This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Family Medicine Graduate Proximity to Their Site of Training: Policy Options for Improving the Distribution of Primary Care Access
Assesses the geographic relationship between graduate practice location and family medicine graduate medical education training sites. Results show an uneven geographic distribution between urban and rural primary care physicians. Report also states that family physicians are more likely to work in rural areas.
Author(s): Ernest Blake Fagan, Claire Gibbons, Sean C. Finnegan, et al.
Citation: Family Medicine, 47(2), 124-130
Date: 02/2015
view details
Choice and Affordability in the ACA's Health Insurance Exchanges
Investigates how geographic boundaries of health insurance marketplaces, made available by the Affordable Care Act, affect availability and prices of plans for individuals living in rural areas.
Author(s): Michael Dickstein
Date: 02/2015
Sponsoring organization: Stanford Institute for Economic Policy Research
view details
Testimony of the National Indian Health Board Oversight Hearing on Indian Country Priorities for the 114th Congress
Includes the testimony from the National Indian Health Board presented at a January 28th, 2015 Senate Committee on Indian Affairs hearing concerning the top Indian health priorities for the 114th Congress.
Date: 01/2015
Sponsoring organization: National Indian Health Board
view details
Indian Health Service: A Quick Look
Briefly explains the mission, goals, and foundation of the Indian Health Service and its relationship with American Indian Tribes and Alaska Native corporations.
Date: 01/2015
Sponsoring organization: Indian Health Service
view details
Financially Fragile Rural Hospitals: Mergers and Closures
Highlights a national trend of financial stress on rural hospitals that have led to facility and service closures and mergers in recent years. Discusses the causes of the financial stress, including the implementation of the Affordable Care Act, the lack of Medicaid expansion in some states, and operational challenges in transitioning to value-based care.
Author(s): Mark Holmes
Citation: North Carolina Medical Journal, 76(1), 37-40
Date: 01/2015
view details
CPC Practice Spotlights
A collection of short features on primary care practices that participated in the CMS Comprehensive Primary Care (CPC) initiative, a multi-payer initiative that offered population-based care management fees and shared savings opportunities to participating practices. Includes examples of practices serving rural areas.
Date: 01/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
LSC Agricultural Worker Population Estimate Update
Identifies the population of agricultural workers and their dependents, and provides an estimate of the size and distribution of this population to be used as a basis for allocating resources supported by federal programs targeting farmworkers, including health and human services programs.
Date: 01/2015
Sponsoring organization: Legal Services Corporation
view details
International Classification of Disease: CMS's Efforts to Prepare for the New Version of the Disease and Procedure Codes
Review of the efforts undertaken by the Centers for Medicare and Medicaid Services (CMS) to prepare for the transition to the 10th revision of the International Classification of Diseases (ICD-10) codes. Evaluates the materials developed and activities undertaken by CMS to help providers' transition and describes concerns of stakeholder organizations, including rural-specific considerations.
Additional links: Full Report
Date: 01/2015
Sponsoring organization: Government Accountability Office
view details
Tapping Nurse Practitioners to Meet Rising Demand for Primary Care
Discusses the use of advanced practice nurses, specifically nurse practitioners, to increase access to primary care for those residing in Health Professional Shortage Areas. Reports that nurse practitioners working in primary care are more likely than primary care physicians to work in rural areas. Suggests that the use of nurse practitioners and physician assistants could help reduce the primary care provider shortage in 2020 by two-thirds.
Author(s): Amanda Van Vleet, Julia Paradise
Date: 01/2015
Sponsoring organization: KFF
view details
The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
view details