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Rural Health
Resources by Type: Document

Spread of Medicare Accountable Care Organizations in Rural America
Analyzes data describing Medicare Accountable Care Organization (ACO) growth in non-metro U.S. counties from 2016 to 2017. Includes data on Medicare ACOs by metro and non-metro status and data on those Medicare ACOs participating in the ACO Investment Model (AIM) initiative by metro and non-metro status.
Author(s): Nora Kopping, Fred Ullrich, Keith Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children's Health and Well-Being
Discusses strategies and benefits to adopting a telehealth program in a childcare center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Type: Document
Sponsoring organization: The Children's Partnership
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Field Oversight Hearing on "Overcrowded Housing and the Impacts on American Indian and Alaska Natives."
Presents the Senate Committee on Indian Affairs field hearing in Savoonga, AK on the effect the lack of housing is having on the Native Village of Savoonga. Features testimony from representatives from Savoonga, AK, the U.S. Department of Housing and Urban Development, the Bering Straits Regional Housing Authority, and the Norton Sound Health Corporation.
Date: 08/2018
Type: Document
Sponsoring organization: Senate Committee on Indian Affairs
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Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year
Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on the CY 2019 Home Health PPS Update and 2020 Case Mix Refinements
Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation
Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition, 2016
Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2016, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): M.L. Barrett, M.K. Bailey, P.L. Owens
Date: 08/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Characteristics of School Districts Offering Free School Meals to All Students Through the Community Eligibility Provision of the National School Lunch Program
Examines characteristics of school districts that elected to implement the Community Eligibility Provision during the 2015-2016 school year. Features statistics with breakdowns by rural, urban, suburban, or town locations.
Author(s): Stephanie Rogus, Joanne Guthrie, Katherine Ralston
Date: 08/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Engaging People Who Are Hard to Reach
Discusses the Patient-Centered Outcomes Research Institute's (PCORI) efforts in engaging rural communities in healthcare research. Presents methods for reaching migrant and seasonal farmworker populations, as well as other predominately rural groups.
Author(s): Ivey Wohlfeld
Date: 08/2018
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Summary Report to the Field Number 1: Rural Group Recommendations for National Funders
Blog post discussing the results of questionnaire responses from 22 people representing national rural groups in areas including education, broadband, transit, housing, and healthcare workforce development. Offers recommendations for ways in which national funders can most effectively promote the work of rural groups.
Date: 08/2018
Type: Document
Sponsoring organization: Campbell University
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