Rural Health
Resources by State: Alabama
Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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HIV Testing Outcomes Among Blacks or African Americans — 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017
Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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Research letter describing a study of the Online Purchase Pilot (OPP), which allows beneficiaries in 8 states to use the Supplemental Nutrition Assistance Program (SNAP) to buy groceries online. Includes statistics on the availability of grocery delivery among rural food desert census tracts and SNAP households in the 8 OPP states.
Author(s): Eric J. Brandt, David M. Silvestri, Jerold R. Mandi, Margaret L. Holland, Joseph S. Ross
Citation: JAMA Network Open, 2(12)
Date: 12/2019
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Area Deprivation as a Risk Factor for Methicillin-Resistant Staphylococcus Aureus Infection in Pediatric Cystic Fibrosis
Examines the prevalence of Methicillin-Resistant Staphylococcus Aureus Infection (MRSA) in children with cystic fibrosis, studying the relationship between MRSA rates and socio-environmental conditions. Analyzes statistical data of patients in Alabama, comparing rurality and area deprivation to rates of MRSA. Discusses the rates of infection in rural and underserved areas as a consideration for prevention and treatment strategies.
Author(s): Gabriela R. Oates, William T. Harris, Steven M. Rowe, et al.
Citation: The Pediatric Infectious Disease Journal, 38(11), e285-e289
Date: 11/2019
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Examines the prevalence of Methicillin-Resistant Staphylococcus Aureus Infection (MRSA) in children with cystic fibrosis, studying the relationship between MRSA rates and socio-environmental conditions. Analyzes statistical data of patients in Alabama, comparing rurality and area deprivation to rates of MRSA. Discusses the rates of infection in rural and underserved areas as a consideration for prevention and treatment strategies.
Author(s): Gabriela R. Oates, William T. Harris, Steven M. Rowe, et al.
Citation: The Pediatric Infectious Disease Journal, 38(11), e285-e289
Date: 11/2019
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Sponsoring organization: Commonwealth Fund
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Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Sponsoring organization: Commonwealth Fund
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Report of Recommendations: Appalachian Regional Commission's Substance Abuse Advisory Council
Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance abuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Sponsoring organization: Appalachian Regional Commission
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Report outlines the recommendations of the ARC's Substance Abuse Advisory Council on designing and implementing a substance abuse recovery system in rural Appalachia. Details the need for workforce training and employment via support services post-treatment.
Date: 08/2019
Sponsoring organization: Appalachian Regional Commission
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Multilevel Faith-Based Public Health Initiative in Rural Alabama, 2017
Examines the impact of Live Well Faith Communities, a 9-week, faith-based health promotion initiative undertaken in 14 faith communities in rural Alabama. Describes faith community policy and environmental changes related to promoting healthy eating and physical activity. Also discusses participant lifestyle changes.
Author(s): Alicia R. Powers, Ruth W. Brock, Katie Funderburk, et al.
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Examines the impact of Live Well Faith Communities, a 9-week, faith-based health promotion initiative undertaken in 14 faith communities in rural Alabama. Describes faith community policy and environmental changes related to promoting healthy eating and physical activity. Also discusses participant lifestyle changes.
Author(s): Alicia R. Powers, Ruth W. Brock, Katie Funderburk, et al.
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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