Rural Health
Resources by Type: Document
Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Prevalence of Children Aged 3-17 Years With Developmental Disabilities, by Urbanicity: United States, 2015-2018
Results of a study examining geographic disparities in diagnoses of developmental disabilities and use of related services. Features statistics with breakdowns by prevalence of various conditions and by urban or rural location.
Author(s): Benjamin Zablotsky, Lindsey I. Black
Date: 02/2020
Sponsoring organization: National Center for Health Statistics
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Results of a study examining geographic disparities in diagnoses of developmental disabilities and use of related services. Features statistics with breakdowns by prevalence of various conditions and by urban or rural location.
Author(s): Benjamin Zablotsky, Lindsey I. Black
Date: 02/2020
Sponsoring organization: National Center for Health Statistics
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Using Data to Define Rural Populations
Offers a step-by-step guide for developing a rural community baseline dataset, and identifies links to helpful resources and existing datasets, with the intent to help State Offices of Rural Health (SORH) focus on the demographics influencing health and the health needs of the rural communities within their state.
Date: 02/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Offers a step-by-step guide for developing a rural community baseline dataset, and identifies links to helpful resources and existing datasets, with the intent to help State Offices of Rural Health (SORH) focus on the demographics influencing health and the health needs of the rural communities within their state.
Date: 02/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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How to Better Support Small Physician-led Accountable Care Organizations: Recent Program Updates, Challenges, and Policy Implications
Describes the strategies of successful small physician-led Accountable Care Organizations (ACOs). Discusses how policy changes contribute to the opportunities and challenges for these ACOs. Explores how "ACO Enablers" aid small ACOs in participating in risk-bearing models. Includes a brief discussion of how the ACO Investment Model program supported ACOs in rural and underserved areas with access to capital.
Author(s): Jonathan Gonzalez-Smith, Hannah Crook, Elizabeth Singletary, William Bleser, Robert Saunders
Date: 02/2020
Sponsoring organizations: Duke Margolis Center for Health Policy, Robert Wood Johnson Foundation
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Describes the strategies of successful small physician-led Accountable Care Organizations (ACOs). Discusses how policy changes contribute to the opportunities and challenges for these ACOs. Explores how "ACO Enablers" aid small ACOs in participating in risk-bearing models. Includes a brief discussion of how the ACO Investment Model program supported ACOs in rural and underserved areas with access to capital.
Author(s): Jonathan Gonzalez-Smith, Hannah Crook, Elizabeth Singletary, William Bleser, Robert Saunders
Date: 02/2020
Sponsoring organizations: Duke Margolis Center for Health Policy, Robert Wood Johnson Foundation
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Availability of Naloxone at Rural Georgia Pharmacies, 2019
Research letter describing a study of 374 rural Georgia pharmacies. Examines pharmacists' awareness of the Georgia law allowing purchase of naloxone without a prescription, and availability and cost of the medicine.
Author(s): Jennifer L. Nguyen, Lauren R. Gilbert, Lauren Beasley, et al.
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Research letter describing a study of 374 rural Georgia pharmacies. Examines pharmacists' awareness of the Georgia law allowing purchase of naloxone without a prescription, and availability and cost of the medicine.
Author(s): Jennifer L. Nguyen, Lauren R. Gilbert, Lauren Beasley, et al.
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
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Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
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Patient and Hospital Factors Associated With Unexpected Newborn Complications Among Term Neonates in US Hospitals
Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Defense Health Care: Plans Needed to Ensure Implementation of Required Elements for TRICARE's Managed Care Support Contracts
Report highlights the Government Accountability Office recommendations for the implementation of changes to the Department of Defense's TRICARE managed support contracts that were required by Congress. Evaluates the specific improvements relating to healthcare delivery and touches on their importance in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Report highlights the Government Accountability Office recommendations for the implementation of changes to the Department of Defense's TRICARE managed support contracts that were required by Congress. Evaluates the specific improvements relating to healthcare delivery and touches on their importance in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Rural Health Predictions: Q&A with Alan Morgan
An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Growing Stress on the Farm: The Expanding Economic and Mental Health Disparities in Rural Missouri
Identifies disparities in mental health outcomes and economic factors for farmers and other rural Missourians. Presents opportunities to promote access to mental health services, improve outcomes, and reduce stigma. Includes statistics on suicides in Missouri with breakdowns by metropolitan and rural areas, age, and sex, and hospital emergency visits by rural Missourians for psychiatric disorders, substance use disorder, and suicidality.
Author(s): M. Reidhead, J. Medows, K. Dothage, et al.
Date: 02/2020
Sponsoring organizations: Missouri Coalition for Community Behavioral Healthcare, Missouri Department of Mental Health, Missouri Farm Bureau, Missouri Hospital Association, University of Missouri Extension
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Identifies disparities in mental health outcomes and economic factors for farmers and other rural Missourians. Presents opportunities to promote access to mental health services, improve outcomes, and reduce stigma. Includes statistics on suicides in Missouri with breakdowns by metropolitan and rural areas, age, and sex, and hospital emergency visits by rural Missourians for psychiatric disorders, substance use disorder, and suicidality.
Author(s): M. Reidhead, J. Medows, K. Dothage, et al.
Date: 02/2020
Sponsoring organizations: Missouri Coalition for Community Behavioral Healthcare, Missouri Department of Mental Health, Missouri Farm Bureau, Missouri Hospital Association, University of Missouri Extension
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