Rural Health
Resources by Topic: Health insurance
MBQIP Quality Measures National Annual Report - 2020
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2020. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Nathan Bean, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2020. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Nathan Bean, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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The Impact of Aging Baby Boomers in Rural America
Policy brief discussing the impact of the increasing proportion of the population turning 65 years old on rural communities. Offers policy recommendations for addressing barriers rural older adults face accessing healthcare and social services.
Author(s): Sarah Huling, Elizabeth Crouch, Whitney Zahnd
Date: 11/2021
Sponsoring organization: National Rural Health Association
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Policy brief discussing the impact of the increasing proportion of the population turning 65 years old on rural communities. Offers policy recommendations for addressing barriers rural older adults face accessing healthcare and social services.
Author(s): Sarah Huling, Elizabeth Crouch, Whitney Zahnd
Date: 11/2021
Sponsoring organization: National Rural Health Association
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How States Use ARPA Funds to Support Telehealth, Technology and Data Infrastructure
Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Sponsoring organization: National Academy for State Health Policy
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Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Sponsoring organization: National Academy for State Health Policy
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The Tennessee Medicaid Medication Therapy Management Program: Early Stage Contextual Factors and Implementation Outcomes
Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Caring for America: Legislation to Support Patients, Caregivers, and Providers
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Behavioral Health Equity Report 2021
Provides a breakdown and discussion of data drawn from the National Survey on Drug Use and Health from 2015 to 2019. Details youth and adult mental health and substance use indicators by race and ethnicity, income level, and metro or nonmetro county, among others.
Date: 10/2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Provides a breakdown and discussion of data drawn from the National Survey on Drug Use and Health from 2015 to 2019. Details youth and adult mental health and substance use indicators by race and ethnicity, income level, and metro or nonmetro county, among others.
Date: 10/2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Driving Health System Transformation - A Strategy for the CMS Innovation Center's Second Decade
White paper describing the new vision and strategic objectives for the Center for Medicare and Medicaid Innovation (CMS Innovation Center) for the next 10 years that seeks to achieve equitable health outcomes through the provision of high-quality, affordable, person-centered care. Shares beneficiary and healthcare provider goals for each strategic objective in Table 2. Strategic objectives include: driving accountable care, advancing health equity, supporting innovation, addressing affordability, and partnering to achieve healthcare system transformation. Includes discussion on models focused on improving rural health and ways of increasing participation in those models for rural and underserved populations.
Additional links: At a Glance
Date: 10/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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White paper describing the new vision and strategic objectives for the Center for Medicare and Medicaid Innovation (CMS Innovation Center) for the next 10 years that seeks to achieve equitable health outcomes through the provision of high-quality, affordable, person-centered care. Shares beneficiary and healthcare provider goals for each strategic objective in Table 2. Strategic objectives include: driving accountable care, advancing health equity, supporting innovation, addressing affordability, and partnering to achieve healthcare system transformation. Includes discussion on models focused on improving rural health and ways of increasing participation in those models for rural and underserved populations.
Additional links: At a Glance
Date: 10/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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