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Rural Health Information Hub

Rural Health
Resources by Type: Document

The Evolution of Private Plans in Medicare
Examines major policy changes affecting Medicare Advantage plans, and the impact of these policies on plan participation, enrollment, average premiums and cost-sharing, total costs to Medicare, and quality of care. Briefly discusses the challenges associate with providing risk-based plans in rural areas.
Author(s): Yash M. Patel, Stuart Guterman
Date: 12/2017
Sponsoring organization: Commonwealth Fund
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Using Hospital Community Benefits to Improve Access to Oral Health Care
Explains how nonprofit hospitals can use targeted oral health programs to fulfill their community benefit obligations, while also improving oral health in the communities they serve. Provides guidance on how to effectively advocate for such programs, and shares tips for assessing community needs.
Author(s): Cheryl Fish-Parcham
Date: 12/2017
Sponsoring organization: Families USA
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Characteristics of Inpatient Stays Involving Hepatitis C, 2005-2014
Examines adult hospitalizations involving hepatitis C in 2014. Includes data by age group for hepatitis C inpatient stays for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Quyen Ngo-Metzger, Iris Mabry-Hernandez, Kevin C. Heslin, et al.
Date: 12/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Long-Term Services and Supports: A Primer
Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Philanthropy as the South's Passing Gear: Fulfilling the Promise
Report providing an overview of Southern economic development and population health since the 1960s, describing the state of philanthropy in the South, profiling philanthropic foundations and programs, and presenting reflections by experienced grantmakers. Covers racial and ethnic equity, health access and outcomes, and the needs of rural communities throughout.
Date: 11/2017
Sponsoring organizations: MDC, Southeastern Council of Foundations (SECF)
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Behavioral, Mental, and Physical Health Characteristics and Opioid Medication Misuse among Community Pharmacy Patients: A Latent Class Analysis
Study of opioid misuse risk factors based on mental, behavioral, and physical health characteristics for patients in 2 rural and 2 urban Pennsylvania counties. Uses latent class analysis methodology to identify combinations of indicators that may be visible to pharmacists and that may suggest increased risk of opioid misuse, including age, employment, whether a pharmacy is in a rural area, and education level.
Author(s): Gerald Cochran, Valerie Hruschak, Jennifer L. Bacci, Kenneth C. Hohmeier, Ralph Tarter
Citation: Research in Social and Administrative Pharmacy, 13(6), 1055-1061
Date: 11/2017
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Examination of Community Health Workers in Rural Pennsylvania
Assesses the extent to which Community Health Workers (CHWs) are used in rural Pennsylvania to address the healthcare needs of underserved people. Includes statistics on CHW salaries, caseloads, hours of paid work, health outcomes, demographic characteristics, and training and certification.
Additional links: Executive Summary
Author(s): Darlene Ardary, Jennifer DellAntonio, Joyce Du Gan, et al.
Date: 11/2017
Sponsoring organization: Center for Rural Pennsylvania
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Infrequent Provision of Palliative Care to Patients with Dialysis-Requiring AKI
Explores the use of palliative care among patients with acute kidney injury (AKI) who require dialysis. Examines data contained in the National Inpatient Sample (NIS) database from 44 states and over 4,000 hospitals. Compares palliative care use across different comorbidities, patient demographics, and hospital types, including urban and rural hospitals.
Author(s): Kelly Chong, Samuel A. Silver, Jin Long, et al.
Citation: Clinical Journal of the American Society of Nephrology, 12(11), 1744-1752
Date: 11/2017
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