Rural Health
Resources by Type: Document
2025 National Guidelines for a Behavioral Health Coordinated System of Crisis Care
Offers a framework for behavioral health crisis care systems to reduce the impact substance use and mental illness following 11 principles and 3 essential elements that are comprehensive, accessible, evidence-based, quality, responsive, and equitable. Discusses rural throughout. Includes guidance on developing a behavioral health coordinated system of crisis care.
Additional links: Model Definitions for Behavioral Health Emergency, Crisis, and Crisis-Related Services
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Offers a framework for behavioral health crisis care systems to reduce the impact substance use and mental illness following 11 principles and 3 essential elements that are comprehensive, accessible, evidence-based, quality, responsive, and equitable. Discusses rural throughout. Includes guidance on developing a behavioral health coordinated system of crisis care.
Additional links: Model Definitions for Behavioral Health Emergency, Crisis, and Crisis-Related Services
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Impact of the Medicare Improvements for Patients And Providers Act on Mental Health Service Utilization And Spending among Older Adults
Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural–Urban Disparities in State-Level Diabetes Prevalence Among US Adults, 2021
Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Rural Roads to Cognitive Resilience (RRR): A Prospective Cohort Study Protocol
Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Projecting the Impact of the $2,000 Part D Out-Of-Pocket Cap for Medicare Part D Enrollees with High Prescription Drug Spending
Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Lessons for Human Services: Perspectives of Program Participants on Extreme Weather and Environmental Hazards
Examines how human services programs mitigate issues caused by environmental hazards and extreme weather for low-income and underresourced communities. Utilizes qualitative data from 41 participants, with a focus on impacts of trash and garbage, flooding, air and water quality, extreme heat, and other environmental conditions. Includes commentary about hazards specific to rural areas.
Author(s): Anne Junod, Pamela Winston, Maretta McDonald, Mikaela Tajo, Rebecca Marx
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines how human services programs mitigate issues caused by environmental hazards and extreme weather for low-income and underresourced communities. Utilizes qualitative data from 41 participants, with a focus on impacts of trash and garbage, flooding, air and water quality, extreme heat, and other environmental conditions. Includes commentary about hazards specific to rural areas.
Author(s): Anne Junod, Pamela Winston, Maretta McDonald, Mikaela Tajo, Rebecca Marx
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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HealthHIV State of Aging with HIV: Fourth Annual National Survey
Reports on the demographics, health, quality of life, and barriers to care of people aging with HIV (PAWH), utilizing data from a 2024 survey of 907 PAWH. Includes data on the geography of PAWH and HIV workforce participants, and discusses geographic barriers to care.
Date: 01/2025
Sponsoring organization: Health HIV
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Reports on the demographics, health, quality of life, and barriers to care of people aging with HIV (PAWH), utilizing data from a 2024 survey of 907 PAWH. Includes data on the geography of PAWH and HIV workforce participants, and discusses geographic barriers to care.
Date: 01/2025
Sponsoring organization: Health HIV
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Behavioral Health Crisis Services Billed to Commercial Insurance, Medicaid, and Medicare
Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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