Rural Pharmacy and Prescription Drugs – Resources
Selected recent or important resources focusing on Rural Pharmacy and Prescription Drugs.
Medicare Enrollees and the Part D Drug Benefit: Improving Financial Protection through the Low- Income Subsidy
Provides an overview of the Medicare Part D Low-Income Subsidy (LIS) program, which covers some or all Part D drug costs. Presents estimates of number of Medicare Part D enrollees who received LIS in 2020 and their characteristics, as well as Medicare beneficiaries who did and did not have prescription drug coverage but who appear to be eligible for LIS based on income and resources. Compares Medicare enrollees demographic, financial, health status, and healthcare utilization characteristics, including rurality.
Author(s): Yevgeniy Feyman, Joel Ruhter, Kenneth Finegold, et al.
Date: 02/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Medicare Part D Low-Income Subsidy (LIS) program, which covers some or all Part D drug costs. Presents estimates of number of Medicare Part D enrollees who received LIS in 2020 and their characteristics, as well as Medicare beneficiaries who did and did not have prescription drug coverage but who appear to be eligible for LIS based on income and resources. Compares Medicare enrollees demographic, financial, health status, and healthcare utilization characteristics, including rurality.
Author(s): Yevgeniy Feyman, Joel Ruhter, Kenneth Finegold, et al.
Date: 02/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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340B Discount Drug Program Reform Policy Principles
Policy position paper on the 340B program. Explores ways in which the program benefits rural health systems and patients, and the impact of restrictions by drug manufacturers on rural safety net providers .
Date: 2024
Sponsoring organization: National Rural Health Association
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Policy position paper on the 340B program. Explores ways in which the program benefits rural health systems and patients, and the impact of restrictions by drug manufacturers on rural safety net providers .
Date: 2024
Sponsoring organization: National Rural Health Association
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Addressing COVID-19 Vaccine Hesitancy in Rural Community Pharmacies: A Protocol for a Stepped Wedge Randomized Clinical Trial
Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
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Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
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Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Pharmacists Fill Needed Health Care Gap For Rural Americans
Profiles rural pharmacists and their experiences working in areas that have an increased burden of chronic disease and reduced healthcare access.
Author(s): Loren Bonner
Citation: Pharmacy Today
Date: 10/2023
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Profiles rural pharmacists and their experiences working in areas that have an increased burden of chronic disease and reduced healthcare access.
Author(s): Loren Bonner
Citation: Pharmacy Today
Date: 10/2023
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Rural Pharmacies Provide Multi-Faceted Value to Rural Communities
Describes the role rural pharmacies can play in the provision of healthcare in rural communities. Describes the challenges faced by rural pharmacies and efforts to address those challenges through partnerships and pharmacist training.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Describes the role rural pharmacies can play in the provision of healthcare in rural communities. Describes the challenges faced by rural pharmacies and efforts to address those challenges through partnerships and pharmacist training.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2023
Sponsoring organization: Rural Health Information Hub
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Oral Health Disparities Through the Lifespan: Challenges and Opportunities
Recording of a June 7, 2023, conference session on oral health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the CMS Office of the Administrator comparing differences in rural and urban dental opioid prescribing to adolescent/young adult and adult Medicaid/CHIP enrollees by patient and county characteristics. Transcript available below description.
Additional links: Carla Shoff, Centers for Medicare & Medicaid Services Office of the Administrator - Presentation Slides
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a June 7, 2023, conference session on oral health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the CMS Office of the Administrator comparing differences in rural and urban dental opioid prescribing to adolescent/young adult and adult Medicaid/CHIP enrollees by patient and county characteristics. Transcript available below description.
Additional links: Carla Shoff, Centers for Medicare & Medicaid Services Office of the Administrator - Presentation Slides
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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340B Drug Discount Program: Information about Hospitals That Received an Eligibility Exception as a Result of COVID-19
Provides an overview of a provision of the Consolidated Appropriations Act, 2022, that allowed hospitals to request an exception to the disproportionate share hospital (DSH) percentage eligibility requirement if they were unable to meet it due to the COVID-19 pandemic. Explores the exception process and provides information on hospitals that received the exception. Discusses the amount of 340B drug purchases and discounts that excepted hospitals indicated they had in 2020 and 2021; the extent to which excepted hospitals indicated providing discounts on 340B drugs to low-income, uninsured patients; and results of the Health Resources and Services Administration's audits and oversight activities to assess program compliance.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Provides an overview of a provision of the Consolidated Appropriations Act, 2022, that allowed hospitals to request an exception to the disproportionate share hospital (DSH) percentage eligibility requirement if they were unable to meet it due to the COVID-19 pandemic. Explores the exception process and provides information on hospitals that received the exception. Discusses the amount of 340B drug purchases and discounts that excepted hospitals indicated they had in 2020 and 2021; the extent to which excepted hospitals indicated providing discounts on 340B drugs to low-income, uninsured patients; and results of the Health Resources and Services Administration's audits and oversight activities to assess program compliance.
Additional links: Full Report
Date: 05/2023
Sponsoring organization: Government Accountability Office
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Travel Times to Facilities Offering Oral Medication Therapy for COVID-19
Results of a study exploring accessibility of oral COVID-19 therapeutics across the United States, by examining travel times to places where these medications are available. Features a county-level map with shadings showing ranges of travel time by census tract.
Author(s): Peter A. Kahn, Xiaohan Ying, Walter S. Mathis
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Results of a study exploring accessibility of oral COVID-19 therapeutics across the United States, by examining travel times to places where these medications are available. Features a county-level map with shadings showing ranges of travel time by census tract.
Author(s): Peter A. Kahn, Xiaohan Ying, Walter S. Mathis
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Last Updated: 1/31/2025