Rural Health
Resources by Topic: Policy
Behavioral Health Integration into Primary Care: A Microsimulation of Financial Implications for Practices
Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
Type: Document
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Evaluates the financial impact of integrating behavioral health services into primary care practices by simulating data using Medicare payments. Compares the potential impact for Federally Qualified Health Centers (FQHCs), rural versus urban non-FQHCs in high-poverty areas, and practices in lower-poverty areas. Addresses the costs and revenues for two types of behavioral health integration, the collaborative care model (CoCM) and the primary care behaviorist model (PCBM).
Citation: Journal of General Internal Medicine, 32(12), 1330-1341
Date: 12/2017
Type: Document
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Examining Substance Use Disorder Treatment Demand and Provider Capacity in a Changing Health Care System: Final Report
Assesses demand and capacity for substance use disorder treatment, with comparisons between years 2013 and 2016. Features statistics including numbers of clients, staff hours, percentage of facilities offering pharmacotherapies and accepting various insurance types, and distribution of specialty treatments, with breakdowns by urban and rural locations.
Additional links: In Focus Brief, May 2018
Author(s): Ellen Bouchery
Date: 12/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Assesses demand and capacity for substance use disorder treatment, with comparisons between years 2013 and 2016. Features statistics including numbers of clients, staff hours, percentage of facilities offering pharmacotherapies and accepting various insurance types, and distribution of specialty treatments, with breakdowns by urban and rural locations.
Additional links: In Focus Brief, May 2018
Author(s): Ellen Bouchery
Date: 12/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Addressing Health Inequities in New Mexico: The Role of the New Mexico Public Health Institute
Examines contributors to rural/urban and racial health disparities in New Mexico and identifies priorities for addressing them. Discusses demographics, socioeconomic factors, infrastructure, health disparities, and the physical environment. Reports on current population health efforts and identifies gaps.
Author(s): Renee T. Despres
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Innovation
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Examines contributors to rural/urban and racial health disparities in New Mexico and identifies priorities for addressing them. Discusses demographics, socioeconomic factors, infrastructure, health disparities, and the physical environment. Reports on current population health efforts and identifies gaps.
Author(s): Renee T. Despres
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Innovation
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Getting to Healthcare Value: Redirecting the Policy Debate Toward Lower Costs and Better Quality
Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Suicide Clusters Within American Indian and Alaska Native Communities: A Review of the Literature and Recommendations
Analyzes suicide clusters within American Indian and Alaska Native (AI/AN) populations to develop recommendations to prevent and address suicide clusters within AI/AN communities. Discusses risk, developmental, and protective factors influencing likelihood that individuals will consider, attempt, or complete suicide.
Date: 12/2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Analyzes suicide clusters within American Indian and Alaska Native (AI/AN) populations to develop recommendations to prevent and address suicide clusters within AI/AN communities. Discusses risk, developmental, and protective factors influencing likelihood that individuals will consider, attempt, or complete suicide.
Date: 12/2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Vermont Hub-and-Spoke Model of Care for Opioid Use Disorders: An Evaluation
Details an evaluation of Vermont's hub-and-spoke model of medication-assisted treatment (MAT) for opioid addiction. Discusses the system's successes and areas that need focus and improvement.
Additional links: Summary Brief
Author(s): Richard A. Rawson
Date: 12/2017
Type: Document
Sponsoring organization: Vermont Center on Behavior & Health
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Details an evaluation of Vermont's hub-and-spoke model of medication-assisted treatment (MAT) for opioid addiction. Discusses the system's successes and areas that need focus and improvement.
Additional links: Summary Brief
Author(s): Richard A. Rawson
Date: 12/2017
Type: Document
Sponsoring organization: Vermont Center on Behavior & Health
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Evolution of Private Plans in Medicare
Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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