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Rural Health
Resources by State: Missouri

Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State of Missouri - Physician Manual
Identifies the conditions of participation for physicians providing services in Missouri state-funded healthcare programs including MO HealthNet, Missouri's Medicaid program. Includes specific procedures for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) participating in these programs. Addresses covered telehealth services and which counties are categorized as rural.
Date: 12/2019
Type: Document
Sponsoring organization: Missouri Department of Social Services
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Health Management Associates, Kaiser Family Foundation
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Type: Document
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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State of Missouri - Rural Health Clinic Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2019
Type: Document
Sponsoring organization: Missouri Department of Social Services
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2019 Physician Assistant Telehealth Survey
Discusses survey results of 95 physician assistants (PAs) across Kansas, Missouri, and Oklahoma regarding their use and perceptions of telehealth. Examines survey results across a variety of geographic and practice settings. Presents a brief overview of some federal and state-level policies about PA reimbursement and their ability to provide telehealth services.
Date: 08/2019
Type: Document
Sponsoring organization: Heartland Telehealth Resource Center
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A Guide for Rural Health Care Collaboration and Coordination
Describes how rural hospitals, community health centers, local public health departments, and other organizations can work together to identify health needs in their community and develop partnerships and strategies to help address these needs. Identifies areas of collaboration and coordination. Includes networking and collaboration case studies in rural Missouri and North Dakota. Provides a template and discussion questions for developing partnerships.
Date: 08/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities
Highlights a study on physical activity rates and structural impediments and advantages within rural communities that affect those rates. Bases findings on interviews with rural adults in southeast Missouri. Examines the attitudes and concerns about physical activity and makes suggestions for future interventions.
Author(s): Amanda S. Gilbert, Dixie D. Duncan, Alan M. Beck, et al.
Citation: Journal of Environmental and Public Health
Date: 06/2019
Type: Document
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HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in seven states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Author(s): Marc A. Pitasi, Kevin P. Delaney, John T. Brooks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: The Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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