Rural Health
Resources by Topic: Policy
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 number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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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 number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
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
Sponsoring organization: Arizona Public Health Association
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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
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
Sponsoring organization: National Rural Health Association
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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
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
Sponsoring organization: National Rural Health Association
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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
Sponsoring organization: National Rural Health Association
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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
Sponsoring organization: National Rural Health Association
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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
Sponsoring organization: National Rural Health Association
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Health Care's Role in Rural Economic Development: Addressing Health Workforce Needs
Policy brief exploring how rural healthcare can impact local economic and community development. Offers recommended policies and actions to support rural workforce development and community development.
Author(s): Nicole Carritt
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Policy brief exploring how rural healthcare can impact local economic and community development. Offers recommended policies and actions to support rural workforce development and community development.
Author(s): Nicole Carritt
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Retaining Rural Health Care Professionals: Strategies to Reduce Burnout
Policy position paper regarding burnout among health professionals. Provides an overview of burnout among healthcare professionals and offers policy recommendations to support healthcare providers locally and positively impact the recruitment and retention of these providers.
Author(s): Victoria Reid, Michael Seward, Thad Shunkwiler
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding burnout among health professionals. Provides an overview of burnout among healthcare professionals and offers policy recommendations to support healthcare providers locally and positively impact the recruitment and retention of these providers.
Author(s): Victoria Reid, Michael Seward, Thad Shunkwiler
Date: 02/2023
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
Sponsoring organization: National Rural Health Association
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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
Sponsoring organization: National Rural Health Association
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Modernizing Payment to Critical Access Hospitals: A Proposal for the Next Iteration of the Flex Program
Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
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Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
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Obesity Prevention and Treatment in Rural America Through Changes in Diet and Food Availability
Policy position paper regarding obesity prevention and treatment through rural-specific programming and equitable coverage. Offers policy recommendations to address obesity among rural populations.
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Policy position paper regarding obesity prevention and treatment through rural-specific programming and equitable coverage. Offers policy recommendations to address obesity among rural populations.
Date: 02/2023
Sponsoring organization: National Rural Health Association
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