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Rural Health
Resources by Type: Document

Integrating Cultural Relevance into a Behavioral mHealth Intervention for Native American Youth
An analysis of a behavioral mHealth intervention for Native American communities, ARORA (Amplifying Resilience Over Restricted Internet Access), co-developed with Native American youth, a clinical psychologist, and a community advisory board. Discusses the key themes and critical components of the intervention as identified by members of the Native American community, and offers recommendations to assist other researchers in their development of a cross-cultural design.
Author(s): Vigil-Hayes, M., Collier, A.F., Hagemann, S., et al.
Citation: Proceedings of the Association for Computing Machinery on Human-Computer Interaction, 5(CSCW1), 165.
Date: 04/2021
Type: Document
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Caring for American Indian and Alaska Native Children and Adolescents
Examines the influence of historical trauma and health inequities on the socioeconomic and health status of AI/AN youth. Discusses the disproportionate mental and cardiovascular health needs, and disease processes of AI/AN youth. Identifies strategies for culturally sensitive care to lessen morbidity, and makes policy recommendations supporting institutional and system changes for improving health outcomes.
Author(s): Bell. S., Deen, J.F., Fuentes, M., Moore, K.
Citation: Pediatrics, 147(4)
Date: 04/2021
Type: Document
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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On the Front Lines of Health Equity: Community Health Workers
Provides an overview of the roles of community health workers (CHWs) and the benefits they can bring to healthcare organizations and communities. Serves as a resource for organizations planning and implementing a new CHW program. Includes information and best practices on assessing community needs, recruiting CHWs, and securing sustainable program funding.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part III: Availability among Current Healthcare.gov Enrollees under the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among current HealthCare.gov enrollees under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability for both pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes enrollee data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part II: Availability among Uninsured Non-elderly Adults under the American Rescue Plan
Analyzes the expanded access to federally-sponsored Health Insurance Marketplace low premium plans among eligible uninsured non-elderly adults under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes uninsured non-elderly adult data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Hunger and the Local Economy: Integrated State-Level Approaches to Food Access
Describes food insecurity challenges in rural America. Explores state policy options to improve food access such as food bucks, food procurement reforms, farm to school programs, cooperative development tax incentives, farmers markets, establishing food hubs, and supporting small grocers. Offers policy recommendations to increase access to healthy food and address food insecurity in rural communities.
Author(s): Nathan Beacom
Date: 04/2021
Type: Document
Sponsoring organization: Center for Rural Affairs
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Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States
Results of a study to determine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening. Features statistics with breakdowns by metropolitan, micropolitan, and rural locations.
Author(s): Gabriel A. Benavidez, Anja Zgodic, Whitney E. Zahnd, Jan M. Eberth
Citation: Preventing Chronic Disease, 18
Date: 04/2021
Type: Document
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Case Study: Avera Behavioral Health
Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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