Rural Health
Resources by Topic: Policy
Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care
Provides an in-depth discussion regarding rural and urban adults under the age of 65 and their perceptions of the affordability of health insurance coverage and health services prior to the passage of the Affordable Care Act (ACA).
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Sponsoring organization: Maine Rural Health Research Center
view details
Provides an in-depth discussion regarding rural and urban adults under the age of 65 and their perceptions of the affordability of health insurance coverage and health services prior to the passage of the Affordable Care Act (ACA).
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Sponsoring organization: Maine Rural Health Research Center
view details
Which Rural and Urban Hospitals Have Received Readmission Penalties Over Time?
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Mental Health and Substance Use Disorders in America: Priorities, Challenges, and Opportunities
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on mental health and substance abuse challenges in the U.S. Includes testimonies from the Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and National Institute of Mental Health regarding the federal government's role, how well their programs are working, obstacles, and recommendations. Additional link to HRSA administrator's testimony highlights efforts focused on rural areas.
Additional links: Jim Macrae Testimony
Date: 10/2015
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
view details
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on mental health and substance abuse challenges in the U.S. Includes testimonies from the Substance Abuse and Mental Health Services Administration, Health Resources and Services Administration, and National Institute of Mental Health regarding the federal government's role, how well their programs are working, obstacles, and recommendations. Additional link to HRSA administrator's testimony highlights efforts focused on rural areas.
Additional links: Jim Macrae Testimony
Date: 10/2015
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
view details
Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
view details
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
view details
Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance abuse.
Author(s): Bradley D. Stein, Rosalie Liccardo Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
view details
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance abuse.
Author(s): Bradley D. Stein, Rosalie Liccardo Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
view details
NRHA Rural Proofing Tool
Policy paper describing the process of rural proofing in policy development, strategic planning, and implementation. This structured approach ensures that government policy and legislation recognizes the unique needs of healthcare in rural communities.
Author(s): David Schmitz, Elizabeth Johnsen
Date: 09/2015
Sponsoring organization: National Rural Health Association
view details
Policy paper describing the process of rural proofing in policy development, strategic planning, and implementation. This structured approach ensures that government policy and legislation recognizes the unique needs of healthcare in rural communities.
Author(s): David Schmitz, Elizabeth Johnsen
Date: 09/2015
Sponsoring organization: National Rural Health Association
view details
Performance Measurement for Rural Low-Volume Providers: Final Report
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
view details
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
view details
Overcoming Obstacles to Health Care: Transportation Models that Work
Describes effective patient-centered transportation models, provides guidance on advancing healthcare access, and addresses transportation barriers among people living in rural areas, children and the elderly, and low-income populations. Identifies recommendations and strategies that may influence state and federal transportation polices.
Date: 09/2015
Sponsoring organization: Health Outreach Partners
view details
Describes effective patient-centered transportation models, provides guidance on advancing healthcare access, and addresses transportation barriers among people living in rural areas, children and the elderly, and low-income populations. Identifies recommendations and strategies that may influence state and federal transportation polices.
Date: 09/2015
Sponsoring organization: Health Outreach Partners
view details
Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
view details
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
view details
What Do the Medicare and Medicaid Programs Mean to Rural Health?
On the 50th anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Citation: Rural Monitor
Date: 07/2015
Sponsoring organization: Rural Health Information Hub
view details
On the 50th anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Citation: Rural Monitor
Date: 07/2015
Sponsoring organization: Rural Health Information Hub
view details