Rural Health
Resources by Topic: Policy
Metropolitan Statistical Areas: New Standards and Their Impact on Selected Federal Programs
Describes the Office of Management and Budget's revised standards for defining metropolitan areas, and the impact these changes will have on federally funded programs that use the OMB's definition to determine program eligibility. The programs addressed are the Community Development Block Grant program, Locality Pay Program for General Schedule Employees, Medicare Hospital Reimbursement System and Ryan White CARE Act Program.
Additional links: Full Report
Date: 06/2004
Sponsoring organization: Government Accountability Office
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Describes the Office of Management and Budget's revised standards for defining metropolitan areas, and the impact these changes will have on federally funded programs that use the OMB's definition to determine program eligibility. The programs addressed are the Community Development Block Grant program, Locality Pay Program for General Schedule Employees, Medicare Hospital Reimbursement System and Ryan White CARE Act Program.
Additional links: Full Report
Date: 06/2004
Sponsoring organization: Government Accountability Office
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Highway Safety: Federal and State Efforts to Address Rural Road Safety Challenges
Identifies the factors contributing to rural road fatalities. Discusses federal and state efforts to improve safety and the challenges to making improvements in rural road safety.
Additional links: Full Report
Date: 05/2004
Sponsoring organization: Government Accountability Office
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Identifies the factors contributing to rural road fatalities. Discusses federal and state efforts to improve safety and the challenges to making improvements in rural road safety.
Additional links: Full Report
Date: 05/2004
Sponsoring organization: Government Accountability Office
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The 2004 Report to the Secretary: Rural Health and Human Service Issues
Report to the Secretary of the U.S. Department of Health and Human Services. Overview of key issues and trends affecting health and human service delivery in rural communities. Detailed information on the integration of behavioral health and primary care, access to oral health care, and aging-related services.
Date: 04/2004
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Report to the Secretary of the U.S. Department of Health and Human Services. Overview of key issues and trends affecting health and human service delivery in rural communities. Detailed information on the integration of behavioral health and primary care, access to oral health care, and aging-related services.
Date: 04/2004
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Hospitals' Strategies for Achieving Compliance with HIPAA Privacy Requirements
Discusses a survey of hospital administrators in rural areas regarding the Health Insurance Portability and Accountability Act (HIPAA). Includes an overview of HIPAA compliance efforts in rural hospitals, as well as examples of specific strategies to meet HIPAA requirements.
Date: 03/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Discusses a survey of hospital administrators in rural areas regarding the Health Insurance Portability and Accountability Act (HIPAA). Includes an overview of HIPAA compliance efforts in rural hospitals, as well as examples of specific strategies to meet HIPAA requirements.
Date: 03/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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MedPAC Report to the Congress: Medicare Payment Policy, 2004
Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Home Health: Payments to Freestanding Home Health Agencies More Than Covered Their Costs
Discusses an evaluation of Medicare payments to freestanding home health agencies (HHAs). Includes comparison of Medicare margins for urban and rural HHAs.
Additional links: Full Report
Date: 02/2004
Sponsoring organization: Government Accountability Office
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Discusses an evaluation of Medicare payments to freestanding home health agencies (HHAs). Includes comparison of Medicare margins for urban and rural HHAs.
Additional links: Full Report
Date: 02/2004
Sponsoring organization: Government Accountability Office
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Legal and Historical Roots of Health Care for American Indians and Alaska Natives in the United States
Discusses the history of healthcare provision to American Indians and Alaska Natives (AI/AN). Includes a timeline of legislative and historical events as well as detailed overview of the laws, federal agencies, and issues involved. Also includes a brief section on more recent issues in AI/AN healthcare.
Author(s): Brett Lee Shelton
Date: 02/2004
Sponsoring organization: KFF
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Discusses the history of healthcare provision to American Indians and Alaska Natives (AI/AN). Includes a timeline of legislative and historical events as well as detailed overview of the laws, federal agencies, and issues involved. Also includes a brief section on more recent issues in AI/AN healthcare.
Author(s): Brett Lee Shelton
Date: 02/2004
Sponsoring organization: KFF
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Rural Health Disparities, Population Health, and Rural Culture
Commentary discussing the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Recommends branching out from the traditional focus of rural health policy and research on access to healthcare services toward initiatives that are based on models of population health. Identifies the risky health behaviors among rural populations that suggest a "rural culture" health determinant. Suggests that there may be environmental and cultural factors unique to towns or regions that affect health behavior and health.
Author(s): David Hartley
Citation: American Journal of Public Health, 94(10), 1675-1678
Date: 2004
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Commentary discussing the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Recommends branching out from the traditional focus of rural health policy and research on access to healthcare services toward initiatives that are based on models of population health. Identifies the risky health behaviors among rural populations that suggest a "rural culture" health determinant. Suggests that there may be environmental and cultural factors unique to towns or regions that affect health behavior and health.
Author(s): David Hartley
Citation: American Journal of Public Health, 94(10), 1675-1678
Date: 2004
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
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Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
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Rural-Urban Issues in the Wage Index Adjustment for Prospective Payment in Skilled Nursing Facilities
Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Sponsoring organization: North Carolina Rural Health Research Program
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