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Rural Health
Resources by State: California

Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Health Care Services Outreach Program Supports Sustainable Change
Provides an overview of the Federal Office of Rural Health Policy's Rural Health Care Services Outreach Program and the impact several grantees have made in their communities. Discusses the how the grantees planned their projects with the goal of sustaining services after the grant funding ends.
Author(s): Jenn Lukens
Location: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoƫ Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Drinking Water and Wastewater Infrastructure: Information on Identified Needs, Planning for Future Conditions, and Coordination of Project Funding
Reviews federal programs that provide funding for drinking water and wastewater infrastructure projects and describes how infrastructure needs are identified. Also details how federal agencies support states' efforts, and the extent to which federal agencies coordinate funding initiatives. Analysis is based on a review of infrastructure projects in six states: Alaska, California, New Mexico, New York, North Dakota, and Tennessee.
Date: 09/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states - California, Colorado, New Mexico, and Oregon - are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations. Also shares design considerations for specific delivery system environments, and ways to ensure long-term program sustainability.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Hospital-Community Partnerships to Build a Culture of Health: A Compendium of Case Studies
Presents insights from nine communities across the U.S. that have successful hospital-community partnerships. Each case study provides a description of the community, background information on the partner organizations, and an overview of the impacts and lessons learned. Several case studies include rural communities, rural populations, and/or rural partner organizations.
Date: 08/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Housing and the Role of Hospitals
Provides an overview of the role of housing in health, and discusses what hospitals can can do to address housing instability as a social determinant of health. Offers five case studies of innovative hospital and health system programs related to housing, including a rural California program that provides safe transitional housing to chronically homeless patients after discharge from the hospital.
Date: 08/2017
Type: Document
Sponsoring organizations: American Hospital Association, Health Research & Educational Trust
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing a study to explore how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Promising Practices to Build Healthy Active Native Communities
Highlights promising practices to improve the health and wellness in American Indian and Alaska Native communities. Discusses programs designed to incorporate Native cultural beliefs into healthy eating practices and fitness regimens that support physical well-being.
Date: 07/2017
Type: Document
Sponsoring organization: Association of American Indian Physicians
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