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Rural Health
Resources by Type: Document

CMS Bundled Payments for Care Improvement Initiative Models 2­-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Redefining Rural: Towards a Better Understanding of Geography, Demography, and Economy in America's Rural Places
Offers a hybrid definition of rurality based on metro and nonmetro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Interpreting MBQIP Hospital Data Reports for Quality Improvement
Designed to help Critical Access Hospital (CAH) staff use Medicare Beneficiary Quality Improvement Project (MBQIP) Hospital Data Reports to support quality improvement efforts and improve patient care in their facility. Includes examples of how to interpret MBQIP reports, links to additional resources, and a glossary of keywords.
Date: 03/2021
Sponsoring organization: Stratis Health
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Certified Community Behavioral Health Clinics and County Governments - A National Model Tailored for Local Mental Health and Substance Use Care
Discusses the Certified Community Behavioral Health Clinic (CCBHC) model and details how counties can deploy CCBHCs to address mental health and substance use issues in their communities. Breaks down the structure of CCBHCs and provides several state level examples.
Date: 03/2021
Sponsoring organizations: National Association of Counties, National Council for Mental Wellbeing
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Meeting the Needs of Older Adults Living in Rural Communities: The Roles of Area Agencies on Aging
Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Minority Health and Health Disparities Strategic Plan 2021–2025
Planning document presenting goals to address health disparities through scientific research, activities that sustain research, and outreach efforts. Describes health disparity populations, including rural populations. Outlines plans to implement research projects and activities, and discusses Leap Forward priority areas that will advance research methods in minority health and health disparities.
Date: 03/2021
Sponsoring organizations: National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health
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COVID-19: Sustained Federal Action Is Crucial as Pandemic Enters Its Second Year
Discusses the federal government's response to the COVID-19 pandemic. Provides an overview of federal actions on healthcare and economic policy areas through March 10, 2021, including data on vaccine administration and COVID-19 relief spending. Offers 28 new recommendations to federal agencies regarding public health, the economy, and program integrity that would improve the federal response.
Additional links: Full Report
Date: 03/2021
Sponsoring organization: Government Accountability Office
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, sex, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Sponsoring organization: RAND Corporation
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