Rural Health
Resources by Topic: Policy
The Impacts of New York's Balance Billing Regulation on Ground Ambulance Pricing
Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Farm Bill Primer: Rural Development Title
Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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The National Health Service Corps
Provides an overview of the National Health Service Corps (NHSC) program, including the federal scholarship and loan repayment components, and explains how the program affects rural recruitment and retention. Highlights changes in FY2018 focusing on opioid and substance use disorder treatment providers, as well as the provision of funding to expand the number of scholarship and loan repayment awards through the American Rescue Plan Act of 2021.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the National Health Service Corps (NHSC) program, including the federal scholarship and loan repayment components, and explains how the program affects rural recruitment and retention. Highlights changes in FY2018 focusing on opioid and substance use disorder treatment providers, as well as the provision of funding to expand the number of scholarship and loan repayment awards through the American Rescue Plan Act of 2021.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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National Health Service Corps Site Reference Guide
Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Delivering Medications for Opioid Use Disorder in Primary Care: Environmental Scan
Report provides a literature review and interviews with key informants to outline the opioid use disorder (OUD) treatment environment and make policy recommendations. Discusses how changes to regulations have affected access to medications for opioid use disorder (MOUD), how the opioid use environment has changed, and what models and evidence-based tools exist to facilitate OUD treatment, among other issues.
Author(s): Collette Sosnowy, Danielle Durant, Garrett Moran, et al.
Date: 03/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Report provides a literature review and interviews with key informants to outline the opioid use disorder (OUD) treatment environment and make policy recommendations. Discusses how changes to regulations have affected access to medications for opioid use disorder (MOUD), how the opioid use environment has changed, and what models and evidence-based tools exist to facilitate OUD treatment, among other issues.
Author(s): Collette Sosnowy, Danielle Durant, Garrett Moran, et al.
Date: 03/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Ready or Not 2025: Protecting the Public's Health from Diseases, Disasters, and Bioterrorism
Report explores the readiness of state public health systems to respond to emergencies, such as diseases, disasters, and bioterrorism. Focuses on measures such as hospital safety scores, vaccination rates, and water system maintenance, among others. Includes rural considerations throughout.
Author(s): Matt McKillop, Rhea K. Farberman, Dara Alpert Lieberman
Date: 03/2025
Sponsoring organization: Trust for America's Health
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Report explores the readiness of state public health systems to respond to emergencies, such as diseases, disasters, and bioterrorism. Focuses on measures such as hospital safety scores, vaccination rates, and water system maintenance, among others. Includes rural considerations throughout.
Author(s): Matt McKillop, Rhea K. Farberman, Dara Alpert Lieberman
Date: 03/2025
Sponsoring organization: Trust for America's Health
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Rural Workforce Recruitment and Retention Factors
Policy brief discussing non-institutional factors that influence rural healthcare workforce recruitment and retention. Offers policy recommendations to address economic stability, the built environment, social and community contexts, and education access to bolster the rural healthcare workforce.
Author(s): Bryan Weichelt, Kasey DeLynn Shakespear, Tianna Fallgatter
Date: 03/2025
Sponsoring organization: National Rural Health Association
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Policy brief discussing non-institutional factors that influence rural healthcare workforce recruitment and retention. Offers policy recommendations to address economic stability, the built environment, social and community contexts, and education access to bolster the rural healthcare workforce.
Author(s): Bryan Weichelt, Kasey DeLynn Shakespear, Tianna Fallgatter
Date: 03/2025
Sponsoring organization: National Rural Health Association
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5 Key Facts About Medicaid and Hospitals
Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Expanding Your Reach: Planning Your Rural Non-Congregate Summer Meal Service
A recorded webinar that discusses strategies to maximize the impact of non-congregate meal service in rural areas. Includes information on regulations, tools to locate suitable rural areas, operational considerations, program models, and more. Transcript available below description.
Additional links: Slide Deck
Date: 03/2025
Sponsoring organization: No Kid Hungry
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A recorded webinar that discusses strategies to maximize the impact of non-congregate meal service in rural areas. Includes information on regulations, tools to locate suitable rural areas, operational considerations, program models, and more. Transcript available below description.
Additional links: Slide Deck
Date: 03/2025
Sponsoring organization: No Kid Hungry
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