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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care
Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improving Efficiency and Preserving Access to Emergency Care in Rural Areas
Slides that provide background on rural hospital payment policy and strategies to preserve access to emergency care in rural areas. Discusses existing payment models and benefits and drawbacks of different models.
Author(s): Jeff Stensland, Zach Gaumer
Date: 04/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Adverse Childhood Experiences in Rural and Urban Contexts
Reports on a study analyzing the prevalence of rural individual adverse childhood experiences (ACEs), the level of exposure to ACEs in rural regions, and the rural-urban differences of exposure to ACEs by adults using data from the Behavioral Risk Factor Surveillance System (BRFSS).
Author(s): Jean Talbot, Donald Szlosek, Erika C. Ziller
Date: 04/2016
Sponsoring organization: Maine Rural Health Research Center
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Rural Communities in Crisis: Strategies to Address the Opioid Crisis
Policy brief describing the effects of the opioid and heroin crisis in rural areas. Covers challenges to rural healthcare organizations combating this issue, and identifies and discusses policy recommendations for addressing the opioid and heroin crisis in rural communities and in rural healthcare systems.
Author(s): John A. Gale, Dave Schmitz, Michael Meit, et al.
Date: 04/2016
Sponsoring organization: National Rural Health Association
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Compacts of Free Association: Issues Associated with Implementation in Palau, Micronesia, and the Marshall Islands
Examines potential impact of proposed legislation approving the 2010 Palau agreement, which would provide financial assistance for education and health services through 2024. Summarizes and updates reports issued from 2007-2013.
Additional links: Full Report
Date: 04/2016
Sponsoring organization: Government Accountability Office
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10 Strategies for Rural North Carolina's Future
Includes strategies for stabilizing and transforming healthcare in rural North Carolina, by facilitating transition to accountable care communities, strengthening efforts to reduce drug addiction, stabilizing health system revenue, and supporting establishment of a state chapter of the National Rural Health Association.
Date: 04/2016
Sponsoring organization: North Carolina Rural Center
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Process Evaluation of the Older Americans Act Title III-E National Family Caregiver Support Program: Final Report
Reports on an evaluation of the National Family Caregiving Support Program and how it is helping people age in their own homes and communities. Includes a literature review on informal caregiving, a description of the evaluation methodology, and evaluation results. Covers the extent of, impact of, and supports for informal caregiving, as well as special issues such as caring for those with dementia and mental illness. Discusses the policies in place and includes data breakdowns for rural and frontier areas.
Date: 03/2016
Sponsoring organizations: Administration for Community Living, Lewin Group
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report
Second annual evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Discusses common experiences across projects and profiles each project. Includes 2 rural-focused projects and 7 additional projects that included services to rural areas.
Date: 03/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final
Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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