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Rural Health Information Hub

Rural Health
Resources by Topic: Access

A Conversation on Maternal Health Care in Rural Communities: Charting a Path to Improved Access, Quality and Outcomes
Provides a recording of a day-long forum on maternal health access in rural communities. Addresses statistics on maternal health access, disparities in access and mortality rates, healthcare quality, models of care, state and federal policies related to maternal health, and more.
Additional links: Agenda, External Summary
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Introducing the Rural Telehealth Toolkit
Webinar recording discusses the Rural Telehealth Toolkit, which was designed to help rural communities implement telehealth programs and was developed by NORC Walsh Center for Rural Health Analysis for the Federal Office of Rural Health Policy (FORHP). Features representatives from NORC, the Rural Veterans Health Access Program, the NDSU College of Health Professions, and the Northeast Telehealth Resource Center (NETRC).
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Broadband Mapping: Small Carrier Perspectives on a Path Forward
Congressional hearing before the U.S. House Committee on Small Business Subcommittee on Contracting and Infrastructure regarding challenges to developing accurate broadband access maps to help direct funding to rural areas without broadband services. Includes testimony from the Competitive Carriers Association, The Rural Broadband Association, WTA-Advocates for Rural Broadband, and the National Rural Electric Cooperative Association.
Additional links: Beth Osler Testimony, Dan Stelpflug Testimony, Jason Hendricks Testimony, Tim Donovan Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: U.S. House of Representatives
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Serving Rural America: How Health Insurance Providers Break Down Barriers to Ensure Access to Care
Highlights healthcare challenges in the rural U.S. and provides examples of how health insurance providers have helped address those challenges through telehealth, remote patient monitoring, incentives for rural providers, payment models, and targeting the opioid epidemic. Offers recommendations for state and federal policymakers related to rural recruitment, telehealth, insurance affordability, and population health.
Date: 06/2019
Type: Document
Sponsoring organization: AHIP
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2019
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on access to primary care for Medicare beneficiaries that addresses rural access to care and programs supporting it, such as the National Health Service Corps. Other sections of the report addressing rural concerns focus on Medicare enrollment, changes in hospice and post-acute care after implementing the long-term care hospital dual payment-rate structure, and Medicare fee-for-service spending for emergency department services.
Additional links: Executive Summary
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Cost-Sharing as a Barrier to Accessing Care at FQHCs and RHCs for Rural Medicare Beneficiaries
Results of a national study investigating cost barriers, using data acquired after enactment of the Affordable Care Act and viewed from perspectives other than ambulatory care sensitive hospitalizations. Features statistics including descriptive data of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) from the study sample, with breakdowns by rural and urban location.
Author(s): Alex R. Schulte, George H. Pink, Mark Holmes, Denise Kirk
Date: 06/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Measuring Access to Care in National Surveys: Implications for Rural Health
Policy position brief reviewing access measures used in major national surveys and discussing implications for rural research on access to care. Features tables showing surveys, populations studied, and geographic measures; example survey questions for each access domain; and access to care measures in nationally-representative surveys.
Author(s): Carrie Henning-Smith, Ashley M. Hernandez, Hannah Neprash, Megan Lahr
Date: 06/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Mapping the Food Landscape in New Hampshire
Examines access to food and food support in New Hampshire at a census tract level. Covers farm and non-farm retail food sources, retail sites that accept Supplemental Nutrition Assistance Program (SNAP) and Special Nutrition Program for Women, Infants, and Children (WIC), food support sites such as the National School Lunch Program, and food pantries. Identifies less densely populated areas and areas with more people in poverty and discusses some issues specific to rural areas of the state.
Author(s): Jessica A. Carson
Date: 06/2019
Type: Document
Sponsoring organization: Carsey School of Public Policy
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