Rural Health
Resources by Type: Document
Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Sponsoring organization: AHIP
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Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Sponsoring organization: AHIP
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Inpatient Stays Involving Mental and Substance Use Disorders, 2016
Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Medications for Opioid Use Disorder Save Lives
Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Air Ambulance: Available Data Show Privately-Insured Patients Are at Financial Risk
Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Sponsoring organization: Government Accountability Office
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Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Sponsoring organization: Government Accountability Office
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Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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CDC as a Rural Resource: Q&A with Diane Hall
An interview with Diane Hall, Senior Policy Analyst at the Centers for Disease Control and Prevention (CDC). Highlights CDC's work in rural health, the role of data collection in program evaluation, and how rural communities can use CDC as a resource.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2019
Sponsoring organization: Rural Health Information Hub
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An interview with Diane Hall, Senior Policy Analyst at the Centers for Disease Control and Prevention (CDC). Highlights CDC's work in rural health, the role of data collection in program evaluation, and how rural communities can use CDC as a resource.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2019
Sponsoring organization: Rural Health Information Hub
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