Rural Health
Resources by Topic: Elderly population
Trends and Disparities in Pandemic Telehealth Use among People with Disabilities
Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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New Medicare Behavioral Health Providers: Incorporating MHCs and MFTs Into Your RHC
Recording of a May 9, 2024, webinar discussing Medicare coverage of marriage and family therapists (MFTs) and mental health counselors (MHCs) effective January 1, 2024, and the implications for Rural Health Clinics. Describes skills and attributes of MFTs and MHCs and provides an overview of common mental health concerns for older adults. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 05/2024
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a May 9, 2024, webinar discussing Medicare coverage of marriage and family therapists (MFTs) and mental health counselors (MHCs) effective January 1, 2024, and the implications for Rural Health Clinics. Describes skills and attributes of MFTs and MHCs and provides an overview of common mental health concerns for older adults. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 05/2024
Sponsoring organization: National Association of Rural Health Clinics
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Transportation Provider Survey
Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Access to Preferred Skilled Nursing Facilities: Transitional Care Pathways for Patients with Alzheimer's Disease and Related Dementias
Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
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Examines the ability of patients with Alzheimer's disease and related dementias (ADRD) to access their preferred skilled nursing facility (SNF). Analyzes 2017-2019 data from 3,019,260 Medicare hospitalizations that resulted in an SNF transfer, with breakdowns according to ADRD or non-ADRD patient, age, sex, race/ethnicity, hospitalization, distance to care, and metro, micro, small town, or rural location.
Author(s): Dori A. Cross, Taylor I. Bucy, Momotazur Rahman, John P. McHugh
Citation: Health Services Research, 59(2)
Date: 04/2024
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Visiting with Elders - Aging, Caregiving, and Planning for Future Generations of American Indians and Alaska Natives
Reports on a listening session to identify themes in the perspectives of American Indian and Alaska Native elders on aging, age-related diseases, and caregiving. Discusses intergenerational trauma, culture, elder abuse, social connection, barriers to healthcare and other services, and dementia education.
Author(s): Cole Allick, Marija Bogic
Citation: Genealogy, 8(2), 36
Date: 03/2024
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Reports on a listening session to identify themes in the perspectives of American Indian and Alaska Native elders on aging, age-related diseases, and caregiving. Discusses intergenerational trauma, culture, elder abuse, social connection, barriers to healthcare and other services, and dementia education.
Author(s): Cole Allick, Marija Bogic
Citation: Genealogy, 8(2), 36
Date: 03/2024
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North Carolina Healthcare Association Critical Workforce Needs Assessment
Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Sponsoring organization: North Carolina Healthcare Association
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Reports on healthcare workforce trends in North Carolina, including discussion of state demographics, policy changes, and strategies influencing workforce needs and availability. Highlights the rural aging population and a need for health workers in rural communities.
Author(s): Patrick McHugh, Alison Bean de Hernandez, Chrystall Davis, Michael Hogan, Sara Nienow
Date: 03/2024
Sponsoring organization: North Carolina Healthcare Association
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Health Care Contact Days Among Older Cancer Survivors
Analyzes factors associated with healthcare contact days among older adult cancer survivors using the 2019 Medicare Current Beneficiary Survey (MCBS) and linked Medicare claims data. Evaluates the effect of demographics, self-rated health, care-seeking behaviors, rural status, and more.
Author(s): Arjun Gupta, Emma D. Chant, Supriya Mohile, et al.
Citation: JCO Oncology Practice
Date: 03/2024
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Analyzes factors associated with healthcare contact days among older adult cancer survivors using the 2019 Medicare Current Beneficiary Survey (MCBS) and linked Medicare claims data. Evaluates the effect of demographics, self-rated health, care-seeking behaviors, rural status, and more.
Author(s): Arjun Gupta, Emma D. Chant, Supriya Mohile, et al.
Citation: JCO Oncology Practice
Date: 03/2024
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National Aging and Disability Transportation Center 2023 Innovations Showcase
Offers descriptions, lessons learned, replication advice, and contact information for 14 transportation projects across the country. Projects cover accessibility, coordination, cross jurisdictional boundaries, healthcare access, and technology. Includes rural projects in Virginia and Massachusetts.
Date: 03/2024
Sponsoring organization: National Aging and Disability Transportation Center
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Offers descriptions, lessons learned, replication advice, and contact information for 14 transportation projects across the country. Projects cover accessibility, coordination, cross jurisdictional boundaries, healthcare access, and technology. Includes rural projects in Virginia and Massachusetts.
Date: 03/2024
Sponsoring organization: National Aging and Disability Transportation Center
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How the 10 Essential Public Health Services Align with the AFPHS 6Cs Framework for Supporting Healthy Aging
Examines the Framework for Creating Age Friendly Public Health Systems (AFPHS) and the 10 Essential Public Health Services (EPHS) that promote well-being for older adults. Includes rural-specific commentary and examples from rural areas.
Author(s): Megan Wolfe
Date: 03/2024
Sponsoring organization: Trust for America's Health
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Examines the Framework for Creating Age Friendly Public Health Systems (AFPHS) and the 10 Essential Public Health Services (EPHS) that promote well-being for older adults. Includes rural-specific commentary and examples from rural areas.
Author(s): Megan Wolfe
Date: 03/2024
Sponsoring organization: Trust for America's Health
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Addressing the Shortage of Direct Care Workers: Insights from Seven States
Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Sponsoring organization: Commonwealth Fund
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Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Sponsoring organization: Commonwealth Fund
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