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Rural Health
Resources by Topic: Policy

The Status of Telemedicine in Missouri
Provides background information on rural healthcare issues in Missouri and discusses the value of using telehealth to improve rural healthcare access. Discusses policy recommendations such as broadband access and details about eligibility and payment requirements for telemedicine.
Author(s): Dave Dillon, Jim Mikes
Date: 08/2017
Type: Document
Sponsoring organization: Missouri Hospital Association
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Rural/Urban Analysis on Individual Insurance Market Topics
Presents data on enrollment rates in the Federally-Facilitated Marketplace (FFM) in rural and urban areas by income. Compares the average number of off-market issuers and on-market issuers in both rural and urban counties.
Author(s): Abigail R. Barker, Timothy D. McBride, Kelsey A. Huntzberry, Keith J. Mueller
Date: 08/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Building an Adequate VA Care Network: Evaluating the Impact of Choice Providers
Discusses the impact of Veterans Affairs (VA) Choice providers on VA network adequacy. Focuses primarily on the impact of Choice providers located in areas of low VA network adequacy, such as rural areas and/or healthcare shortage areas.
Author(s): Evan Carey
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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An Emerging Approach to Payment Reform: All-Payer Global Budgets for Large Safety-Net Hospital Systems
Examines the possibility of implementing global all-payer budgets in safety-net hospital systems throughout the U.S. Provides background on the all-payer model, and discusses the experiences of rural hospitals in Maryland and Pennsylvania, where current global budgeting demonstrations are ongoing.
Author(s): Joshua M. Sharfstein, Sule Gerovich, Elizabeth Moriarty, David Chin
Date: 08/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report
Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Heartache, Pain, and Hope: Rural Communities, Older People, and the Opioid Crisis: An Introduction for Funders
Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Type: Document
Sponsoring organization: Grantmakers In Aging
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Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Bringing Change for Rural COPD Patients: Possibilities with the COPD National Action Plan
Highlights the mounting costs of chronic obstructive pulmonary disease (COPD), the substantial impact the disease has on rural communities, and the growing divide between COPD-related rural and urban mortality rates. The recently released COPD National Action Plan (CNAP) is set to bring COPD into the spotlight as a national health concern, and rural America will likely play a major role.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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