Rural Health
Resources by State: Maryland
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 & Medicaid Services, Mathematica
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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 & Medicaid Services, Mathematica
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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
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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
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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
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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
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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 & Medicaid Services, L&M Policy Research
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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 & Medicaid Services, L&M Policy Research
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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
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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
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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
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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
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Insight Policy Research
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Rural Maryland Council Report on the Transportation Health Care Roundtable Meetings
Summaries of a series of roundtable discussions between healthcare and transportation providers to determine how health and human services transportation can be improved in Maryland. Mentions rural throughout.
Date: 03/2023
Sponsoring organizations: Rural Maryland Council, Tri-County Council for Southern Maryland
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Summaries of a series of roundtable discussions between healthcare and transportation providers to determine how health and human services transportation can be improved in Maryland. Mentions rural throughout.
Date: 03/2023
Sponsoring organizations: Rural Maryland Council, Tri-County Council for Southern Maryland
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A Feasibility Study of Augmented Reality Intervention for Safety Education for Farm Parents and Children
Interviewed 10 Maryland farm families to determine the need for and experience using augmented reality (AR) technology for the promotion of safety on the farm for children. Describes the creation of an AR program.
Author(s): Kang Namkoong, John Leach, Junhan Chen, Jiawen Zhang, Bryan Weichelt
Citation: Frontiers in Public Health, 10, 903933
Date: 01/2023
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Interviewed 10 Maryland farm families to determine the need for and experience using augmented reality (AR) technology for the promotion of safety on the farm for children. Describes the creation of an AR program.
Author(s): Kang Namkoong, John Leach, Junhan Chen, Jiawen Zhang, Bryan Weichelt
Citation: Frontiers in Public Health, 10, 903933
Date: 01/2023
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Hidden Crisis: Pediatric Oral Health In Rural America
Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Sponsoring organization: American Academy of Pediatric Dentistry
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Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Sponsoring organization: American Academy of Pediatric Dentistry
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