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Rural Health
Resources by Topic: Policy

MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2018
Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Opioid Crisis: Leadership and Innovation in the States
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on state policy approaches to combating the opioid crisis. Features testimony from the governors of Maryland and Oregon detailing the opioid interventions implemented in their states.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Identifying a Core Set of Rural-Relevant Measures for Hospital and Ambulatory Settings
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 Rural Health Workgroup, a public-private partnership of healthcare stakeholders. First in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 02/2018
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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The Opioid Crisis: The Role of Technology and Data in Preventing and Treating Addiction
Highlights the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the use of data and technology interventions in combating the opioid epidemic. Features testimony from representatives of Express Scripts, the National Alliance for Model State Drug Laws, the Santa Clara University Public Health Program, and the University of Illinois at Chicago.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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The Opioid Crisis: Impact on Children and Families
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis's effect on children and families. Features testimony from representatives of the 525 Foundation, Casey Family Programs, and Vanderbilt University Medical Center.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Creating a Culture of Health in Rural West Virginia: State Rural Health Plan 2018-2022
Presents a state plan representing the vision and goals for the health and well-being of people in rural West Virginia as identified by healthcare advocates within the state. Key health conditions and health indicators are discussed, including behavioral health, cardiovascular disease, lung disease, obesity, and social determinants of health. Priorities to support positive change are focused on improvements in the following areas: access to healthcare, health outcomes, workforce development, and community engagement.
Date: 01/2018
Type: Document
Sponsoring organizations: West Virginia Bureau for Public Health, West Virginia Department of Health and Human Resources, West Virginia State Office of Rural Health
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
Describes a study on Electronic Health Record (EHR) use in ambulatory care practices. Analyzes data by rural versus urban location, practice size, practice type, and other factors. Presents county-level data.
Author(s): Juliet Rumball-Smith, Paul Shekelle, Cheryl L. Damberg
Citation: The American Journal of Managed Care, 24(1), 26-31
Date: 01/2018
Type: Document
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Distance and Networks: A Regional Analysis of Health Insurance Marketplaces
Examines whether Rating Area design and network adequacy standards have contributed to the level of success of Health Insurance Marketplaces (HIMs) in rural areas in terms of enrollment and affordability. Uses 2015-2016 data from 15 Midwestern states, on participation, premiums, and enrollment success.
Author(s): Abigail R. Barker, Alena R. Wheeler, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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