Rural Health
Resources by State: Maryland
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 and 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 and 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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Preserve Telehealth Access Act of 2021: Telehealth Recommendations
Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Technical Report of The Maryland Telehealth Study
Presents the results of a study examining the quality and cost of telehealth following its expansion during the COVID-19 pandemic, as well as impact on access to healthcare, alignment with other models of care, and provider and patient satisfaction with a focus on policy impacts in Maryland. Includes findings of a literature review, consumer interviews, behavioral healthcare organization focus groups, and a provider survey.
Date: 10/2022
Sponsoring organizations: NORC at the University of Chicago, The Maryland Health Care Commission
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Presents the results of a study examining the quality and cost of telehealth following its expansion during the COVID-19 pandemic, as well as impact on access to healthcare, alignment with other models of care, and provider and patient satisfaction with a focus on policy impacts in Maryland. Includes findings of a literature review, consumer interviews, behavioral healthcare organization focus groups, and a provider survey.
Date: 10/2022
Sponsoring organizations: NORC at the University of Chicago, The Maryland Health Care Commission
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Consumer Finances in Rural Appalachia
Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Describes the financial needs and challenges of consumers in rural Appalachia. Features sections on consumer finance profiles, including a section on medical debt, and consumer distress and delinquencies. Appendix A includes state-level statistics for the 13 Appalachian states, including percent of rural people with medical debt in the state.
Author(s): Matthew Liu, Cooper Luce, Michael Orevba, Shawn Sebastian, Cortnie Shupe
Date: 09/2022
Sponsoring organization: Consumer Financial Protection Bureau
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Maryland Community Health Worker and Employer Surveys: Analysis and Report, With a Focus on Rural Maryland
Examines the Maryland landscape of community health workers (CHWs) and the organizations that employ them; identifies barriers and facilitators to incorporating the CHW skillset into patient-centered healthcare models; and determines the impact of CHWs on access to healthcare and use of preventive health services by the people they serve. Features statistics including demographics, services provided, funding sources, and type of employer, with breakdowns by urban or rural area.
Author(s): Brian Robertson, John Charles, Allison Tippery, et al.
Date: 06/2022
Sponsoring organization: Maryland State Office of Rural Health
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Examines the Maryland landscape of community health workers (CHWs) and the organizations that employ them; identifies barriers and facilitators to incorporating the CHW skillset into patient-centered healthcare models; and determines the impact of CHWs on access to healthcare and use of preventive health services by the people they serve. Features statistics including demographics, services provided, funding sources, and type of employer, with breakdowns by urban or rural area.
Author(s): Brian Robertson, John Charles, Allison Tippery, et al.
Date: 06/2022
Sponsoring organization: Maryland State Office of Rural Health
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Area-Level Deprivation and Adverse Childhood Experiences among High School Students in Maryland
Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual 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. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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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. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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