Rural Health
Resources by Topic: Specialty care
MedPAC Comment on CMS's Proposed Rule on Contract Year 2021 and 2022 Policy and Technical Changes to Medicare Advantage and Part D
Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Forging a New Frontier: Providing Palliative Care to People with Cancer in Rural and Remote Areas
Shares the results of a literature review examining barriers and challenges related to integrating palliative and cancer care in rural and remote areas.
Author(s): Marie Bakitas, Kristen Allen Watts, Emily Malone, et al.
Citation: Journal of Clinical Oncology, 38(9), 963-973
Date: 03/2020
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Shares the results of a literature review examining barriers and challenges related to integrating palliative and cancer care in rural and remote areas.
Author(s): Marie Bakitas, Kristen Allen Watts, Emily Malone, et al.
Citation: Journal of Clinical Oncology, 38(9), 963-973
Date: 03/2020
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Issue Brief: Creating a High-value Telehealth Strategy
Explores how hospitals can use telehealth services to improve patient outcomes and reduce costs. Discusses approaches to deliver telehealth services and provides guidelines to consider when developing a telehealth strategy. Provides examples of how rural hospitals are using telehealth services to meet community needs.
Date: 03/2020
Sponsoring organization: American Hospital Association
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Explores how hospitals can use telehealth services to improve patient outcomes and reduce costs. Discusses approaches to deliver telehealth services and provides guidelines to consider when developing a telehealth strategy. Provides examples of how rural hospitals are using telehealth services to meet community needs.
Date: 03/2020
Sponsoring organization: American Hospital Association
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Effect of Travel Distance and Rurality of Residence on Initial Surveillance for Hepatocellular Carcinoma in VA Primary Care Patient with Cirrhosis
Highlights a study on the effect of travel distance on hepatocellular carcinoma surveillance for veterans with cirrhosis who are being treated by the Veterans Health Administration (VHA). Merges VHA and CMS data and breaks it down by demographics and travel distance to both VA and non-VA medical centers and the patients' primary care providers, among other measures.
Author(s): Yolanda Rodriguez Villalvazo, Jennifer S. McDanel, Lauren A. Beste, et al.
Citation: Health Services Research, 55(1), 103-112
Date: 02/2020
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Highlights a study on the effect of travel distance on hepatocellular carcinoma surveillance for veterans with cirrhosis who are being treated by the Veterans Health Administration (VHA). Merges VHA and CMS data and breaks it down by demographics and travel distance to both VA and non-VA medical centers and the patients' primary care providers, among other measures.
Author(s): Yolanda Rodriguez Villalvazo, Jennifer S. McDanel, Lauren A. Beste, et al.
Citation: Health Services Research, 55(1), 103-112
Date: 02/2020
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Potentially Avoidable Inter-Facility Transfer from Veterans Health Administration Emergency Departments: A Cohort Study
Presents a study on potentially avoidable inter-facility transfers within Veterans Health Administration (VHA) facilities. Details patient characteristics, such as rurality of residence and age, as well as transfer location characteristics, such as number of beds and median length of stay, among other factors.
Author(s): Nicholas M. Mohr, Chaorong Wu, Michael J. Ward, et al.
Citation: BMC Health Services Research, 20,110
Date: 02/2020
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Presents a study on potentially avoidable inter-facility transfers within Veterans Health Administration (VHA) facilities. Details patient characteristics, such as rurality of residence and age, as well as transfer location characteristics, such as number of beds and median length of stay, among other factors.
Author(s): Nicholas M. Mohr, Chaorong Wu, Michael J. Ward, et al.
Citation: BMC Health Services Research, 20,110
Date: 02/2020
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Prevalence of Children Aged 3-17 Years With Developmental Disabilities, by Urbanicity: United States, 2015-2018
Results of a study examining geographic disparities in diagnoses of developmental disabilities and use of related services. Features statistics with breakdowns by prevalence of various conditions and by urban or rural location.
Author(s): Benjamin Zablotsky, Lindsey I. Black
Date: 02/2020
Sponsoring organization: National Center for Health Statistics
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Results of a study examining geographic disparities in diagnoses of developmental disabilities and use of related services. Features statistics with breakdowns by prevalence of various conditions and by urban or rural location.
Author(s): Benjamin Zablotsky, Lindsey I. Black
Date: 02/2020
Sponsoring organization: National Center for Health Statistics
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Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder
Results of a national study to determine the patient capacity of healthcare providers who received waivers to prescribe buprenorphine and the extent to which they were located in rural or urban areas with high rates of opioid abuse. Features 2018 county-level maps showing rates of patient capacity and counties with high need for treatment services.
Author(s): Christi A. Grimm
Date: 01/2020
Sponsoring organization: Office of Inspector General (HHS)
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Results of a national study to determine the patient capacity of healthcare providers who received waivers to prescribe buprenorphine and the extent to which they were located in rural or urban areas with high rates of opioid abuse. Features 2018 county-level maps showing rates of patient capacity and counties with high need for treatment services.
Author(s): Christi A. Grimm
Date: 01/2020
Sponsoring organization: Office of Inspector General (HHS)
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Introducing the L.A.U.N.C.H Collaborative
Describes the Linking & Amplifying User-Centered Networks through Connected Health (L.A.U.N.C.H.) demonstration project, based in Appalachian Kentucky and aimed at preventing cancer and removing obstacles faced by cancer patients in rural and underserved areas, through improvements in broadband access.
Author(s): F. Douglas Scutchfield, Kevin Patrick
Citation: Journal of Appalachian Health, 2(1), 1-5
Date: 2020
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Describes the Linking & Amplifying User-Centered Networks through Connected Health (L.A.U.N.C.H.) demonstration project, based in Appalachian Kentucky and aimed at preventing cancer and removing obstacles faced by cancer patients in rural and underserved areas, through improvements in broadband access.
Author(s): F. Douglas Scutchfield, Kevin Patrick
Citation: Journal of Appalachian Health, 2(1), 1-5
Date: 2020
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Access to Specialty Healthcare in Urban Versus Rural US Populations: A Systematic Literature Review
Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
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Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
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Access to Specialty Care for Medicare Beneficiaries in Rural Communities
Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff, from 27 states, to identify the most difficult specialty healthcare service to access, and why it is the most difficult to access. Conducts an analysis of RHC distance to the nearest hospital or clinic to determine variation in difficulty accessing specialty services.
Author(s): Megan Lahr, Hannah Neprash, Carrie Henning-Smith, Mariana S. Tuttle, Ashley M. Hernandez
Date: 12/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Findings from a voluntary online survey conducted in 2019 of 111 Rural Health Clinic (RHC) staff, from 27 states, to identify the most difficult specialty healthcare service to access, and why it is the most difficult to access. Conducts an analysis of RHC distance to the nearest hospital or clinic to determine variation in difficulty accessing specialty services.
Author(s): Megan Lahr, Hannah Neprash, Carrie Henning-Smith, Mariana S. Tuttle, Ashley M. Hernandez
Date: 12/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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