Rural Health
Resources by Topic: Policy
Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association
Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
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Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
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Center for Medicare and Medicaid Innovation: 2024 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Texas Value-Based Payment and Quality Improvement Advisory Committee Recommendations to the 89th Texas Legislature
Identifies trends and provides policy recommendations related to value based care and quality improvement in Texas. Discusses rural healthcare access and workforce throughout and highlights key reports focusing on rural health.
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Identifies trends and provides policy recommendations related to value based care and quality improvement in Texas. Discusses rural healthcare access and workforce throughout and highlights key reports focusing on rural health.
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Domestic Violence in American Indian and Alaska Native Populations: A New Framework for Policy Change and Addressing the Structural Determinants of Health
Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
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Discusses the issue of domestic violence (DV) in American Indian/Alaska Native (AI/AN) communities. Analyzes historical structural determinants that impact DV, as well as how policy and funding can help prevent DV.
Author(s): Tassy Parker, Allyson Kelley, Lee Redeye, Marcello A. Maviglia
Citation: The Lancet Regional Health - Americas, 40
Date: 12/2024
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Impact of the Affordable Care Act on Access to Accredited Facilities for Cancer Treatment
Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research, 59(6)
Date: 12/2024
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Examines access to cancer care at accredited hospitals in Pennsylvania due to expanded coverage under the Affordable Care Act (ACA). Analyzes patient characteristics before and after ACA implementation, with breakdowns according to sex, age, race/ethnicity, area deprivation, and urban, large town, small town, or rural location, among other characteristics. Provides commentary on ACA impacts for patients in nonurban areas.
Author(s): Lindsay M. Sabik, Youngmin Kwon, Coleman Drake, et al.
Citation: Health Services Research, 59(6)
Date: 12/2024
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Farm Bill Primer: Rural Broadband Provisions
Highlights selected rural broadband programs and provisions included in the 2018 Farm Bill, including the Rural Broadband Program, Community Connect Grant Program, and Distance Learning and Telemedicine Program. Outlines considerations for Congress related to the ReConnect Program, rural health challenges, and expanding broadband to support increased telework opportunities.
Date: 12/2024
Sponsoring organization: Congressional Research Service
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Highlights selected rural broadband programs and provisions included in the 2018 Farm Bill, including the Rural Broadband Program, Community Connect Grant Program, and Distance Learning and Telemedicine Program. Outlines considerations for Congress related to the ReConnect Program, rural health challenges, and expanding broadband to support increased telework opportunities.
Date: 12/2024
Sponsoring organization: Congressional Research Service
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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: 12/2024
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: 12/2024
Sponsoring organization: Congressional Research Service
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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