Rural Health
Resources by Topic: Policy
Applying AI to Rural Health, with Jordan Berg
An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Jordan Berg, Principal Investigator for the National Telehealth Technology Assessment Resource Center. Focuses on applications of AI in rural healthcare, as well as how patient information in an AI system is safeguarded.
Date: 08/2024
Sponsoring organization: Rural Health Information Hub
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Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Sponsoring organization: Government Accountability Office
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDCs), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDCs), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Expanding America's Bandwidth: Gaps in Rural and Underserved Communities
Discusses the availability of broadband, devices, and digital skills and their impact on communities. Describes barriers to connectivity among rural and underserved communities and the federal funding programs designated for infrastructure development and internet adoption.
Date: 07/2024
Sponsoring organization: Board of Governors of the Federal Reserve System
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Discusses the availability of broadband, devices, and digital skills and their impact on communities. Describes barriers to connectivity among rural and underserved communities and the federal funding programs designated for infrastructure development and internet adoption.
Date: 07/2024
Sponsoring organization: Board of Governors of the Federal Reserve System
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Innovative State Strategies for Rural Broadband: Case Studies from Colorado, Minnesota and Maine
Explores the roles of state broadband policy, local leadership, and private investment in expanding broadband coverage and infrastructure in rural areas. Presents case studies from Colorado, Maine, and Minnesota and describes how rural recipients leverage state and federal broadband funds, navigate financial and regulatory constraints, and develop innovative place-based solutions. Identifies unique challenges, lessons learned, and implications for broadband policy.
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 07/2024
Sponsoring organization: Cornell University
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Explores the roles of state broadband policy, local leadership, and private investment in expanding broadband coverage and infrastructure in rural areas. Presents case studies from Colorado, Maine, and Minnesota and describes how rural recipients leverage state and federal broadband funds, navigate financial and regulatory constraints, and develop innovative place-based solutions. Identifies unique challenges, lessons learned, and implications for broadband policy.
Author(s): Natassia A. Bravo, Mildred E. Warner
Date: 07/2024
Sponsoring organization: Cornell University
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Adverse Childhood Experiences: Health Care Utilization And Expenditures In Adulthood
Uses 2021 Medical Expenditure Panel Survey-Household Component data to estimate healthcare utilization and expenditures for adults with and without adverse childhood experiences (ACEs) in addition to various health conditions and behaviors. Exhibit 1 includes prevalence and relative risk of various demographic and geographic factors by number of ACEs. Discusses policy implications of study findings.
Author(s): Thomas M. Selden, Didem M. Bernard, Sandra L. Decker, Zhengyi Fang
Citation: Health Affairs, 43(8)
Date: 07/2024
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Uses 2021 Medical Expenditure Panel Survey-Household Component data to estimate healthcare utilization and expenditures for adults with and without adverse childhood experiences (ACEs) in addition to various health conditions and behaviors. Exhibit 1 includes prevalence and relative risk of various demographic and geographic factors by number of ACEs. Discusses policy implications of study findings.
Author(s): Thomas M. Selden, Didem M. Bernard, Sandra L. Decker, Zhengyi Fang
Citation: Health Affairs, 43(8)
Date: 07/2024
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The Future of Acute Hospital Care at Home
Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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HHS Finalizes Section 1557 Nondiscrimination Rule - Impacts for RHCs
Recording of a July 15, 2024, webinar discussing the May 2024 U.S. Department of Health and Human Services final rule, Nondiscrimination in Health Programs and Activities. Highlights sections of the rule most important to Rural Health Clinics (RHCs) and timelines for compliance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up
Date: 07/2024
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 15, 2024, webinar discussing the May 2024 U.S. Department of Health and Human Services final rule, Nondiscrimination in Health Programs and Activities. Highlights sections of the rule most important to Rural Health Clinics (RHCs) and timelines for compliance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up
Date: 07/2024
Sponsoring organization: National Association of Rural Health Clinics
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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