Healthcare Access in Rural Communities – Resources
Selected recent or important resources focusing on Healthcare Access in Rural Communities.
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2024
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers approaches for updating fee-for-service (FFS) Medicare's physician fee schedule (PFS) payments and incentivizing participation in alternative payment models; provider networks and prior authorization in Medicare Advantage (MA) plans; an assessment of the relative completeness of MA encounter data and other data sources; Medicare coverage and payments for medical software; alternate approaches to lower Medicare payment rates for select conditions in inpatient rehabilitation facilities; and Medicare's Acute Hospital Care at Home program. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers approaches for updating fee-for-service (FFS) Medicare's physician fee schedule (PFS) payments and incentivizing participation in alternative payment models; provider networks and prior authorization in Medicare Advantage (MA) plans; an assessment of the relative completeness of MA encounter data and other data sources; Medicare coverage and payments for medical software; alternate approaches to lower Medicare payment rates for select conditions in inpatient rehabilitation facilities; and Medicare's Acute Hospital Care at Home program. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Risk Factors for Poor Health Among U.S. Older Adults in Rural and Urban Areas: Injury, Food Insecurity, and Lack of Social and Emotional Support
Examines differences in select risk factors for poor health between rural and urban older adults and among rural older adults, with breakdowns by several sociodemographic characteristics. Features statistics including percentage of older adults experiencing risk factors for poor health, injury and significant injury, food insecurity, and lack of social and emotional support.
Author(s): Ingrid Jacobson, Alexis Swendener, Megan Lahr, Alyssa Fritz, Carrie Henning-Smith
Date: 06/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines differences in select risk factors for poor health between rural and urban older adults and among rural older adults, with breakdowns by several sociodemographic characteristics. Features statistics including percentage of older adults experiencing risk factors for poor health, injury and significant injury, food insecurity, and lack of social and emotional support.
Author(s): Ingrid Jacobson, Alexis Swendener, Megan Lahr, Alyssa Fritz, Carrie Henning-Smith
Date: 06/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
Type: Document
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Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
Type: Document
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Navigating Geographical Disparities: Access to Obstetric Hospitals in Maternity Care Deserts and Across the United States
Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
Type: Document
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Examines disparities related to maternity care access by analyzing travel distances to obstetric care across the United States. Provides data to nearest obstetric hospital by census tract, with further breakdowns according to maternity care desert (MCD) designation, rurality, race/ethnicity, and travel time. Includes U.S. maps showing spatial clusters of distance and travel time to obstetric care.
Author(s): Jazmin Fontenot, Christina Brigance, Ripley Lucas, Ashley Stoneburner
Citation: BMC Pregnancy and Childbirth, 24, 350
Date: 05/2024
Type: Document
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The Future of Broadband Affordability
Presents a recording of a May 2, 2024, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Describes federal approaches to increase broadband access and affordability. Discusses the state of broadband affordability programs, the impact of a potential lapse or end of the Affordable Connectivity Program (ACP), and strategies to address shortfalls in broadband affordability programs.
Additional links: Blair Levin, New Street Research - Testimony, Jennifer Case Nevarez, Community Learning Network - Testimony, Kathryn de Wit, Pew Charitable Trusts - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Presents a recording of a May 2, 2024, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Describes federal approaches to increase broadband access and affordability. Discusses the state of broadband affordability programs, the impact of a potential lapse or end of the Affordable Connectivity Program (ACP), and strategies to address shortfalls in broadband affordability programs.
Additional links: Blair Levin, New Street Research - Testimony, Jennifer Case Nevarez, Community Learning Network - Testimony, Kathryn de Wit, Pew Charitable Trusts - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities
Examines novel and promising programs and interventions to potentially improve HIV pre-exposure prophylaxis (PrEP) access in the U.S. South and rural communities. Describes ways to normalize, digitalize, and simplify PrEP care.
Author(s): Emiko Kamitani, Yuko Mizuno, Linda J. Koenig
Citation: Journal of the Association of Nurses in AIDS Care, 35(2), 153-160
Date: 03/2024
Type: Document
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Examines novel and promising programs and interventions to potentially improve HIV pre-exposure prophylaxis (PrEP) access in the U.S. South and rural communities. Describes ways to normalize, digitalize, and simplify PrEP care.
Author(s): Emiko Kamitani, Yuko Mizuno, Linda J. Koenig
Citation: Journal of the Association of Nurses in AIDS Care, 35(2), 153-160
Date: 03/2024
Type: Document
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A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees' Access to Care
Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Loud and Clear: Improving Access to Hearing Care in Rural America
Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses barriers to rural hearing care access and the importance of hearing conservation. Features a hearing clinic in South Dakota, a telehealth program in Alaska, and a nationally available agriculture safety program working to address rural hearing care.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities
Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Recording of a March 12, 2024, House Committee on Ways and Means hearing regarding opportunities and challenges to enhance access to care in patients' homes and modernizing care in rural and underserved communities, with a focus on telehealth and health information technology. Features testimony from two rural patients and representatives from Intermountain Health; Cadence, a company with expertise in chronic care management through remote physiologic monitoring; and Harvard Medical School and Beth Israel Deaconess Medical Center.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Bell Maddux, Home Dialysis Patient - Testimony, Chris Altchek, Cadence - Testimony, Nathan Starr, Intermountain Health - Testimony, Roy Underhill, Hospital at Home Patient - Testimony
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
Type: Document
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Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
Type: Document
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Last Updated: 7/22/2024