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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

How Affordable Are 2019 ACA Premiums for Middle-Income People?
Examines the cost of health insurance premiums for plans available through Affordable Care Act Exchanges and discusses the implications for rural areas. Includes an interactive map showing differences in insurance cost by county, income, and age.
Date: 03/2019
Sponsoring organization: KFF
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U.S. Public Health Response to the Measles Outbreak
Offers a testimony from the Centers for Disease Control and Prevention (CDC) Director of the National Center for Immunization and Respiratory Diseases as part of the February 27, 2019, U.S. House Energy and Commerce Subcommittee on Oversight and Investigations hearing titled "Confronting a Growing Public Health Threat: Measles Outbreaks in the U.S." Addresses vaccines; the outbreak of measles; U.S. immunization programs and policies; and challenges to preventing vaccine preventative diseases, including disparities in rural areas.
Author(s): Nancy Messonnier
Date: 02/2019
Sponsoring organization: House Committee on Energy and Commerce
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Behavioral Health: Research on Health Care Costs of Untreated Conditions is Limited
Report discusses the lack of sufficient research on the total cost healthcare when behavioral health services are inaccessible. Discusses some of the challenges to providing behavioral health access in rural areas.
Additional links: Full Report
Date: 02/2019
Sponsoring organization: Government Accountability Office
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2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Million HeartsĀ® Cardiovascular Disease Risk Reduction Model: First Annual Report
Evaluates the first year 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; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Case Studies of 6 Safety Net Organizations That Integrate Oral and Mental/Behavioral Health With Primary Care Services
Features an analysis of 6 Federally Qualified Health Centers (FQHCs) integrating oral health and behavioral health with primary care across the country. Features one rural example.
Additional links: Policy Brief
Author(s): M. Langelier, S. Surdu, N. Goodwin
Date: 02/2019
Sponsoring organization: Oral Health Workforce Research Center
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Leveraging Private Capital For Underserved Communities and Individuals: A Look Into Community Development Financial Institutions (CDFIs)
Recording of a U.S. House hearing on the role of private community development financial institutions in rural and underserved communities. Addresses how they support economic development, health facility expansions, access to healthy foods, and more. Includes testimony from United Bank, Access to Capital for Entrepreneurs, the Center for Community Investment, and IFF. Transcript available in the video description.
Additional links: Annie Donovan Testimony, Joe Neri Testimony
Date: 02/2019
Sponsoring organization: House Committee on Appropriations
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Promoting Health and Cost Control in States: How States Can Improve Community Health & Well-Being Through Policy Change
Focuses on how states can support health at a population level through evidence-based policies and collaboration. Covers healthy and affordable housing, how to foster healthy behaviors, promoting healthy living through built environments, economic opportunities, and the connection between health and learning. Summarizes the evidence for each policy recommendation and offers case examples. Addresses rural throughout.
Date: 02/2019
Sponsoring organization: Trust for America's Health
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Training Tomorrow's Physicians: Recommendations for Expanding Graduate Medical Education Funding in California
Provides recommendations and action steps for expanding graduate medical education (GME) in California, including in rural and underserved areas. Supports creating a centralized state planning organization to coordinate GME efforts and reviews potential GME funding sources from federal, state, and private sources. Highlights successful examples from other states.
Date: 02/2019
Sponsoring organization: California Health Care Foundation
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