Rural Health
Resources by Topic: Policy
MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Care Redesign Survey: Lessons Learned from and for Rural Health
Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Citation: NEJM Catalyst
Date: 10/2018
Type: Document
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Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Citation: NEJM Catalyst
Date: 10/2018
Type: Document
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
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Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
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Key Informant Perspectives on Rural Social Isolation and Loneliness
Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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EITC Continues to Reach Families in Poor Places
Briefly discusses the role of the Earned Income Tax Credit (EITC) in helping low-income workers. Includes maps showing county-level information on EITC filers, with Map 1 identifying high child poverty counties and Map 2 identifying nonmetropolitan counties.
Additional links: Map 2: Nonmetropolitan Counties
Author(s): Andrew Schaefer, Beth Mattingly, Kennedy Nickerson , Jessica Carson
Date: 10/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Briefly discusses the role of the Earned Income Tax Credit (EITC) in helping low-income workers. Includes maps showing county-level information on EITC filers, with Map 1 identifying high child poverty counties and Map 2 identifying nonmetropolitan counties.
Additional links: Map 2: Nonmetropolitan Counties
Author(s): Andrew Schaefer, Beth Mattingly, Kennedy Nickerson , Jessica Carson
Date: 10/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Type: Document
Sponsoring organization: KFF
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Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Type: Document
Sponsoring organization: KFF
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Opioid Prescribing Rates by Congressional Districts, United States, 2016
Details a study on opioid prescribing rates by U.S. congressional districts. Compares congressional district rates with state-level rates and highlights rates among White populations, in rural areas, specific regions, and by other variables.
Author(s): Lyndsey A. Rolheiser, Jack Cordes, S.V. Subramanian
Citation: American Journal of Public Health, 108(9), 1214–1219
Date: 09/2018
Type: Document
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Details a study on opioid prescribing rates by U.S. congressional districts. Compares congressional district rates with state-level rates and highlights rates among White populations, in rural areas, specific regions, and by other variables.
Author(s): Lyndsey A. Rolheiser, Jack Cordes, S.V. Subramanian
Citation: American Journal of Public Health, 108(9), 1214–1219
Date: 09/2018
Type: Document
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