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Rural Health
Resources by State: California

Accelerating Value-Based Payment in California's Federally Qualified Health Centers: Options for Medicaid Health Plans
Highlights examples of value-based payment (VBP) models for Federally Qualified Health Centers (FQHCs), including a rural Hawaii model and a Colorado model that incorporates rural FQHCs. Covers Accountable Care Organization (ACO) models, state-led Capitated Alternative Payment Models (APMs), state-led quality payment adjustments, and Medicaid shared savings ACO models. Addresses how FQHCs and health plans can overcome challenges when launching new VBP models and offers recommendations for California's health plans.
Date: 08/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare. For the earlier report, see Evaluation of California's Community Paramedicine Pilot Program.
Date: 08/2019
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Older Americans Act: HHS Could Help Rural Service Providers by Centralizing Information on Promising Practices
Focuses on services and resources authorized by the Older Americans Act to help older adults age in place in rural communities. Addresses challenges accessing home and community-based services in rural areas and information on strategies for addressing those challenges. Covers home-delivered meals, congregate meals, transportation, family caregiver services, case management, and homemaker services. Research included interviews with ACL officials, rural area agencies on aging (AAA) in 8 states, rural health experts, and stakeholder groups; a literature review; and site visits.
Date: 05/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Supporting Rural Health: Practical Solutions for State Policymakers
Reports on 3 regional meetings of state health policy leaders and national experts regarding top rural health concerns and successful models for addressing them. Highlights lessons for policymakers from rural health initiatives focused on community health, strategies for expanding rural health workforce capacity, and examples of states working with research centers to develop evidence-based policies. Includes models from several states for each area discussed.
Author(s): Emily Whelan Parento
Date: 05/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Briefing - Expanding the Role of Nurse Practitioners
Provides a webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes some information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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Telehealth Reimbursement Guide for California
Provides an overview of telehealth and explains telehealth reimbursement criteria for Medicare, Medi-Cal, and other insurance programs in California. Includes specific information for Rural Health Clinics, Federally Qualified Health Centers, and rural Health Professional Shortage Areas (HPSAs).
Date: 05/2019
Type: Document
Sponsoring organization: California Telehealth Resource Center
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Selected Rural Healthcare Facilities in California
Shows the state's Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites located outside of urbanized areas.
Date: 04/2019
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Cross-Agency Approaches to Substance Use Disorder Prevention and Treatment: National Recommendations
Provides recommendations on how state agencies can work together to prevent and treat substance use disorder, including engaging with state offices of rural health. Offers examples from 8 states and emphasizes state efforts related to opioid misuse disorder.
Date: 03/2019
Type: Document
Sponsoring organization: National Academy for State Health Policy
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