Rural Health
Resources by Topic: Policy
Pain in the Nation 2024: The Epidemics of Alcohol, Drug, and Suicide Deaths
Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Brandon Reavis
Date: 07/2024
Sponsoring organization: Trust for America's Health
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Report focuses on alcohol, drug, and mortality statistics and trends, with a special feature on polysubstance use and drug overdose issues. Includes data on substance use and mortality, with U.S. maps showing overdose and suicide rates, breakdowns according to metro versus nonmetro location, and state-by-state statistical trends. Provides policy recommendations to address substance use and offers examples from rural areas.
Author(s): Molly Warren, Brandon Reavis
Date: 07/2024
Sponsoring organization: Trust for America's Health
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Tribal Food Security: Opportunities Exist to Address Challenges in Federal Nutrition Programs
Explores issues related to tribal food security and whether federal nutrition programs meet tribal communities' needs. Describes American Indian/Alaska Native food insecurity rates and the food security challenges of tribal communities. Examines the extent to which select federal nutrition programs address tribal communities' needs and tribes' roles in administering these programs. Offers recommendations to Congress and the U.S. Department of Agriculture regarding the administration of the program and additional flexibilities to support tribes and states.
Additional links: Full Report
Date: 07/2024
Sponsoring organization: Government Accountability Office
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Explores issues related to tribal food security and whether federal nutrition programs meet tribal communities' needs. Describes American Indian/Alaska Native food insecurity rates and the food security challenges of tribal communities. Examines the extent to which select federal nutrition programs address tribal communities' needs and tribes' roles in administering these programs. Offers recommendations to Congress and the U.S. Department of Agriculture regarding the administration of the program and additional flexibilities to support tribes and states.
Additional links: Full Report
Date: 07/2024
Sponsoring organization: Government Accountability Office
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Transformation of the Clinical Trial Enterprise: Lessons Learned from the COVID-19 Pandemic
Summarizes findings from a literature review and expert interviews regarding the impacts of the COVID-19 pandemic on clinical trials. Explores ways that clinical trials that continued during the pandemic mitigated disruptions and lessons learned. Includes discussions regarding how decentralized clinical trials and digital health technologies reduce barriers for residents of underserved areas to enroll and participate in clinical trials.
Date: 07/2024
Sponsoring organizations: Co-Bio Consulting, HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from a literature review and expert interviews regarding the impacts of the COVID-19 pandemic on clinical trials. Explores ways that clinical trials that continued during the pandemic mitigated disruptions and lessons learned. Includes discussions regarding how decentralized clinical trials and digital health technologies reduce barriers for residents of underserved areas to enroll and participate in clinical trials.
Date: 07/2024
Sponsoring organizations: Co-Bio Consulting, HHS Office of the Assistant Secretary for Planning and Evaluation
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The Low-Volume Hospital Adjustment Before and During COVID-19
Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Building Resilience: How Recent Federal Policy Is Laying the Groundwork for Improved Climate Adaptation
Examines the intersection of public health, climate change, and equity and details federal policy that focuses on climate adaptation and resilience strategies for underserved, rural, and/or tribal communities. Provides resources and collaborative opportunities for public health departments to address climate change issues in their local areas. Includes data on global surface temperature by year and state-by-state infrastructure funding to improve environmental health.
Date: 07/2024
Sponsoring organization: Trust for America's Health
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Examines the intersection of public health, climate change, and equity and details federal policy that focuses on climate adaptation and resilience strategies for underserved, rural, and/or tribal communities. Provides resources and collaborative opportunities for public health departments to address climate change issues in their local areas. Includes data on global surface temperature by year and state-by-state infrastructure funding to improve environmental health.
Date: 07/2024
Sponsoring organization: Trust for America's Health
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Why Primary Care Practitioners Aren't Joining Value-Based Payment Models: Reasons and Potential Solutions
Explores reasons why primary care providers do not participate in value-based payment models. Presents findings from focus group and key informant interviews with primary care providers and primary care member organizations. Covers financial, workforce, and administrative burden-related challenges, and outlines potential solutions. Includes a discussion of financial challenges small and rural independent practices face in participating in value-based payment models.
Author(s): Ann S. O'Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich
Date: 07/2024
Sponsoring organization: Commonwealth Fund
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Explores reasons why primary care providers do not participate in value-based payment models. Presents findings from focus group and key informant interviews with primary care providers and primary care member organizations. Covers financial, workforce, and administrative burden-related challenges, and outlines potential solutions. Includes a discussion of financial challenges small and rural independent practices face in participating in value-based payment models.
Author(s): Ann S. O'Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich
Date: 07/2024
Sponsoring organization: Commonwealth Fund
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Positioning Telehealth Policy to Ensure High-Quality, Cost-Effective Care
Presents policy recommendations and suggestions to guide policymakers when considering the future of telehealth. Analyzes peer-reviewed research; government reports; and findings from interviews with payers, providers, provider associations, federal agencies, consumer advocates, technology leaders, policy experts, and other stakeholders. Includes rural references and considerations throughout.
Author(s): Maya Sandalow, Julia Harris, Mikayla Curtis, Marilyn Werber Serafini
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations and suggestions to guide policymakers when considering the future of telehealth. Analyzes peer-reviewed research; government reports; and findings from interviews with payers, providers, provider associations, federal agencies, consumer advocates, technology leaders, policy experts, and other stakeholders. Includes rural references and considerations throughout.
Author(s): Maya Sandalow, Julia Harris, Mikayla Curtis, Marilyn Werber Serafini
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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How Payment Caps Can Reduce Hospital Prices and Spending: Lessons from the Oregon State Employee Plan
Report discusses how policy changes to state employee insurance plans affected healthcare costs in Oregon. Details Oregon's plan to place payment caps tied to Medicare reimbursement rates and exceptions for rural and Critical Access Hospitals.
Author(s): Roslyn C. Murray, Christopher M. Whaley, Erin C. Fuse Brown, Andrew M. Ryan
Date: 07/2024
Sponsoring organization: Milbank Memorial Fund
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Report discusses how policy changes to state employee insurance plans affected healthcare costs in Oregon. Details Oregon's plan to place payment caps tied to Medicare reimbursement rates and exceptions for rural and Critical Access Hospitals.
Author(s): Roslyn C. Murray, Christopher M. Whaley, Erin C. Fuse Brown, Andrew M. Ryan
Date: 07/2024
Sponsoring organization: Milbank Memorial Fund
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Estimated Impacts of Multiple Payment Policies on Rural-Serving Home Health Agencies
Describes the estimated impact of three major Medicare home health payment policy changes - implementation of the Patient-Driven Groupings Model (PDGM), revisions to rural add-on payments, and the demonstration and nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) model - on home health agency (HHA) reimbursement for Medicare beneficiaries. Compares the estimated impact of these payment policy changes by HHA rural-serving status, U. S. Census Division, profit status, quality rating, and episode volume.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, Davis G. Patterson
Date: 07/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the estimated impact of three major Medicare home health payment policy changes - implementation of the Patient-Driven Groupings Model (PDGM), revisions to rural add-on payments, and the demonstration and nationwide expansion of the Home Health Value-Based Purchasing (HHVBP) model - on home health agency (HHA) reimbursement for Medicare beneficiaries. Compares the estimated impact of these payment policy changes by HHA rural-serving status, U. S. Census Division, profit status, quality rating, and episode volume.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, Davis G. Patterson
Date: 07/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Community Paramedicine in Kansas: Policy Considerations for an Emerging Model of Care
Provides an overview of community paramedicine in Kansas, focusing on policies and practices that influence their sustainability. Includes examples of community paramedicine programs in other states and their impact on healthcare access in rural communities.
Author(s): Wyatt J. Beckman, Valentina Blanchard, Linda J. Sheppard
Date: 07/2024
Sponsoring organization: Kansas Health Institute
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Provides an overview of community paramedicine in Kansas, focusing on policies and practices that influence their sustainability. Includes examples of community paramedicine programs in other states and their impact on healthcare access in rural communities.
Author(s): Wyatt J. Beckman, Valentina Blanchard, Linda J. Sheppard
Date: 07/2024
Sponsoring organization: Kansas Health Institute
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