Rural Health
Resources by Type: Document
Sources of Supplemental Coverage Among Medicare Beneficiaries in 2016
Examines sources of supplemental coverage for traditional Medicare beneficiaries with breakdowns by race/ethnicity, income, rural location, and more.
Author(s): Juliette Cubanski, Anthony Damico, Tricia Neuman, Gretchen Jacobson
Date: 11/2018
Type: Document
Sponsoring organization: KFF
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Examines sources of supplemental coverage for traditional Medicare beneficiaries with breakdowns by race/ethnicity, income, rural location, and more.
Author(s): Juliette Cubanski, Anthony Damico, Tricia Neuman, Gretchen Jacobson
Date: 11/2018
Type: Document
Sponsoring organization: KFF
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Medication-Assisted Treatment for Opioid Use Disorder in the Child Welfare Context: Challenges and Opportunities
Discusses challenges and opportunities related to medication-assisted treatment (MAT) for parents with opioid use disorder, focusing on child welfare. Highlights the importance of counseling to address mental health and parenting issues as part of the treatment. Covers difficulties faced with accessing counseling services, particularly in rural areas. Based on a qualitative mixed methods study that included rural and urban counties experiencing a high level of drug overdoses and emergency room visits.
Author(s): Laura Radel, Melinda Baldwin, Gilbert Crouse, Robin Ghertner, Annette Waters
Date: 11/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses challenges and opportunities related to medication-assisted treatment (MAT) for parents with opioid use disorder, focusing on child welfare. Highlights the importance of counseling to address mental health and parenting issues as part of the treatment. Covers difficulties faced with accessing counseling services, particularly in rural areas. Based on a qualitative mixed methods study that included rural and urban counties experiencing a high level of drug overdoses and emergency room visits.
Author(s): Laura Radel, Melinda Baldwin, Gilbert Crouse, Robin Ghertner, Annette Waters
Date: 11/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments
Reports on 41 examinations of wage data of individual acute care hospitals from 2004 to 2017 to describe significant vulnerabilities observed in the wage index system for Medicare payments. Includes discussion on the rural floor wage index and the effects it has on wage index accuracy. Offers recommendations to reform the hospital wage index system.
Date: 11/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Reports on 41 examinations of wage data of individual acute care hospitals from 2004 to 2017 to describe significant vulnerabilities observed in the wage index system for Medicare payments. Includes discussion on the rural floor wage index and the effects it has on wage index accuracy. Offers recommendations to reform the hospital wage index system.
Date: 11/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Variation in Interoperability Among U.S. Non-Federal Acute Care Hospitals in 2017
Provides information on non-federal acute care hospitals sending, receiving, finding, and integrating electronic patient health information. Offers statistics on the four domains of interoperability and summarizes common barriers to exchanging electronic patient health information for small, rural, and Critical Access Hospitals (CAHs).
Author(s): Yuriy Pylypchuk, Christian Johnson, JaWanna Henry, Diana Ciricean
Date: 11/2018
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Provides information on non-federal acute care hospitals sending, receiving, finding, and integrating electronic patient health information. Offers statistics on the four domains of interoperability and summarizes common barriers to exchanging electronic patient health information for small, rural, and Critical Access Hospitals (CAHs).
Author(s): Yuriy Pylypchuk, Christian Johnson, JaWanna Henry, Diana Ciricean
Date: 11/2018
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Ohio Addiction Policy Inventory and Scorecard: Overdose Reversal and Other Forms of Harm Reduction
Describes changes in Ohio addiction policies related to overdose reversal and harm reduction. Examines the evidence supporting the policy changes and how they will address the needs of Ohio residents. Identifies existing gaps in policy and potential opportunities for improvement. Discusses barriers rural counties face, such as limited access to harm reduction services or healthcare specialists for treatment.
Additional links: Detailed Inventory Tables, Recorded Webinar, Slides
Author(s): Amy Bush Stevens, Hailey Akah
Date: 11/2018
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Describes changes in Ohio addiction policies related to overdose reversal and harm reduction. Examines the evidence supporting the policy changes and how they will address the needs of Ohio residents. Identifies existing gaps in policy and potential opportunities for improvement. Discusses barriers rural counties face, such as limited access to harm reduction services or healthcare specialists for treatment.
Additional links: Detailed Inventory Tables, Recorded Webinar, Slides
Author(s): Amy Bush Stevens, Hailey Akah
Date: 11/2018
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Case Study: How Alaska Addresses Its Health Care Workforce Challenges
Reviews how state agencies and organizations in Alaska have collaborated to address health workforce shortages, particularly in rural areas of the state. Highlights the state's apprenticeship program, workforce coalition, use of Medicaid to pay nontraditional healthcare workers, and more.
Author(s): Rachel Donlon, Natalie Williams
Date: 11/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Reviews how state agencies and organizations in Alaska have collaborated to address health workforce shortages, particularly in rural areas of the state. Highlights the state's apprenticeship program, workforce coalition, use of Medicaid to pay nontraditional healthcare workers, and more.
Author(s): Rachel Donlon, Natalie Williams
Date: 11/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Why Are the Health Insurance Marketplaces Thriving in Some States but Struggling in Others?
Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Type: Document
Sponsoring organization: Commonwealth Fund
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Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Type: Document
Sponsoring organization: Commonwealth Fund
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Changes to the Merit-based Incentive Payment System Pertinent to Small and Rural Practices, 2018
Describes the importance of legislative changes to the Merit-Based Incentive Payment System that occurred as part of the Bipartisan Budget Act of 2018. Includes an appendix comparing the original framework for the system with changes for 2018/2019.
Author(s): Abiodun Salako, A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 11/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the importance of legislative changes to the Merit-Based Incentive Payment System that occurred as part of the Bipartisan Budget Act of 2018. Includes an appendix comparing the original framework for the system with changes for 2018/2019.
Author(s): Abiodun Salako, A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 11/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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