Rural Health
Resources by Type: Document
MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Care Redesign Survey: Lessons Learned from and for Rural Health
Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Citation: NEJM Catalyst
Date: 10/2018
Type: Document
view details
Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Citation: NEJM Catalyst
Date: 10/2018
Type: Document
view details
Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017
Reports on vaccination coverage for children aged 19-35 months, based on data from the 2017 National Immunization Survey-Child (NIS-Child). Includes data for nonmetropolitan areas. Coverage estimates are provided for the following vaccinations: diphtheria and tetanus toxoids and acellular pertussis (DTaP), poliovirus, measles, mumps, and rubella (MMR), Haemophilius influenzae type b conjugate (Hib), hepatitis B (HepB), varicella, pneumococcal conjugate vaccine (PCV), hepatitis A (HepA), and rotavirus.
Author(s): Holly A. Hill, Laurie D. Elam-Evans, David Yankey, James A. Singleton, Yoonjae Kang
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(40), 1123-1128
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on vaccination coverage for children aged 19-35 months, based on data from the 2017 National Immunization Survey-Child (NIS-Child). Includes data for nonmetropolitan areas. Coverage estimates are provided for the following vaccinations: diphtheria and tetanus toxoids and acellular pertussis (DTaP), poliovirus, measles, mumps, and rubella (MMR), Haemophilius influenzae type b conjugate (Hib), hepatitis B (HepB), varicella, pneumococcal conjugate vaccine (PCV), hepatitis A (HepA), and rotavirus.
Author(s): Holly A. Hill, Laurie D. Elam-Evans, David Yankey, James A. Singleton, Yoonjae Kang
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(40), 1123-1128
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
view details
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
Type: Document
view details
Key Informant Perspectives on Rural Social Isolation and Loneliness
Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Minnie Hamilton Health Care Center Experiencing Improved Community Feedback
Updates the quality improvement work of a Critical Access Hospital in West Virginia that operates a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC). Focuses on the hospital's accomplishments around patient experience and clinical quality as part of the Small Rural Hospital Transition (SRHT) Quality of Care and Transition Project.
Additional links: One Page Summary
Date: 10/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Updates the quality improvement work of a Critical Access Hospital in West Virginia that operates a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC). Focuses on the hospital's accomplishments around patient experience and clinical quality as part of the Small Rural Hospital Transition (SRHT) Quality of Care and Transition Project.
Additional links: One Page Summary
Date: 10/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares 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.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Shares 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.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Map to Prosperity
Discusses the potential of broadband's effects on the rural economy, especially for farming operations and small businesses. Describes broadband access in rural areas. Includes rural versus urban comparisons for rural broadband access and funding and technical assistance programs to increase broadband adoption.
Author(s): Johnathan Hladik
Date: 10/2018
Type: Document
Sponsoring organization: Center for Rural Affairs
view details
Discusses the potential of broadband's effects on the rural economy, especially for farming operations and small businesses. Describes broadband access in rural areas. Includes rural versus urban comparisons for rural broadband access and funding and technical assistance programs to increase broadband adoption.
Author(s): Johnathan Hladik
Date: 10/2018
Type: Document
Sponsoring organization: Center for Rural Affairs
view details
EITC Continues to Reach Families in Poor Places
Briefly discusses the role of the Earned Income Tax Credit (EITC) in helping low-income workers. Includes maps showing county-level information on EITC filers, with Map 1 identifying high child poverty counties and Map 2 identifying nonmetropolitan counties.
Additional links: Map 2: Nonmetropolitan Counties
Author(s): Andrew Schaefer, Beth Mattingly, Kennedy Nickerson , Jessica Carson
Date: 10/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
view details
Briefly discusses the role of the Earned Income Tax Credit (EITC) in helping low-income workers. Includes maps showing county-level information on EITC filers, with Map 1 identifying high child poverty counties and Map 2 identifying nonmetropolitan counties.
Additional links: Map 2: Nonmetropolitan Counties
Author(s): Andrew Schaefer, Beth Mattingly, Kennedy Nickerson , Jessica Carson
Date: 10/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
view details