Rural Health
Resources by Topic: Policy
Better Data and Better Outcomes: Reducing Maternal Mortality in the U.S.
Provides the House Subcommittee on Health hearing recording and related documents on preventing maternal deaths. Addresses disparities in rural maternal mortality. Features testimonies from the American College of Obstetricians and Gynecologists, the National Birth Equity Collaborative, March of Dimes, and more.
Additional links: Joia Crear Perry Testimony, Stacey Stewart Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Provides the House Subcommittee on Health hearing recording and related documents on preventing maternal deaths. Addresses disparities in rural maternal mortality. Features testimonies from the American College of Obstetricians and Gynecologists, the National Birth Equity Collaborative, March of Dimes, and more.
Additional links: Joia Crear Perry Testimony, Stacey Stewart Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Hospital Mergers and Public Accountability: Tennessee and Virginia Employ a Certificate of Public Advantage
Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Examines how state officials can use the certificate of public advantage (COPA) to supervise hospital mergers to benefit the public, particularly in rural areas where mergers may be sought to address financial challenges. Focuses on a case study where officials in Tennessee and Virginia developed COPAs in response to a proposed rural hospital merger affecting both their states. Addresses the role of the states, their processes, and policy implications for other states.
Author(s): Erin C. Fuse Brown
Date: 09/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Date: 09/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Date: 09/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Health Care in Rural America: Examining Experiences and Costs
Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Nurse Practitioners: A Solution to America's Primary Care Crisis
Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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Indian Health Service: Considerations Related to Providing Advance Appropriation Authority
Examines the effects of budget uncertainty on Indian Health Service (IHS) funding and considerations that should be taken into account if IHS was given advance appropriation authority like the Department of Veterans Affairs (VA). Focuses on administrative impacts, provider recruitment and retention, and the financial effects for tribes.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the effects of budget uncertainty on Indian Health Service (IHS) funding and considerations that should be taken into account if IHS was given advance appropriation authority like the Department of Veterans Affairs (VA). Focuses on administrative impacts, provider recruitment and retention, and the financial effects for tribes.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examining Barriers to Expanding Innovative, Value-Based Care in Medicare
Presents the September 2018 U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Presents the September 2018 U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Broadband Internet: FCC's Data Overstate Access on Tribal Lands
Examines the Federal Communications Commission's (FCC) data collection methods to evaluate tribal broadband access in order to improve the accuracy of their efforts to fund underserved areas. Addresses scenarios that affect broadband access and offers three recommendations for the FCC.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the Federal Communications Commission's (FCC) data collection methods to evaluate tribal broadband access in order to improve the accuracy of their efforts to fund underserved areas. Addresses scenarios that affect broadband access and offers three recommendations for the FCC.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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California's Nurse Practitioners: How Scope of Practice Laws Impact Care
Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organizations: California Health Care Foundation, Healthforce Center at UCSF
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Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organizations: California Health Care Foundation, Healthforce Center at UCSF
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