November 6, 2024
From the 2036 physician supply predictions: 6% shortage in urban, but 56% in rural. With supply influenced by 100 years of attitudes, health policies, and federal funding, this historical review leads up to the recent decades of new federal funding and policies that experts said will be changing this geographic maldistribution of physicians.
July 24, 2024
For decades, community health workers (CHWs) provided their services outside usual healthcare reimbursement models. In recent years, with research supporting CHWs as professionals effectively assisting patients with navigating health-related social determinants, federal and private payers are exploring reimbursement mechanisms. Four rural healthcare organizations share both the impact and the continued sustainability challenges — and successes — of their CHW programs.
January 24, 2024
Produce prescription programs have gained popularity in recent years as a model for addressing food insecurity and diet-related disease. While such programs are still uncommon in rural areas, those that do exist report wide-ranging impacts on participants and local food systems.
July 12, 2023
Rural community pharmacies are often vital sources for prescriptions, vaccinations, patient education, and other healthcare needs, but the RUPRI Center for Rural Health Policy Analysis reported a decrease in the number of rural pharmacies from 2003 to 2021. A pharmacy chain in the Midwest, a pharmacy-based research network in the South, and an Illinois school of pharmacy discuss the rewards and challenges of operating in rural areas.
April 19, 2023
Three rural healthcare experts discuss how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
October 26, 2022
After a 1965 public law created the Medicare and Medicaid programs, many rural residents insured by these government health programs were unable to access care. This challenge was remedied by another public law: the Rural Health Clinic Services Act of 1977. Using a historical framework, rural health policy experts, researchers, and clinicians reviewed the Act's impact on outpatient healthcare delivery in rural America.
October 26, 2022
Over 5,200 rural organizations participate in the Rural Health Clinics program, a reimbursement model dedicated to rural low-volume healthcare delivery and now in its 45th year. The National Association of Rural Health Clinics — in its 30th year — is a membership organization that emerged as the program increased its participants. Bill Finerfrock, association cofounder and its recently retired executive director, shared the group's origin story as well as touchpoints from his own career.
May 18, 2022
Dr. Clint MacKinney explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
December 8, 2021
Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an "enabler" of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.
August 11, 2021
"Swing bed" is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program's historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.
