Rural Health
Resources by Topic: Policy
Demand for Broadband in Rural Areas: Implications for Universal Access
Reports on the characteristics of demand for fixed broadband among households and small businesses in rural areas and how they affect private sector infrastructure investments. Discusses the role of schools and libraries as providers of broadband service and training to rural residents, and how broadband enabled services, such as telemedicine, may encourage rural households and small businesses to adopt the technology. Highlights federal programs and policies that may increase or impede broadband demand, and offers options for the U.S. Congress to consider as it addresses rural broadband demand.
Date: 12/2019
Sponsoring organization: Congressional Research Service
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Reports on the characteristics of demand for fixed broadband among households and small businesses in rural areas and how they affect private sector infrastructure investments. Discusses the role of schools and libraries as providers of broadband service and training to rural residents, and how broadband enabled services, such as telemedicine, may encourage rural households and small businesses to adopt the technology. Highlights federal programs and policies that may increase or impede broadband demand, and offers options for the U.S. Congress to consider as it addresses rural broadband demand.
Date: 12/2019
Sponsoring organization: Congressional Research Service
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about chronic care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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It's Time to Connect Rural Health Equity with Community and Economic Development
Discusses research on the relationship of health equity with rural and economic development. Presents resources demonstrating innovative projects to help people in rural communities live healthy lives.
Author(s): Katharine Ferguson, Katrina Badger
Date: 11/2019
Sponsoring organization: Robert Wood Johnson Foundation
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Discusses research on the relationship of health equity with rural and economic development. Presents resources demonstrating innovative projects to help people in rural communities live healthy lives.
Author(s): Katharine Ferguson, Katrina Badger
Date: 11/2019
Sponsoring organization: Robert Wood Johnson Foundation
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Second Annual Report
Evaluates the first two years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; short- and long-term impacts on beneficiaries; and the potential mechanisms that may explain observed impacts.
Author(s): Greg Peterson, Linda Barterian, Keith Kranker, et al.
Date: 11/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluates the first two years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; short- and long-term impacts on beneficiaries; and the potential mechanisms that may explain observed impacts.
Author(s): Greg Peterson, Linda Barterian, Keith Kranker, et al.
Date: 11/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Oversight Hearing on "Recognizing the Sacrifice: Honoring a Nation's Promise to Native Veterans" & Legislative Hearing to Receive Testimony on S. 1001 & S. 2365
Presents the Senate Committee on Indian Affairs oversight hearing on the Tribal Veterans Health Care Enhancement Act and the Health Care Access for Urban Native Veterans Act. Features testimony from representatives from the U.S. Department of Veterans Affairs, the Mandan, Hidatsa, and Arikara Nation, and the Fort Peck Assiniboine and Sioux Tribes.
Date: 11/2019
Sponsoring organization: Senate Committee on Indian Affairs
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Presents the Senate Committee on Indian Affairs oversight hearing on the Tribal Veterans Health Care Enhancement Act and the Health Care Access for Urban Native Veterans Act. Features testimony from representatives from the U.S. Department of Veterans Affairs, the Mandan, Hidatsa, and Arikara Nation, and the Fort Peck Assiniboine and Sioux Tribes.
Date: 11/2019
Sponsoring organization: Senate Committee on Indian Affairs
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Reviewing the Broken Promises Report: Examining the Chronic Federal Funding Shortfalls in Indian Country
Video recording and testimony from a November 19, 2019 House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States hearing focused on the U.S. Commission on Human Rights report Broken Promises: Continuing Federal Funding Shortfall for Native Americans, which evaluated federal spending on Native American programs.
Additional links: GAO Testimony
Date: 11/2019
Sponsoring organization: House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States
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Video recording and testimony from a November 19, 2019 House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States hearing focused on the U.S. Commission on Human Rights report Broken Promises: Continuing Federal Funding Shortfall for Native Americans, which evaluated federal spending on Native American programs.
Additional links: GAO Testimony
Date: 11/2019
Sponsoring organization: House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Promoting Maternal Health in Rural and Underserved Areas
Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Sponsoring organization: Mercatus Center, George Mason University
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Examines reasons for the rural obstetrical care crisis and discusses how public policy and technological innovation can improve healthcare quality and access in rural America. Includes sections on scope-of-practice restrictions and policy barriers to telemedicine's broad implementation.
Author(s): Darcy Nikol Bryan
Date: 10/2019
Sponsoring organization: Mercatus Center, George Mason University
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Strategic Options for the Modernization of the Indian Health Service Health Information Technology: Final Report
Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary
Date: 10/2019
Sponsoring organization: U.S. Department of Health and Human Services
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Identifies recommended approaches and next steps for modernizing the Indian Health Service use of health information technology (HIT). Addresses the needs of both patients and the health workforce that will use the system, as well as governance and a variety of technological issues. Lists constraints to HIT modernization along with proposed mitigations for those constraints.
Additional links: Roadmap: Executive Summary
Date: 10/2019
Sponsoring organization: U.S. Department of Health and Human Services
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