Rural Health
Resources by Type: Document
ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities
Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Sponsoring organization: Commonwealth Fund
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Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Sponsoring organization: Commonwealth Fund
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Sponsoring organization: Office of Inspector General (HHS)
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Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Sponsoring organization: Office of Inspector General (HHS)
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Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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Promoting Health Coverage of American Indian and Alaska Native Children
Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Sponsoring organization: Georgetown University Health Policy Institute
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Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Sponsoring organization: Georgetown University Health Policy Institute
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Improving Access to and Equity of Care for People with Serious Illness Proceedings of a Workshop
Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Violence Against Hospital Workers: Growing Awareness, Rural Interventions, and Why It Still Goes Unreported
Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Health Insurance Coverage in the United States: 2018
Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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