Rural Health
Resources by State: State-by-state
Telepharmacy Rules and Statutes: A 50-State Survey
Policy brief identifying state-enacted regulations and legislation authorizing use of community telepharmacy initiatives, and describing implications for patients in underserved rural communities. Includes a table listing states with telepharmacy permitted in some capacity, pilot programs that enable telepharmacy initiatives, waivers enabling telepharmacy initiatives, or no rules or legislation authorizing telepharmacy use.
Additional links: Table Supplement
Author(s): George Tzanetakos, Fred Ullrich, Keith Mueller
Date: 04/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief identifying state-enacted regulations and legislation authorizing use of community telepharmacy initiatives, and describing implications for patients in underserved rural communities. Includes a table listing states with telepharmacy permitted in some capacity, pilot programs that enable telepharmacy initiatives, waivers enabling telepharmacy initiatives, or no rules or legislation authorizing telepharmacy use.
Additional links: Table Supplement
Author(s): George Tzanetakos, Fred Ullrich, Keith Mueller
Date: 04/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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State Variability in Access to Hospital-Based Obstetric Services in Rural U.S. Counties
Policy brief examining differences in availability of obstetric services in rural counties of all states, 2004-2014. Features statistics with breakdowns by all rural counties, micropolitan, and noncore areas.
Author(s): Peiyin Hung, Katy Kozhimannil, Michelle Casey, Carrie Henning-Smith
Date: 04/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining differences in availability of obstetric services in rural counties of all states, 2004-2014. Features statistics with breakdowns by all rural counties, micropolitan, and noncore areas.
Author(s): Peiyin Hung, Katy Kozhimannil, Michelle Casey, Carrie Henning-Smith
Date: 04/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Report to Congress on Medicaid and CHIP, March 2017
Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Veterans' Location in Health Professional Shortage Areas: Implications for Access to Care and Workforce Supply
Details a study on veterans that live in Health Professional Shortage Areas and their access to care. Focuses on the workforce demands of serving this population.
Author(s): Jamie Mihoko Doyle, Robin A. Streeter
Citation: Health Services Research, 52(s1), 459-480
Date: 02/2017
Type: Document
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Details a study on veterans that live in Health Professional Shortage Areas and their access to care. Focuses on the workforce demands of serving this population.
Author(s): Jamie Mihoko Doyle, Robin A. Streeter
Citation: Health Services Research, 52(s1), 459-480
Date: 02/2017
Type: Document
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Hospital Compare Quality Measure Results for CAHs, 2015
Examines Hospital Compare data for calendar year 2015 and summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Charts and graphs allow comparison of overall reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 02/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines Hospital Compare data for calendar year 2015 and summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Charts and graphs allow comparison of overall reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 02/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Veterans in Rural America: 2011-2015
Reports detailed demographic, social, and economic characteristics of rural veterans, based primarily on 2011–2015 American Community Survey (ACS) 5-year estimates. Includes comparisons of rural veterans to both urban veterans and rural nonveterans. Topics addressed include health insurance coverage, disability status and service-connected disability, and use of VA healthcare.
Additional links: Rural Veterans State Tables
Author(s): Kelly Ann Holder
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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Reports detailed demographic, social, and economic characteristics of rural veterans, based primarily on 2011–2015 American Community Survey (ACS) 5-year estimates. Includes comparisons of rural veterans to both urban veterans and rural nonveterans. Topics addressed include health insurance coverage, disability status and service-connected disability, and use of VA healthcare.
Additional links: Rural Veterans State Tables
Author(s): Kelly Ann Holder
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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Patients' Experiences in CAHs: HCAHPS Results, 2015
Results from the calendar year 2015 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing 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, as well as links to specific state reports.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 01/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Results from the calendar year 2015 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing 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, as well as links to specific state reports.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 01/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Data Accompanying MMWR Surveillance Summary 66 (No. SS-1): 1-8: Potentially Excess Deaths from the Five Leading Causes of Death in Nonmetropolitan and Metropolitan Areas, United States, 2005-2015
Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Citation: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Interactive data visualization that provides state-level metropolitan and non-metro data on expected and potentially excess deaths from cancer, chronic lower respiratory disease, heart disease, stroke, and unintentional injury. Under the Options heading, select "Numbers of Potentially Excess Deaths by State" or "Potentially Excess and Expected Deaths by State and Locality" to access the data.
Citation: MMWR Surveillance Summaries, 66(SS-1), 1-8
Date: 01/2017
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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2016 Rural Enrollment in Health Insurance Marketplaces, by State
Provides enrollment data through March 2016 for state health insurance marketplaces (HIMs) functioning as federally facilitated marketplaces (FFMs) and as federally supported state-based marketplaces (FS-SBMs). Enrollment rates are identified as a percent of the potential market of participants, and parsed by metropolitan and non-metropolitan areas for each state.
Author(s): Abigail R. Barker, Kelsey A. Huntzberry, Timothy D. McBride, Leah M. Kemper, Keith J. Mueller
Date: 01/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides enrollment data through March 2016 for state health insurance marketplaces (HIMs) functioning as federally facilitated marketplaces (FFMs) and as federally supported state-based marketplaces (FS-SBMs). Enrollment rates are identified as a percent of the potential market of participants, and parsed by metropolitan and non-metropolitan areas for each state.
Author(s): Abigail R. Barker, Kelsey A. Huntzberry, Timothy D. McBride, Leah M. Kemper, Keith J. Mueller
Date: 01/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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