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Rural Health
Resources by Topic: Clinics

Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Case Studies of 6 Safety Net Organizations That Integrate Oral and Mental/Behavioral Health With Primary Care Services
Features an analysis of 6 Federally Qualified Health Centers (FQHCs) integrating oral health and behavioral health with primary care across the country. Features one rural example.
Additional links: Policy Brief
Author(s): M. Langelier, S. Surdu, N. Goodwin
Date: 02/2019
Sponsoring organization: Oral Health Workforce Research Center
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Addressing Rural Workforce Shortages and Healthcare Disparities: An Annotated Bibliography
Report designed to inform policy discussions and future publications concerning healthcare disparities and outcomes, the distribution of physicians in rural areas, and the graduate medical education system financing. Also includes sections on rural hospital closures, social determinants of health, and healthcare safety net facilities. Constructed from a literature review, expert-recommended articles, and a search of white and grey literature.
Author(s): Dara Khatib, Alison Huffstetler, Andrew Bazemore
Date: 02/2019
Sponsoring organization: Robert Graham Center
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Rural Health Network Thrives on Innovation in Whole-Person Care
Profiles a rural health network in Missouri that includes social service support at four of their clinics. Offers an overview of how the program began, highlights their innovative approaches to addressing community needs, and discusses network sustainability.
Date: 02/2019
Sponsoring organization: Rural Health Value
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Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs)
Guidance for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing related to communication technology-based services effective January 1, 2019.
Date: 01/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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American Cancer Society and Community Health Centers Partner to Increase Colorectal Cancer Screening
Describes a partnership between the American Cancer Society and a system of community health centers in New Orleans and 7 rural locations in south central Texas, for the purpose of promoting interventions to increase rates of colorectal cancer screening. Examines strategies for reaching diverse, underserved populations and increasing community demand, community access, and provider delivery of services by using electronic health records to track screenings.
Date: 01/2019
Sponsoring organization: Community Preventive Services Task Force
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Access to Care: Health Centers and Providers in Underserved Communities
Recording of a January 29, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the importance of community health centers and National Health Service Corps providers in helping to address issues of access to primary care for rural and urban underserved communities.
Additional links: Andrea Anderson Testimony, Dennis Freeman, Cherokee Health Systems Testimony, John B. Waits, Cahaba Medical Care FQHC Testimony
Date: 01/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Strengthening Healthcare Along the Gulf Coast: The Gulf Region Health Outreach Program's Primary Care Capacity Project
Reports on the Primary Care Capacity Project, which expanded primary care access to Gulf Coast counties through community health centers as part of the Deepwater Horizon settlement. Addresses initiatives targeting expanded access for rural areas, a pilot Community-Centered Health Home (CCHH) model intended to address social determinants of health through community collaborations, and more.
Date: 01/2019
Sponsoring organization: Louisiana Public Health Institute
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