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Rural Health
Resources by State: Washington

State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Also shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Washington State Behavioral Health Workforce Assessment
Details the results of a study analyzing the occupations, roles, size, distribution, career pathways, demand, policy, and practice issues for the behavioral health workforce in the state of Washington. Includes recommendations to address workforce-related barriers, improve access to behavioral healthcare, and rural specific information.
Author(s): Nova E. Gattman, Rachelle L. McCarty, Agnes Balassa, Susan M. Skillman
Date: 12/2017
Type: Document
Sponsoring organizations: UW Center for Health Workforce Studies, Washington State Workforce Training and Education Coordinating Board
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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines six states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Type: Document
Sponsoring organization: Urban Institute
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Assessing the Impact of Washington State’s Oral Health Workforce on Patient Access to Care
Study of the oral health workforce and access to oral care in Washington state. Includes information on workforce demographics, rural and urban distribution of oral health providers, and difficulty recruiting dental hygienists and assistants in rural areas. Provides recommendations, policy changes, and potential solutions offered by oral health workforce interviewees.
Additional links: Policy Brief
Author(s): Davis G. Patterson, C. Holly A. Andrilla, Malaika R. Schwartz, Lisa Hager, Susan M. Skillman
Date: 11/2017
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Interviews from the Field: Swinomish Indian Tribal Community
Interview discusses the Swinomish Community Health Assessment and Code Development project. Presents the project's objectives and the goals of the Swinomish Community Health Department.
Date: 10/2017
Type: Document
Sponsoring organization: Administration for Native Americans
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Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoë Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Use of Telepsychiatry to Improve Access to Care for Rural Populations: State Considerations for Incorporating Telepsychiatry into Behavioral Health and Primary Care Integrated Systems
Discusses how telepsychiatry has been used to enhance access to care for rural and underserved communities. Describes two state telepsychiatry programs, in North Carolina and Washington state; lessons learned; and shares other telepsychiatry resources.
Additional links: Presentation Slides
Author(s): Jonathan Neufeld, Anna Ratzliff, Brian Cooper
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Association of State and Territorial Health Officials
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on urban/rural geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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