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Rural Health Information Hub

Rural Health
Resources by State: State-by-state

Pandemic-Era Trends in Telehealth Use among Americans with Private Health Insurance
Brief analyzing telehealth use between 2019 and 2021 for people younger than 65 with private health insurance. Discusses the impact of COVID-19 on telehealth use. Analyzes data by various factors such as age, rurality, access, broadband availability, and more. Discusses policy implications related to broadband access, mental healthcare provider shortages, costs, access, and equity. Includes both nationwide and state-by-state rural and urban comparisons.
Author(s): Beth Carter, Olivia Dean, Alex Hartzman, Luis Arzaluz, Aiden Wynia
Date: 05/2024
Sponsoring organization: AARP Public Policy Institute
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A Look at the Latest Alcohol Death Data and Change Over the Last Decade
Describes findings from an analysis of 2012 to 2022 CDC WONDER data regarding trends in deaths caused by conditions directly attributable to alcohol consumption, also referred to as alcohol-induced deaths or alcohol deaths. Presents data on alcohol death rates in 2022 and over time by demographic characteristics, state, and rurality. Discusses factors that may contribute to increases in alcohol deaths since 2012.
Author(s): Heather Saunders, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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A Closer Look at the Final Nursing Facility Rule and Which Facilities Might Meet New Staffing Requirements
Summarizes new Centers for Medicare & Medicaid Services's (CMS) nurse staffing requirements for nursing facilities outlined in the April 22, 2024, final rule. Analyzes Nursing Home Compare data from April 2024, which reflects nursing home staffing levels from December 2023, to explore the percentage of facilities that meet each of the new nurse staffing requirements. Presents data by nursing ownership status, rural and urban location, special focus facility status, and state.
Author(s): Priya Chidambaram, Alice Burns, Tricia Neuman, Robin Rudowitz
Date: 05/2024
Sponsoring organization: KFF
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Telehealth Policies and Federally Qualified Health Centers, Spring 2024
Provides an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). Covers originating and distance sites, reimbursement, services outside the four walls of the FQHC, and more. Includes a chart of FQHC Medicaid telehealth reimbursement eligibility policies by state.
Date: 05/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Preventable Early Deaths in the United States, 2010-2022
Using the Centers for Disease Control and Prevention's National Vital Statistics System data, offers state level rural and urban data for preventable deaths in people younger than 80. Death causes include unintentional injury, chronic lower respiratory disease, heart disease, stroke, and cancer.
Author(s): Macarena C. GarcĂ­a
Date: 04/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Using the Updated Financial Distress Index to Describe Relative Risk of Hospital Financial Distress
Describes the relative risk of rural hospitals and selected urban hospitals experiencing financial distress in 2023. Provides an overview of an updated Financial Distress Index (FDI), which incorporates variables reflecting changes to operational environments since the publication of the 2017 FDI to predict and analyze financial distress and risk of rural hospital closure. Presents data on the characteristics of hospitals by relative risk of financial distress in 2023 and the number of hospitals in each state across in category of relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Kristie Thompson, Mark Holmes
Date: 04/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Locations and Characteristics of Pharmacy Deserts in the United States: A Geospatial Study
Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
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Metropolitan and Micropolitan Statistical Areas of the United States and Puerto Rico
Map of the United States displaying metropolitan and micropolitan statistical areas by county using data from the Office and Management and Budget (OMB). Uses metropolitan and micropolitan statistical areas as defined by OMB as of July 2023.
Date: 03/2024
Sponsoring organization: U.S. Census Bureau
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Ready or Not 2024: Protecting the Public's Health from Diseases, Disasters, and Bioterrorism
Report explores the readiness of state public health systems to respond to emergencies, such as diseases, disasters, and bioterrorism. Focuses on measures such as hospital safety scores, vaccination rates, and water system maintenance, among others. Includes rural considerations throughout.
Author(s): Matt McKillop, Rhea K. Farberman, Dara Alpert Lieberman
Date: 03/2024
Sponsoring organization: Trust for America's Health
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Rural-Urban Differences in Housing Cost Burden Across the U.S.
Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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