Rural Health
Resources by Topic: Policy
Do State Comprehensive Planning Statutes Address Physical Activity?: Implications for Rural Communities
Study examining state comprehensive plans related to physical activity with a focus on predominantly rural states and jurisdictions based on state statutory laws. Analyzes the rates at which physical activity, land use, parks and recreation, and other planning items were addressed in state statutes, offering a map of state-level rurality, population-conditional rules for planning, and physical activity-related plan elements.
Author(s): Lisa M. Charron, Chloe Milstein, Samantha I. Moyers, Christiaan G. Abildso, Jamie F. Chriqui
Citation: International Journal of Environmental Research and Public Health, 18(22), 12190
Date: 11/2021
Type: Document
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Study examining state comprehensive plans related to physical activity with a focus on predominantly rural states and jurisdictions based on state statutory laws. Analyzes the rates at which physical activity, land use, parks and recreation, and other planning items were addressed in state statutes, offering a map of state-level rurality, population-conditional rules for planning, and physical activity-related plan elements.
Author(s): Lisa M. Charron, Chloe Milstein, Samantha I. Moyers, Christiaan G. Abildso, Jamie F. Chriqui
Citation: International Journal of Environmental Research and Public Health, 18(22), 12190
Date: 11/2021
Type: Document
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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Rural Telehealth and Healthcare System Readiness Measurement Framework: Final Report
Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 11/2021
Type: Document
Sponsoring organization: National Quality Forum
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Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 11/2021
Type: Document
Sponsoring organization: National Quality Forum
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NIH Rural Health Seminar: Structural-Level Determinants of Rural Health Disparities
Recording of a seminar that examines structural-level determinants of rural health disparities, including sociocultural and economic determinants, physical environmental determinants, and research, evaluation, measurement, and policy methods and implications.
Additional links: Seminar Agenda, Speaker Biographies
Date: 11/2021
Type: Video/Multimedia
Sponsoring organizations: National Institute on Minority Health and Health Disparities, National Institutes of Health
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Recording of a seminar that examines structural-level determinants of rural health disparities, including sociocultural and economic determinants, physical environmental determinants, and research, evaluation, measurement, and policy methods and implications.
Additional links: Seminar Agenda, Speaker Biographies
Date: 11/2021
Type: Video/Multimedia
Sponsoring organizations: National Institute on Minority Health and Health Disparities, National Institutes of Health
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Network Adequacy for Behavioral Health: Existing Standards and Considerations for Designing Standards
Summarizes findings from a technical expert panel and an environmental scan to examine federal and state network adequacy standards for behavioral health across Medicare Advantage, Medicaid managed care, and commercial insurance. Presents considerations and principles for designing, monitoring, and enforcing additional behavioral health network adequacy standards.
Author(s): Katharine Bradley, Allison Wishon, Alexandra C. Donnelly, Amanda Lechner
Date: 11/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from a technical expert panel and an environmental scan to examine federal and state network adequacy standards for behavioral health across Medicare Advantage, Medicaid managed care, and commercial insurance. Presents considerations and principles for designing, monitoring, and enforcing additional behavioral health network adequacy standards.
Author(s): Katharine Bradley, Allison Wishon, Alexandra C. Donnelly, Amanda Lechner
Date: 11/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Infrastructure Investment and Jobs Act: Funding for USDA Rural Broadband Programs
Provides an overview of funding included in the Infrastructure Investment and Jobs Act (P.L. 117-58) for two rural broadband-related programs: the ReConnect Program and the Rural Broadband Program. Compares administrative provisions and requirements for the ReConnect Program with requirements for previous rounds of funding.
Date: 11/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of funding included in the Infrastructure Investment and Jobs Act (P.L. 117-58) for two rural broadband-related programs: the ReConnect Program and the Rural Broadband Program. Compares administrative provisions and requirements for the ReConnect Program with requirements for previous rounds of funding.
Date: 11/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 and the Rural Opioid Epidemic: Recommendations to Improve Health in Illinois
Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Policies for Reducing Maternal Morbidity and Mortality and Enhancing Equity in Maternal Health: A Review of the Evidence
Examines maternal health in relation to social determinants of health (SDOH), addressing disparities for Black, rural, veteran, and incarcerated mothers. Highlights environmental and healthcare issues, as well as strategies to improve maternal health outcomes through workforce initiatives, data collection, and policy changes.
Author(s): Jodie G. Katon, Daniel A. Enquobahrie, Kate Jacobsen, Laurie Zephyrin
Date: 11/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines maternal health in relation to social determinants of health (SDOH), addressing disparities for Black, rural, veteran, and incarcerated mothers. Highlights environmental and healthcare issues, as well as strategies to improve maternal health outcomes through workforce initiatives, data collection, and policy changes.
Author(s): Jodie G. Katon, Daniel A. Enquobahrie, Kate Jacobsen, Laurie Zephyrin
Date: 11/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Medicare: Information on the Transition to Alternative Payment Models by Providers in Rural, Health Professional Shortage, or Underserved Areas
Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Type: Document
Sponsoring organization: Government Accountability Office
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