Rural Health
Resources by Type: Document
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Individual and Neighborhood Influences on the Relationship Between Waist Circumference and Coronary Heart Disease in the REasons for Geographic and Racial Differences in Stroke Study
Explores a study correlating the waist circumference with incidence of coronary heart disease and discusses the influence of geography and socioeconomic factors, such as poverty and rurality, among others. Breaks down data by individual and ecological characteristics.
Author(s): Anne H. Gaglioti, Desiree Rivers, Joanna Bryan Ringel, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
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Explores a study correlating the waist circumference with incidence of coronary heart disease and discusses the influence of geography and socioeconomic factors, such as poverty and rurality, among others. Breaks down data by individual and ecological characteristics.
Author(s): Anne H. Gaglioti, Desiree Rivers, Joanna Bryan Ringel, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
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MACPAC Response to CMS Request for Information on Access and Coverage in Medicaid and CHIP
Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health Panel Comment Letter – Access to Coverage and Care in Medicaid & CHIP
Offers comments in response to the Access to Coverage and Care in Medicaid and CHIP Request for Information. Discusses ways the Centers for Medicare & Medicaid Services (CMS) can support states in addressing barriers to enrollment and retention, minimum access standards, and monitoring care availability and access to care.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Access to Coverage and Care in Medicaid and CHIP Request for Information. Discusses ways the Centers for Medicare & Medicaid Services (CMS) can support states in addressing barriers to enrollment and retention, minimum access standards, and monitoring care availability and access to care.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Health Panel Comment Letter – Promoting Telehealth in Rural America
Offers comments in response to the Federal Communications Commission's proposed rule for Promoting Telehealth in America. Discusses rural classifications for healthcare providers, defining rural areas for program participation, and an alternative method to determine degrees of rurality.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Federal Communications Commission's proposed rule for Promoting Telehealth in America. Discusses rural classifications for healthcare providers, defining rural areas for program participation, and an alternative method to determine degrees of rurality.
Date: 04/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Assessment of Community-Level Vulnerability and Access to Medications for Opioid Use Disorder
Study examining access to medication for opioid use disorder (MOUD) in relation to social vulnerability to disasters based on zip code tabulation data (ZCTA) for 32,434 counties in the continental U.S. Discusses differences in geographic access to MOUD for rural and urban areas and the potential impacts of disasters on that access, highlighting potential interventions to bolster access to treatment.
Author(s): Paul J. Joudrey, Marynia Kolak, Qinyun Lin, et al.
Citation: JAMA Network Open, 5(4), e227028
Date: 04/2022
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Study examining access to medication for opioid use disorder (MOUD) in relation to social vulnerability to disasters based on zip code tabulation data (ZCTA) for 32,434 counties in the continental U.S. Discusses differences in geographic access to MOUD for rural and urban areas and the potential impacts of disasters on that access, highlighting potential interventions to bolster access to treatment.
Author(s): Paul J. Joudrey, Marynia Kolak, Qinyun Lin, et al.
Citation: JAMA Network Open, 5(4), e227028
Date: 04/2022
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Dental Care Utilization Among Adults Aged 18−64: United States, 2019 and 2020
Describes changes in the prevalence of dental visits among adults aged 18-64 between 2019 and 2020, when the COVID-19 pandemic began and many dental practices limited hours and services. Includes information by location for large metropolitan, large fringe metro, small and medium metro, and nonmetro areas.
Author(s): Amy E. Cha, Robin A. Cohen
Date: 04/2022
Sponsoring organization: National Center for Health Statistics
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Describes changes in the prevalence of dental visits among adults aged 18-64 between 2019 and 2020, when the COVID-19 pandemic began and many dental practices limited hours and services. Includes information by location for large metropolitan, large fringe metro, small and medium metro, and nonmetro areas.
Author(s): Amy E. Cha, Robin A. Cohen
Date: 04/2022
Sponsoring organization: National Center for Health Statistics
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Changes of Ownership of Hospital and Skilled Nursing Facilities: An Analysis of Newly-Released CMS Data
Examines data from the Centers for Medicare & Medicaid Services (CMS) regarding changes in hospital and skilled nursing facility (SNF) ownership between 2016 and 2021. Presents data on rates of hospital ownership changes by hospital characteristics, including rural and urban location and Critical Access Hospital status. Discusses how future research can support policymaking and research on consolidation, healthcare quality, and healthcare costs.
Author(s): W. Pete Welch, Joel Ruhter, Arielle Bosworth, Nancy De Lew, Benjamin D. Sommers
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines data from the Centers for Medicare & Medicaid Services (CMS) regarding changes in hospital and skilled nursing facility (SNF) ownership between 2016 and 2021. Presents data on rates of hospital ownership changes by hospital characteristics, including rural and urban location and Critical Access Hospital status. Discusses how future research can support policymaking and research on consolidation, healthcare quality, and healthcare costs.
Author(s): W. Pete Welch, Joel Ruhter, Arielle Bosworth, Nancy De Lew, Benjamin D. Sommers
Date: 04/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Obstetrics: U.S. Rural Hospitals
Infographic presenting statistics on obstetrics care in rural community hospitals in the U.S. Includes data on the number of births in rural hospitals, rural hospitals without obstetrics units, obstetric unit closures, and the number of women of reproductive age who live in maternity care deserts.
Date: 04/2022
Sponsoring organization: American Hospital Association
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Infographic presenting statistics on obstetrics care in rural community hospitals in the U.S. Includes data on the number of births in rural hospitals, rural hospitals without obstetrics units, obstetric unit closures, and the number of women of reproductive age who live in maternity care deserts.
Date: 04/2022
Sponsoring organization: American Hospital Association
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