Rural Health
Resources by Topic: Access
CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Sponsoring organization: Center for Health Care Strategies
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2024 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and June 2024, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 10/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Impacts of the COVID-19 Pandemic on Intimate Partner Violence and Child Maltreatment Services in Rural Northwest North Carolina
Results of a study using data from interviews with 6 regional agencies, conducted in early 2022 with professionals working in intimate partner violence and child maltreatment in rural North Carolina. Explores challenges and risk factors encountered by clients, including isolation, financial barriers, chronic stress, abuse, barriers to care, and mental illness.
Author(s): Elisabeth G. Galphin, Adam Hege, Amy Dellinger Page
Citation: Journal of Appalachian Health, 6(3), 93-98
Date: 10/2024
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Results of a study using data from interviews with 6 regional agencies, conducted in early 2022 with professionals working in intimate partner violence and child maltreatment in rural North Carolina. Explores challenges and risk factors encountered by clients, including isolation, financial barriers, chronic stress, abuse, barriers to care, and mental illness.
Author(s): Elisabeth G. Galphin, Adam Hege, Amy Dellinger Page
Citation: Journal of Appalachian Health, 6(3), 93-98
Date: 10/2024
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'A Silent, Unmet Need': Rural Motherhood and the Challenges of Postpartum Care
Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Discusses the importance of rural access to postpartum care, including perinatal mental healthcare. Features programs in Montana, Maine, and Alaska that are providing support to rural mothers via postpartum doulas, telehealth, and home visiting.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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The Rural Emergency Hospital Model: Year Two Progress Report
Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Sponsoring organization: Bipartisan Policy Center
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Interfacility Transfer of Children With Time-Sensitive Surgical Conditions, 2002-2017
Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
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Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
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Nationwide Availability of and Enrollment in Medicare and Medicaid Dual-Eligible Special Needs Plans With Exclusively Aligned Enrollment
Explores the availability and enrollment of dual-eligible special needs plans (D-SNPs) with exclusively aligned enrollment, in which the beneficiary can receive Medicare and Medicaid benefits through the same plan or affiliated plans within the same organization. Analyzes 2021-2022 beneficiary data and examines D-SNP plan availability and enrollment according to beneficiary demographics, health status, rurality, and more.
Author(s): Kenton J. Johnston, Michelle Hendricks, Megha Dabas, et al.
Citation: JAMA Health Forum, 5(10)
Date: 10/2024
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Explores the availability and enrollment of dual-eligible special needs plans (D-SNPs) with exclusively aligned enrollment, in which the beneficiary can receive Medicare and Medicaid benefits through the same plan or affiliated plans within the same organization. Analyzes 2021-2022 beneficiary data and examines D-SNP plan availability and enrollment according to beneficiary demographics, health status, rurality, and more.
Author(s): Kenton J. Johnston, Michelle Hendricks, Megha Dabas, et al.
Citation: JAMA Health Forum, 5(10)
Date: 10/2024
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Feasibility of a Culturally Adapted Technology-Delivered, Family-Based Childhood Obesity Intervention for Latino/Hispanic Families in Rural Nebraska: The Hispanic Family Connections Study Protocol
Describes a study protocol to examine the feasibility of delivering a phone-delivered, culturally-tailored family-based childhood obesity (FBCO) program to Latino/Hispanic (L/H) families in rural Nebraska. Provides an overview of study design and implementation, and discusses the importance of addressing barriers to FBCO interventions for rural, L/H families.
Author(s): Fabiana Almeida Brito, Thais Favero Alves, Natalia Santos, et al.
Citation: BMJ Open, 14, e089186
Date: 10/2024
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Describes a study protocol to examine the feasibility of delivering a phone-delivered, culturally-tailored family-based childhood obesity (FBCO) program to Latino/Hispanic (L/H) families in rural Nebraska. Provides an overview of study design and implementation, and discusses the importance of addressing barriers to FBCO interventions for rural, L/H families.
Author(s): Fabiana Almeida Brito, Thais Favero Alves, Natalia Santos, et al.
Citation: BMJ Open, 14, e089186
Date: 10/2024
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A Ten-Year Overview of Cancer Genetic Family History Screening in Georgia's Latina Population
Examines the use of cancer genetic family history (FH) screening among 9,328 Latina women in Georgia, utilizing 2013-2022 Georgia Center for Oncology Research and Education (GA CORE) screening data. Includes data on total positive and negative FH screening results, and compares changes in FH screening completion rates over time by rurality and social deprivation.
Author(s): D. Ramirez Leon, L.E. Barber, S. Gabram-Mendola, et al.
Citation: Frontiers in Public Health, 12, 1432971
Date: 10/2024
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Examines the use of cancer genetic family history (FH) screening among 9,328 Latina women in Georgia, utilizing 2013-2022 Georgia Center for Oncology Research and Education (GA CORE) screening data. Includes data on total positive and negative FH screening results, and compares changes in FH screening completion rates over time by rurality and social deprivation.
Author(s): D. Ramirez Leon, L.E. Barber, S. Gabram-Mendola, et al.
Citation: Frontiers in Public Health, 12, 1432971
Date: 10/2024
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The Intersection of Travel Burdens and Financial Hardship in Cancer Care: A Scoping Review
Examines the relationship among rurality, access to cancer care, travel burdens, and financial hardship. Identifies 95 studies published since 1995 related to cancer-related travel and financial burdens and discusses the impact on patient health outcomes and quality of life.
Author(s): Arrianna Marie Planey, Lisa P. Spees, Caitlin B. Biddell, et al.
Citation: JNCI Cancer Spectrum, 8(5)
Date: 10/2024
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Examines the relationship among rurality, access to cancer care, travel burdens, and financial hardship. Identifies 95 studies published since 1995 related to cancer-related travel and financial burdens and discusses the impact on patient health outcomes and quality of life.
Author(s): Arrianna Marie Planey, Lisa P. Spees, Caitlin B. Biddell, et al.
Citation: JNCI Cancer Spectrum, 8(5)
Date: 10/2024
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