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Rural Health
Resources by Topic: Health reform

CMS Bundled Payments for Care Improvement Initiative Models 2­-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Which Hospitals Could Be Financially Affected by a Public Option?
Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Type: Document
Sponsoring organization: Urban Institute
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Third Annual Report
Reports on the first three program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes and outcomes for Medicare fee-for-service beneficiaries.
Additional links: CMS Perspective Report, Findings at a Glance
Date: 01/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman,Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Telehealth in Vermont: COVID-19 Response and Recovery
Provides an overview of telehealth services and regulations in Vermont prior to, and in response to, the COVID-19 public health emergency. Includes resources on billing and reimbursement, licensure, patient consent, telehealth platforms and technology, sample workflows and implementation toolkits, case studies, and planning for the future.
Date: 08/2020
Type: Website
Sponsoring organization: Bi-State Primary Care Association
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Advancing Rural Health: Nursing Education, Policy, and Practice
Recording of a presentation on June 17, 2020, featuring discussion on educational and policy-related nursing practices necessary for providing socially and culturally appropriate healthcare to individuals in rural areas. Presented at the 2020 National Rural Health Association Annual Conference.
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Rural Wisconsin Health Cooperative
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VA Health Care: Veterans' Use of Long-Term Care Is Increasing, and VA Faces Challenges in Meeting the Demand
Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities
Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Type: Document
Sponsoring organization: University of Montana Rural Institute: A Center for Excellence in Developmental Disabilities
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