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Rural Health Information Hub

Rural Health
Resources by Topic: Clinics

How to Establish a Rural Health Clinic in Louisiana
A manual providing information and guidance to organizations and healthcare providers in Louisiana interested in learning about Rural Health Clinics (RHCs) or converting to the RHC model.
Date: 09/2016
Sponsoring organization: Louisiana Bureau of Chronic Disease Prevention and Healthcare Access
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Sponsoring organization: KFF
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Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
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Oral Health Care Service in North Dakota Community Health Care Centers
Presents an overview of the federally funded Community Health Center (CHC) program in North Dakota. Addresses their locations within the state, services provided, sources of revenue, and patient demographics. Particular attention is given to the oral health services provided by CHCs, including a cost comparison between oral health services and medical services.
Author(s): Jun Lee, Shawnda Schroeder
Date: 07/2016
Sponsoring organization: University of North Dakota Center for Rural Health
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Sponsoring organization: National Rural Health Resource Center
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees' use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Sponsoring organization: North Carolina Rural Health Research Program
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FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care
Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Connection Between Depression and Inability to Fill Prescriptions in Rural FQHC Patients with Chronic Disease
Examines rates of depression among 438 patients with hypertension or diabetes at Federally Qualified Health Centers (FQHCs) in the rural South. Also explores whether inability to afford prescription medicines within the previous 12 months is a predictor of depression in these patients. Includes statistics with breakdowns by race or ethnicity, gender, education, employment status, income, chronic condition, and history of mental illness.
Author(s): K. Bryant Smalley, Jacob C. Warren, K. Nikki Barefoot
Citation: Rural Mental Health, 40(2), 113-123
Date: 04/2016
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Availability of New Medicaid Patient Appointments and the Role of Rural Health Clinics
Results of a study conducted between November 2012 and April 2013, examining Rural Health Clinics in 10 states in terms of their willingness to accept new primary care patients on Medicaid. Features statistics on patient acceptance rates and appointment rates, with breakdowns by 6 levels of urban-rural classification.
Author(s): Michael R. Richards, Brendan Saloner, Genevieve M. Kenney, Karin V. Rhodes, Daniel Polsky
Citation: Health Services Research, 51(2), 570-591
Date: 04/2016
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