Rural Health
Resources by Topic: Policy
Understanding CMS' Changes to Hospital Overall Star Ratings
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Supporting Dental Therapy through Title VII Training Programs: A Meaningful Strategy for Implementing Equitable Oral Health Care - Nineteenth Annual Report to the Secretary of the U.S. Department of Health and Human Services and to Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services regarding primary care and dental training and education. Provides an overview of the importance of oral health, oral health disparities, and the dental therapy profession. Recommendations cover federal funding for dental therapy programs, dental therapy faculty and dental therapists' inclusion in loan forgiveness programs, and a longitudinal tracking mechanism for dental therapy trainees, faculty, and graduates. Highlights a dental therapy pilot program serving tribal communities in Alaska.
Date: 07/2022
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
view details
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services regarding primary care and dental training and education. Provides an overview of the importance of oral health, oral health disparities, and the dental therapy profession. Recommendations cover federal funding for dental therapy programs, dental therapy faculty and dental therapists' inclusion in loan forgiveness programs, and a longitudinal tracking mechanism for dental therapy trainees, faculty, and graduates. Highlights a dental therapy pilot program serving tribal communities in Alaska.
Date: 07/2022
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
view details
Community Partnerships: Advancing Behavioral Health Access in Rural Communities
Profiles Eagle Valley Behavioral Health (EVBH), a nonprofit and community mental health center (CMHC) developed to lead community collaboration working to ensure access to high-quality behavioral healthcare in Eagle County, Colorado. Discusses EVBH's collaboration with Building Hope Summit County, a community-wide initiative in a neighboring county focused on suicide prevention efforts. Describes how these initiatives were able to shape local policy, expand the local behavioral health workforce, fund their efforts, and identify and fill gaps in care.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Profiles Eagle Valley Behavioral Health (EVBH), a nonprofit and community mental health center (CMHC) developed to lead community collaboration working to ensure access to high-quality behavioral healthcare in Eagle County, Colorado. Discusses EVBH's collaboration with Building Hope Summit County, a community-wide initiative in a neighboring county focused on suicide prevention efforts. Describes how these initiatives were able to shape local policy, expand the local behavioral health workforce, fund their efforts, and identify and fill gaps in care.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
view details
Broadband Access and Rural Transit: Bringing Connectivity to Rural Communities
Provides an overview of the importance of broadband access for economic development and transit operations. Discusses legislation, funding, and implementation to create broadband infrastructure in rural areas.
Date: 06/2022
Sponsoring organization: National Rural Transit Assistance Program
view details
Provides an overview of the importance of broadband access for economic development and transit operations. Discusses legislation, funding, and implementation to create broadband infrastructure in rural areas.
Date: 06/2022
Sponsoring organization: National Rural Transit Assistance Program
view details
Report on Health Equity, Hunger, and Nutrition in Indian Country
Reports on feedback related to food and nutrition disparities in Indian Country based on 2 listening sessions that took place in June 2022, hosted by the Native American Agriculture Fund (NAAF) and the Native Farm Bill Coalition (NFBC). Provides recommendations such as improving food access and affordability, integrating indigenous-led nutrition education, promoting physical activity, enhancing food security research, and more.
Date: 06/2022
Sponsoring organizations: Native American Agriculture Fund, Native Farm Bill Coalition
view details
Reports on feedback related to food and nutrition disparities in Indian Country based on 2 listening sessions that took place in June 2022, hosted by the Native American Agriculture Fund (NAAF) and the Native Farm Bill Coalition (NFBC). Provides recommendations such as improving food access and affordability, integrating indigenous-led nutrition education, promoting physical activity, enhancing food security research, and more.
Date: 06/2022
Sponsoring organizations: Native American Agriculture Fund, Native Farm Bill Coalition
view details
Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
Tribal Broadband: National Strategy and Coordination Framework Needed to Increase Access
Provides an overview of federal programs that support the deployment of broadband infrastructure on tribal lands and the extent to which federal agencies focus on tribal issues related to broadband access. Discusses barriers tribes and providers face in accessing these federally-funded programs. Providers recommendations for the Executive Office of the President and the Department of Commerce to address tribal needs and engagement in a national broadband strategy.
Additional links: Full Report
Date: 06/2022
Sponsoring organization: Government Accountability Office
view details
Provides an overview of federal programs that support the deployment of broadband infrastructure on tribal lands and the extent to which federal agencies focus on tribal issues related to broadband access. Discusses barriers tribes and providers face in accessing these federally-funded programs. Providers recommendations for the Executive Office of the President and the Department of Commerce to address tribal needs and engagement in a national broadband strategy.
Additional links: Full Report
Date: 06/2022
Sponsoring organization: Government Accountability Office
view details
Advancing Health Equity in Rural America
Report examining rural health equity, covering rural economic and demographic data, disparities by rurality, race/ethnicity, and class, and examples of initiatives that aim to increase health equity in rural communities. Offers recommendations for increasing health equity through economic and policy actions.
Additional links: Executive Summary
Author(s): Paula Braveman, Julia Acker, Elaine Arkin, Katrina Badger, Nicole Holm
Date: 06/2022
Sponsoring organization: Robert Wood Johnson Foundation
view details
Report examining rural health equity, covering rural economic and demographic data, disparities by rurality, race/ethnicity, and class, and examples of initiatives that aim to increase health equity in rural communities. Offers recommendations for increasing health equity through economic and policy actions.
Additional links: Executive Summary
Author(s): Paula Braveman, Julia Acker, Elaine Arkin, Katrina Badger, Nicole Holm
Date: 06/2022
Sponsoring organization: Robert Wood Johnson Foundation
view details