Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson Date: 02/2024 Type: Document Sponsoring organization: Flex Monitoring Team view details
What States Can Learn from Maryland's Experience with Hospital Global Budgeting
Podcast episode exploring lessons learned from Maryland's hospital global budgeting model. Includes a discussion on small and rural hospitals' financial sustainability and their involvement in the model, as well as comparisons to the Pennsylvania Rural Health Model and the Vermont All-Payer Accountable Care Organization (ACO) Model.
Date: 01/2024 Type: Audio Sponsoring organization: Mathematica view details
Selected Rural Healthcare Facilities in Maryland
Shows the state's Critical Access Hospitals (CAHs) and
Rural Health Clinics (RHCs), as well as Federally Qualified
Health Center (FQHC) sites and short term/PPS (Prospective Payment System) hospitals
located in rural areas.
Date: 12/2023 Type: Map/Mapping System Sponsoring organization: Rural Health Information Hub view details
Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker Date: 11/2023 Type: Document Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform view details
FY 2023: HRSA's Rural Health Grants – Maryland Fact Sheet
HRSA Federal Office of Rural Health Policy investments in Maryland in Fiscal Year 2023. Lists grant and cooperative agreement recipients, award amounts, award recipient locations, and congressional district.
Date: 11/2023 Type: Document Sponsoring organization: Federal Office of Rural Health Policy view details
2023 Maryland Hunger Profiles
Provides state- and county-level data on age of population, median household income, childhood and older adult poverty levels, and food program usage in Maryland. Discusses the impact of the COVID-19 pandemic on food access as well as strategies to end hunger in the state.
Date: 09/2023 Type: Document Sponsoring organization: Maryland Hunger Solutions view details
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on access to care, health equity, and Medicare spending. Explores whether the model had unique impacts on access to home health care in rural areas.
Appendices, Findings at a Glance
Date: 09/2023 Type: Document Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research view details
Appalachian Diseases of Despair
Provides information on Appalachian mortality disparities due to overdose, suicide, and alcoholic liver disease/cirrhosis among people ages 15-64. Utilizes data from the 2021 Multiple Cause of Death database broken down by Appalachian state, region, gender, and metropolitan or nonmetropolitan status.
Date: 07/2023 Type: Document Sponsoring organizations: Appalachian Regional Commission, East Tennessee State University Center for Rural Health Research, NORC Walsh Center for Rural Health Analysis view details