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Rural Health
Resources by Topic: Policy

The Office of the National Coordinator for Health Information Technology (ONC)
Provides an overview of the Office of the National Coordinator for Health Information Technology (ONC) within the U.S. Department of Health and Human Services (HHS). Describes ONC focus areas, statutory authorities, funding, and select policy considerations.
Date: 03/2023
Type: Document
Sponsoring organization: Congressional Research Service
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VA Health Care: Improved Data, Planning, and Communication Needed for Infrastructure Modernization and Realignment
Describes the Asset and Infrastructure Review Commission and Department of Veterans Affairs (VA) recommendations to modernize and realign its infrastructure. Examines the data that the VA used to inform its recommendations, any plans that VA has to improve such data, and the extent of the VA's planning to modernize and realign its infrastructure. Discusses rural-specific recommendations and compares data on facility closure and service line change recommendations by rurality.
Additional links: Full Report
Date: 03/2023
Type: Document
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Gun Violence in Arizona: Data to Inform Prevention Policies
Provides information on firearm violence in Arizona, including mass and school shootings, suicides, homicides, injuries, police shootings, and more, with data broken down by demographics, county, and rural versus urban location. Discusses gun safety policies and prevention strategies.
Author(s): Julia Jackman, Allan N. Williams
Date: 03/2023
Type: Document
Sponsoring organization: Arizona Public Health Association
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Rural Track Program Funding: An Erosion in Definitions of Rural Places Requires New Action
Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Emergency Preparedness in Rural Communities
Policy position paper discussing emergency preparedness for rural communities. Covers fostering community involvement and a rural culture of readiness, communication, training of health professionals and community residents, community health workers, and research.
Author(s): Justin Kearley, Kate Hill, Joanie Perkins
Date: 03/2023
Type: Document
Sponsoring organization: National Rural Health Association
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NQF 2022 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
Summarizes the 2022 work of the National Quality Forum to measure healthcare quality. Includes a discussion on leveraging quality measures to improve rural health.
Date: 03/2023
Type: Document
Sponsoring organization: National Quality Forum
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Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Integrating Z Coding for Social Determinants of Health and Its Impact on Rural Areas
Policy brief discussing the potential impact of utilizing Z codes to capture important information on social determinants of health in rural areas barriers for identifying and reporting these codes in rural communities and healthcare settings. Offers recommendations for policies and actions to increase the use and effectiveness of Z codes, especially among rural, under-resourced health providers.
Author(s): Elizabeth Hall-Lipsy, Joseph Robare, Jeanne Edevold Larson
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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