Rural Health
Resources by State: Maryland
Assessing SNAP Participants' Fitness for Work: Final Report
Examines how assessments are made and implemented regarding Supplemental Nutrition Assistance Program (SNAP) work requirements. Discusses variations of work requirements for able-bodied adults without dependents (ABAWDs) across 4 case study states: Georgia, Maryland, Texas, and Wisconsin. Includes SNAP applicant characteristics and determinations for work requirements by demographic information and urbanicity of metropolitan, micropolitan, or rural. Provides feedback from rural SNAP staff regarding difficulties assessing SNAP participants' fitness for work.
Additional links: Appendices, Summary
Author(s): Chrissy Steigelman, Irma Castañeda, Jackie Kauff, Katherine Allison-Clark, Johnny Willing
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
view details
Examines how assessments are made and implemented regarding Supplemental Nutrition Assistance Program (SNAP) work requirements. Discusses variations of work requirements for able-bodied adults without dependents (ABAWDs) across 4 case study states: Georgia, Maryland, Texas, and Wisconsin. Includes SNAP applicant characteristics and determinations for work requirements by demographic information and urbanicity of metropolitan, micropolitan, or rural. Provides feedback from rural SNAP staff regarding difficulties assessing SNAP participants' fitness for work.
Additional links: Appendices, Summary
Author(s): Chrissy Steigelman, Irma Castañeda, Jackie Kauff, Katherine Allison-Clark, Johnny Willing
Date: 08/2024
Sponsoring organization: USDA Food and Nutrition Service
view details
Patient Perspectives on Cancer Care during COVID-19: A Qualitative Study
Analyzes the COVID-19 pandemic's impact on cancer patients' care experiences and mental health. Utilizes interview data from 15 rural Maryland patients who received a cancer diagnosis or treatment between January 2020 and October 2022. Discusses access to care, consistency of care, telehealth use, social isolation, patient advocacy, COVID-19 precautions, and more.
Author(s): Krista Y. Chen, Olivia Stanford, Jennifer A. Wenzel, Robert L. Joyner, Adrian S. Dobs
Citation: PLoS ONE, 19(7), e0306035
Date: 07/2024
view details
Analyzes the COVID-19 pandemic's impact on cancer patients' care experiences and mental health. Utilizes interview data from 15 rural Maryland patients who received a cancer diagnosis or treatment between January 2020 and October 2022. Discusses access to care, consistency of care, telehealth use, social isolation, patient advocacy, COVID-19 precautions, and more.
Author(s): Krista Y. Chen, Olivia Stanford, Jennifer A. Wenzel, Robert L. Joyner, Adrian S. Dobs
Citation: PLoS ONE, 19(7), e0306035
Date: 07/2024
view details
Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
view details
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
view details
Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
Evaluating the Connection Between Rural Travel Time and Health: A Cross-Sectional Analysis of Older Adults Living in the Northeast United States
Presents a study that explores the travel time to receive healthcare, use of preventive care, and overall health outcomes for rural adults over 50 in the Northeastern U.S. Bases findings on a survey rural adults living in 7 states in the Northeast and breaks down data by age and household income, among other measures.
Author(s): Madison Hearn, Casey Pinto, Jennifer L. Moss
Citation: Journal of Primary Care and Community Health, 15, 21501319241266114
Date: 01/2024
view details
Presents a study that explores the travel time to receive healthcare, use of preventive care, and overall health outcomes for rural adults over 50 in the Northeastern U.S. Bases findings on a survey rural adults living in 7 states in the Northeast and breaks down data by age and household income, among other measures.
Author(s): Madison Hearn, Casey Pinto, Jennifer L. Moss
Citation: Journal of Primary Care and Community Health, 15, 21501319241266114
Date: 01/2024
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
Sponsoring organization: Mathematica
view details
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
Sponsoring organization: Mathematica
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.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
view details
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.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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 various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
view details
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 various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
view details
Strengthening Two-Generation Initiatives that Support Child Development and Improve Family Economic Security: Insights from the Next Steps for Rigorous Research on Two-Generation Approaches Project
Provides an overview of the two-generation initiative meant to strengthen families through targeted human services that support child development and family economic security. Provides an overview of 4 organizations engaged in the formative evaluation stage of the initiative, focusing on research and implementation, built capacity to improve evaluations, and measurements used to evaluate and improve learning. Includes a case study of the Garrett County Community Action Committee in rural Maryland and their work with the two-generation initiative.
Author(s): Scott Baumgartner, Christine Ross, Emily Sama-Miller, et al.
Date: 08/2023
Sponsoring organizations: Administration for Children and Families, Mathematica
view details
Provides an overview of the two-generation initiative meant to strengthen families through targeted human services that support child development and family economic security. Provides an overview of 4 organizations engaged in the formative evaluation stage of the initiative, focusing on research and implementation, built capacity to improve evaluations, and measurements used to evaluate and improve learning. Includes a case study of the Garrett County Community Action Committee in rural Maryland and their work with the two-generation initiative.
Author(s): Scott Baumgartner, Christine Ross, Emily Sama-Miller, et al.
Date: 08/2023
Sponsoring organizations: Administration for Children and Families, Mathematica
view details
Using Rapid Cycle Learning to Build Momentum for Change in Two-Generation Service Delivery
Provides an overview of programs utilizing rapid cycle learning to quickly implement initiatives that help sustain changes for two or more generations aimed at improving outcomes for children, primary caregivers, and their families. Includes information on a Community Action Agency in a rural Maryland county and a human services organization that serves a rural Latino community in Colorado. Discusses their processes to improve data usage, referral systems, professional presentations, and more.
Author(s): Alex Bauer, Nickie Fung, Scott Baumgartner
Date: 06/2023
Sponsoring organization: Administration for Children and Families
view details
Provides an overview of programs utilizing rapid cycle learning to quickly implement initiatives that help sustain changes for two or more generations aimed at improving outcomes for children, primary caregivers, and their families. Includes information on a Community Action Agency in a rural Maryland county and a human services organization that serves a rural Latino community in Colorado. Discusses their processes to improve data usage, referral systems, professional presentations, and more.
Author(s): Alex Bauer, Nickie Fung, Scott Baumgartner
Date: 06/2023
Sponsoring organization: Administration for Children and Families
view details