies barriers rural Michigan healthcare providers and residents face in utilizing telehealth services. Presents recommendations that would increase access to telehealth services for rural Michigan residents. Includes an overview of the telehealth policy environment of all 50 states, with a focus on states with moderate or progressive telehealth policy environments.
Date: 02/2020
Type: Document
Sponsoring organizations: AARP, Connected Nation, Michigan Health Endowment
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Examines the current state of telehealth services in rural Michigan. Discusses state and local policies related to access to telehealth services, perceptions of telehealth services, and how these services are used by physicians. Identifies barriers rural Michigan healthcare providers and residents face in utilizing telehealth services. Presents recommendations that would increase access to telehealth services for rural Michigan residents. Includes an overview of the telehealth policy environment of all 50 states, with a focus on states with moderate or progressive telehealth policy environments.
Date: 02/2020
Type: Document
Sponsoring organizations: AARP, Connected Nation, Michigan Health Endowment
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Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Implementing Policy, Systems, and Environmental Change Through Community Coalitions and Extension Partnerships to Address Obesity in Rural Louisiana
Program evaluation brief describing obesity prevention programs implemented by community coalitions in 3 rural parishes with obesity rates of 40% or higher. Examines implications for public health.
Author(s): Denise Holston, Jessica Stroope, Melissa Cater, Michelle Kendall, Stephanie Broyles
Citation: Preventing Chronic Disease, 17
Date: 02/2020
Type: Document
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Program evaluation brief describing obesity prevention programs implemented by community coalitions in 3 rural parishes with obesity rates of 40% or higher. Examines implications for public health.
Author(s): Denise Holston, Jessica Stroope, Melissa Cater, Michelle Kendall, Stephanie Broyles
Citation: Preventing Chronic Disease, 17
Date: 02/2020
Type: Document
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Type: Document
Sponsoring organization: KFF
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Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Type: Document
Sponsoring organization: KFF
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VA Health Care: Veterans' Use of Long-Term Care Is Increasing, and VA Faces Challenges in Meeting the Demand
Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Type: Document
Sponsoring organization: LeadingAge
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Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Type: Document
Sponsoring organization: LeadingAge
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