Rural Health
Resources by State: Missouri
An Analysis of Suicide Risk Factors among Farmers in the Midwestern United States
Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
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Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Missouri Maternal-Infant Health: State and Regional Actions Impacting Care Delivery and Health Outcomes
Provides an overview of maternal and infant morbidity/mortality in Missouri. Profiles regional and state-wide efforts to address the drivers of severe maternal morbidity and mortality and improve maternal and infant health outcomes, including rural-specific projects.
Author(s): Reggi Rideout, Sue Kendig, Alison Williams
Date: 2021
Sponsoring organization: Missouri Hospital Association
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Provides an overview of maternal and infant morbidity/mortality in Missouri. Profiles regional and state-wide efforts to address the drivers of severe maternal morbidity and mortality and improve maternal and infant health outcomes, including rural-specific projects.
Author(s): Reggi Rideout, Sue Kendig, Alison Williams
Date: 2021
Sponsoring organization: Missouri Hospital Association
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Federal Funding for Rural Health: Supporting Planning and Development Around a Regional Transportation Need
Features Rides to Health and Wealth, a regional transportation program in eastern Missouri helping improve rural healthcare access and other health-related transportation needs. Includes discussion of how the program planning and development continued during the COVID-19 pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Features Rides to Health and Wealth, a regional transportation program in eastern Missouri helping improve rural healthcare access and other health-related transportation needs. Includes discussion of how the program planning and development continued during the COVID-19 pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Rural Disparities in Surgical Care from Gynecologic Oncologists Among Midwestern Ovarian Cancer Patients
Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
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Compares the surgeries of 1,003 rural and urban women between 18 and 89 with ovarian cancer between 2010 and 2012 in Kansas, Missouri, and Iowa with particular focus on access to gynecologic oncologist specialists. Discusses referral practices, distances to specialists, and outcomes of surgeries with specialists compared to non-specialists.
Author(s): Kristin Weeks, Charles F. Lynch, Michele West, et al.
Citation: Gynecologic Oncology, 160(2), 477-484
Date: 11/2020
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Urban–Rural Disparities in Access to Low-Dose Computed Tomography Lung Cancer Screening in Missouri and Illinois
Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
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Investigates the relationship between rurality and access to low-dose computed tomography (LDCT) lung cancer screening. Includes county-level maps for Missouri and Illinois, with data on LDCT access, lung cancer deaths per 100,000 people, and prevalence of adult smoking.
Author(s): Karthik Rohatgi, Christine Marx, Marquita Lewis-Thames, et al.
Citation: Preventing Chronic Disease, 17
Date: 11/2020
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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