Rural Health
Resources by State: State-by-state
State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Border Health Status Report of the 44 U.S. Counties at the U.S.- Mexico Border
A review of selected 20 topic health indicators using public use data obtained from 44 counties, mostly rural, located along the U.S.-Mexico border region and within the states of Arizona, California, New Mexico, and Texas. Offers health indicator data for selected measurable objectives having baseline data on overall mortality, and mortality rates for diabetes, heart disease, cervical cancer, breast cancer, unintentional injuries, and road traffic-related. Health indicator data is also provided for non-measurable objectives, due to a lack of baseline data, on asthma, maternal mortality, gonorrhea, and congenital syphilis.
Author(s): Nicole Baker, Nicole Baker, Juan Albertorio, Alfonso Rodríguez-Lainz
Date: 2020
Sponsoring organization: United States-México Border Health Commission
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A review of selected 20 topic health indicators using public use data obtained from 44 counties, mostly rural, located along the U.S.-Mexico border region and within the states of Arizona, California, New Mexico, and Texas. Offers health indicator data for selected measurable objectives having baseline data on overall mortality, and mortality rates for diabetes, heart disease, cervical cancer, breast cancer, unintentional injuries, and road traffic-related. Health indicator data is also provided for non-measurable objectives, due to a lack of baseline data, on asthma, maternal mortality, gonorrhea, and congenital syphilis.
Author(s): Nicole Baker, Nicole Baker, Juan Albertorio, Alfonso Rodríguez-Lainz
Date: 2020
Sponsoring organization: United States-México Border Health Commission
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Rural–Urban Disparities in Pregnancy Intentions, Births, and Abortions Among US Adolescent and Young Women, 1995–2017
Study examining disparities in intendedness and resolution of first pregnancies among rural and urban adolescent and young women using 2002-2017 data from the National Survey of Family Growth. Breaks down data by race/ethnicity, by urban, rural, and suburban residence, and by state. Discusses public health implications of the findings.
Author(s): April Sutton, Daniel T. Lichter, Sharon Sassler
Citation: American Journal of Public Health, 109(12), 1762-1769
Date: 12/2019
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Study examining disparities in intendedness and resolution of first pregnancies among rural and urban adolescent and young women using 2002-2017 data from the National Survey of Family Growth. Breaks down data by race/ethnicity, by urban, rural, and suburban residence, and by state. Discusses public health implications of the findings.
Author(s): April Sutton, Daniel T. Lichter, Sharon Sassler
Citation: American Journal of Public Health, 109(12), 1762-1769
Date: 12/2019
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Opioid Prescribing Among Adults With Disabilities in the United States After the 2014 Federal Hydrocodone Rescheduling Regulation
Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Examines the impact of the 2014 federal rescheduling regulation regarding hydrocodone-combination products on Medicare beneficiaries with disabilities. Provides maps of prolonged opioid use by Medicare beneficiaries with disabilities by state before and after the regulation was implemented. Includes data analysis of beneficiaries in metropolitan, urban, and rural areas.
Author(s): Victor Law, Yong-Fang Kuo, Mukaila A. Raji, Jacques Baillargeon
Citation: Public Health Reports, 135(1), 114-123
Date: 12/2019
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Potentially Excess Deaths from the Five Leading Causes of Death in Metropolitan and Nonmetropolitan Counties — United States, 2010–2017
Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on the rural-urban disparities regarding potentially preventable deaths caused by heart disease, cancer, unintentional injury, chronic lower respiratory disease (CLRD), and stroke for populations less than 80 years of age. Updates a January 2017 report on the same topic, with the new report using a 6-level urban-rural classification scheme and adding additional years and annual percentage change information.
Additional links: Supplementary Table 1: Number of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 2: Percentage of Potentially Excess Deaths, by HHS Region and Urban-Rural Classification, Supplementary Table 3: Number of Potentially Excess Deaths, by State for Metro and Nonmetro, Supplementary Table 4: Percentage of Potentially Excess Deaths, by State for Metro and Nonmetro
Author(s): Macarena C. Garcia, Lauren M. Rossen, Brigham Bastian, et al.
Citation: MMWR Surveillance Summaries, 68(10), 1-11
Date: 11/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Growth and Distribution of Child Psychiatrists in the United States: 2007-2016
Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6), e20191576
Date: 11/2019
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Results of a study exploring trends in the growth and distribution of child psychiatrists in the United States from 2007-2016, noting differences in access in urban and rural areas. Includes statistics on the numbers of children and child psychiatrists in each state, and a county-level map showing the percent of change during the decade studied.
Author(s): Ryan K. McBain, Aaron Kofner, Bradley D. Stein, et al.
Citation: Pediatrics, 144(6), e20191576
Date: 11/2019
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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