Rural Health
Resources by Type: Document
September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Health Panel Comment Letter – Medicare Shared Savings Program Requirements
Comments offered in response to a July 29, 2022, proposed rule regarding changes to the Medicare Shared Savings Program (SSP) to facilitate more widespread participation in Accountable Care Organizations (ACOs). Discusses how changes will impact rural Medicare beneficiaries, as well as challenges to extending ACOs to all rural counties. Covers advanced interest payments, extended time in one-sided risk, changes to calculating benchmarks, proposals to allow low revenue ACOs to realize shared savings at a lower minimum, a health equity adjustment, and social determinants of health measures.
Date: 09/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 29, 2022, proposed rule regarding changes to the Medicare Shared Savings Program (SSP) to facilitate more widespread participation in Accountable Care Organizations (ACOs). Discusses how changes will impact rural Medicare beneficiaries, as well as challenges to extending ACOs to all rural counties. Covers advanced interest payments, extended time in one-sided risk, changes to calculating benchmarks, proposals to allow low revenue ACOs to realize shared savings at a lower minimum, a health equity adjustment, and social determinants of health measures.
Date: 09/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Changes in the Supply and Rural-Urban Distribution of Psychologists in the U.S., 2014-2021
Describes the distribution of psychologists in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychologists per 100,000 population in rural counties, from 2014-2021.
Author(s): C.H.A. Andrilla, S.C. Woolcock, L.A. Garberson, D.G. Patterson
Date: 09/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the distribution of psychologists in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychologists per 100,000 population in rural counties, from 2014-2021.
Author(s): C.H.A. Andrilla, S.C. Woolcock, L.A. Garberson, D.G. Patterson
Date: 09/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report
Presents findings on the relationship between live discharges and post-discharge outcomes. Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Presents findings on the relationship between live discharges and post-discharge outcomes. Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Urban–Rural Disparities in Diabetes-Related Mortality in the USA 1999–2019
Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
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Examines 20-year trends in diabetes-related mortality in urban and rural areas in the United States. Analyzes 6,598,281 death certificates that name diabetes mellitus as an underlying or contributing cause of death between 1999 and 2019, utilizing the Centers for Disease Control and Prevention Wide-ranging ONline Data for Epidemiologic Research (CDC WONDER) Multiple Cause of Death database. Includes demographic breakdowns of urban versus rural mortality data by sex, age, and race/ethnicity.
Author(s): Ofer Kobo, Harriette G. C. Van Spall, Mamas A. Mamas
Citation: Diabetologia, 65, 2078-2083
Date: 09/2022
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Medicaid: Efforts to Address Fraud in Nonemergency Medical Transportation
Describes state approaches to administering the non-emergency medical transportation (NEMT) Medicaid benefit. Highlights how Colorado uses different approaches to serve urban and rural counties. Discusses the outcomes and findings of related fraud investigations and program audits and strategies selected states used to address related fraud.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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Describes state approaches to administering the non-emergency medical transportation (NEMT) Medicaid benefit. Highlights how Colorado uses different approaches to serve urban and rural counties. Discusses the outcomes and findings of related fraud investigations and program audits and strategies selected states used to address related fraud.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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The State of the Rural Economy in Indiana
Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Opioid-Related Outcomes among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights 3 essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights 3 essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Partnership to Develop and Deliver Curriculum Supporting Student-Led Air Quality Research in Rural Washington State
Highlights a partnership between an urban and rural university and a tribal high school in Washington's Yakima Valley to conduct air-quality research. Discusses the design of the project, the roles and responsibilities of each party, and evaluates the success of the partnership.
Author(s): Orly Stampfer, Omar Torres Cassio, Jason A. Grajales, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 16(3), 411-420
Date: 09/2022
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Highlights a partnership between an urban and rural university and a tribal high school in Washington's Yakima Valley to conduct air-quality research. Discusses the design of the project, the roles and responsibilities of each party, and evaluates the success of the partnership.
Author(s): Orly Stampfer, Omar Torres Cassio, Jason A. Grajales, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 16(3), 411-420
Date: 09/2022
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Rural Health Equity and Quality Summit Report
Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Sponsoring organization: National Rural Health Resource Center
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Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Sponsoring organization: National Rural Health Resource Center
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