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Rural Health
Resources by Type: Document

Estimated Reduction in CAH Profitability from Loss of Cost-Based Reimbursement for Swing Beds
Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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As It Grows, Medicare Advantage is Enrolling More Low-Income and Medically Complex Beneficiaries
Examines how the demographics, socioeconomic status, and clinical characteristics of Medicare Advantage enrollees changed between 2012 and 2015. Explores how these changes related to changes in healthcare utilization and performance during this time.
Author(s): Christie Teigland, Zulkarnain Pulungan, Tanya Shah, Eric Schneider, Shawn Bishop
Date: 05/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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COVID-19 Presents Significant Risks for American Indian and Alaska Native People
Discusses the disproportionate risks American Indian and Alaska Native (AI/AN) people face as a result of the COVID-19 pandemic. Provides race/ethnicity breakdowns for risk of serious illness after contracting COVID-19 and uninsured rates among nonelderly individuals. Includes the percent of COVID-19 deaths and cases, as well as the percent of the total population made up by AI/AN individuals for Arizona, New Mexico, Wyoming, and other states.
Date: 05/2020
Type: Document
Sponsoring organization: KFF
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Geographic Distribution of Disability Among Older Veterans, United States, 2013–2017
Provides nationally representative data from 2013-2017 on county-level disability prevalence among military veterans older than 64. Individuals were considered disabled if they reported having hearing, vision, cognitive, ambulatory, independent living, or self-care disabilities.
Author(s): Justin McDaniel
Citation: Preventing Chronic Disease, 17
Date: 05/2020
Type: Document
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Rural-Urban Residence and Mortality among Three Cohorts of U.S. Adults
Reports on a study to address gaps in what is known of the rural-urban mortality disparity by analyzing time-to-event birth cohorts using data from the 1997-2009 National Health Interview Survey (NHIS) linking deaths through December 2011. Results of this study may identify potential policy and practice interventions to reduce the disparity in rural-urban mortality.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Katherine Ahrens M.
Date: 05/2020
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Beyond Opioids: Rapid Increase in Drug Deaths Involving Stimulants
Presents a breakdown of drug related deaths involving stimulants. Features a number of charts highlighting the data, including rural and urban, regional, and national comparisons.
Date: 05/2020
Type: Document
Sponsoring organization: National Institute for Health Care Management Foundation
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America at a Glance: How Do Working-Age Adults with Travel-Limiting Disabilities Get Around?
Examines the travel behaviors, employment status, and health of rural and urban residents with travel-related disabilities. Explores the use of public transit and other transportation services by rural and urban residence.
Date: 05/2020
Type: Document
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of Montana: Rural Institute for Inclusive Communities
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Caregiving in the U.S. 2020
A national profile of unpaid family caregivers. Describes care recipients' living situations and health status, caregiving activities, caregiver well-being, and related topics. Includes information specific to rural caregivers, with comparisons of their experiences in 2015 and 2020 as well as comparisons to non-rural caregivers' experiences. Also offers profiles of different types of caregivers.
Additional links: Fact Sheet: The "Typical" Caregiver of a Care Recipient Living in a Rural Area, Full Report
Date: 05/2020
Type: Document
Sponsoring organizations: AARP, National Alliance for Caregiving
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Most Rural Hospitals Have Little Cash Going into COVID
Findings brief exploring two scenarios in which rural hospitals have cash on hand for either 180 days or 7 days, representing the estimate of time the facilities could operate without receiving additional revenue, prior to the outbreak of COVID-19 in the U.S. Features statistics showing median days cash on hand by Medicare Payment Classification, with breakdowns by 7 types of hospitals, including Critical Access Hospitals and Sole Community Hospitals.
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Characteristics of Counties with the Highest Proportion of the Oldest Old
Policy brief examining the characteristics of communities having the greatest percent of residents ages 85 and older. Discusses documented differences in rural-urban locations in long-term care availability and caregiver supports. Includes a list of counties with the highest proportion of the oldest old, a county-level map with shadings showing proportions of the oldest old, and statistics on county characteristics, with breakdowns by highest-prevalence rural counties, all counties, rural counties, and noncore rural counties.
Author(s): Carrie Henning-Smith, Megan Lahr, Jonathan Schroeder, Cody Tuttle, Samantha Mills
Date: 05/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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