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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of Its Community Care Programs
Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Sponsoring organization: Government Accountability Office
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National Quality Reporting Crosswalk for CAHs
Provides users with information about Critical Access Hospital (CAH) quality reporting initiatives occurring on a national level, including purpose, measures used, and any overlap in measures across initiatives.
Date: 05/2018
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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Telemedicine Reimbursement
Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Improving Rural Oral Healthcare Access
Policy position brief discussing the oral and systemic health connection and the dental workforce shortage. Highlights the need for interprofessional education and offers recommendations for improving access to rural oral healthcare.
Author(s): Joni Nelson, Jacob Thatcher, Joy Williams
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Demonstrations and Pilots: Rural Centric Transformation
Policy brief describing the need for an intentional increase in funding for rural centric innovation for demonstration projects and pilot programs. Analyzes current national policies and National Rural Health Association (NRHA) policy positions, and covers the need for rural specific demonstration project data. Includes policy recommendations.
Author(s): Kathy Whitmire, Sue Grafstrom, Erin Tanenbaum
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Addressing Health and Health Care Needs in the United States-Mexico Border Region
Policy position brief describing geography and demographics of the border region, population health and healthcare issues, factors contributing to the health crisis, public policy implications, and suggestions for addressing needs. Comprises Executive Summary and Full Report.
Author(s): Brian Lady, Carrie Henning-Smith, Susan Kunz
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Durable Medical Equipment Fee Schedule Adjustments to Resume the Transitional 50/50 Blended Rates to Provide Relief in Rural Areas and Non-Contiguous Areas
Summarizes the Government Accountability Office's (GAO) review of the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) rule on the Medicare Program durable medical equipment (DME) fee schedule adjustments to resume the transitional 50/50 blended rates providing relief in rural areas and non-contiguous areas.
Additional links: Full Report
Date: 05/2018
Sponsoring organization: Government Accountability Office
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MAP 2018: Recommendations for a Core Set of Rural-Relevant Measures for Hospitals and Selected Ambulatory Care Settings and Measuring and Improving Access to Care
Describes selection criteria and processes used to create a draft core set of measures, lists the measures, and describes measurement gap areas identified by the Measures Applications Partnership (MAP) Rural Health Workgroup, a public-private partnership of healthcare stakeholders. Second in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 05/2018
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Sponsoring organization: State Health & Value Strategies
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Sponsoring organization: National Academy for State Health Policy
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