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Rural Health
Resources by Topic: Access

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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Using Hospital Community Benefits to Improve Access to Oral Health Care
Explains how nonprofit hospitals can use targeted oral health programs to fulfill their community benefit obligations, while also improving oral health in the communities they serve. Provides guidance on how to effectively advocate for such programs, and shares tips for assessing community needs.
Author(s): Cheryl Fish-Parcham
Date: 12/2017
Type: Document
Sponsoring organization: Families USA
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and recruitment efforts in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy
Presents a report on the causes, costs, and potential solutions to the drug, alcohol, and suicide crisis in the U.S. Includes national report, as well as state-level reports and other materials aimed at addressing the prevalence of suicide and drug and alcohol addiction across the country.
Author(s): Laura M. Segal, Anne De Biasi, Jennifer L. Mueller, Consultant Kendra May, Molly Warren
Date: 11/2017
Type: Website
Sponsoring organization: Trust for America's Health
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Rural Long-Term Services and Supports: A Primer
Provides background information on rural long-term services and supports (LTSS), and examines rural access to and the use of LTSS. Describes LTSS as integral components of a high-performing rural health system, particularly for individuals with disabilities and/or over the age of 65. Three main sections discuss patterns of rural LTSS use, affordability and burden of LTSS, and rural LTSS models, policies, and trends.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. The initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Ensuring Access with a Hospital’s Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused freestanding ED.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Social Determinants of Health Series: Transportation and the Role of Hospitals
Presents a report on the role of hospitals in providing health-based transportation services. Features case studies of 4 different hospital programs' approach to addressing their patients' lack of access to reliable transit.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Accessing Behavioral Health Services in Rural Communities
Presentation slides discussing the affordability and availability of behavioral health services in rural communities. Covers examples in the evolution of Accountable Care Organizations (ACOs).
Author(s): Keith J. Mueller
Date: 11/2017
Type: Presentation Slides
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Foundations’ Efforts To Improve Rural Health Care
Highlights several rural-specific, foundation-funded projects that are working to address challenges associated with rural health and healthcare. Includes examples in the following problem areas: access, care delivery, publications, quality of care, and rural philanthropy.
Location: Health Affairs, 36(11), 2023-2025
Date: 11/2017
Type: Document
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