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Rural Health
Resources by Topic: Health reform

Care Redesign Survey: Lessons Learned from and for Rural Health
Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Date: 10/2018
Type: Document
Sponsoring organization: NEJM Catalyst
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares 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.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Insuring Rural America: Health Insurance Challenges and Opportunities
Provides a webinar recording discussing the economic factors affecting the lack of health insurance options in some rural areas. Focuses on the impact of small risk pools and network adequacy and policy options to address these issues.
Additional links: Slides
Author(s): Timothy McBride, Abigail Barker
Date: 09/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
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Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018
Assesses changes in average Health Insurance Marketplace plan premiums from 2014-2018, with emphasis on the variation across rural and urban areas. Includes statistics on premium increases by population density of rating area, distribution of insurance issuers by percentage of counties, rurality, and Medicaid expansion, and rural and urban average adjusted premiums by Medicaid expansion status.
Author(s): Abigail R. Barker, Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid Income Eligibility Transitions Among Rural Adults
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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2018 Rural Hospital and Clinic Financial Summit Report: Key Financial Success Indicators and Strategies
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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The Intersection of Hepatitis, HIV, and the Opioid Crisis: The Need for a Comprehensive Response
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Type: Document
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
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Insuring Rural America: Health Insurance Challenges and Opportunities
Details a study focusing on the challenges of designing an insurance market that works in rural America. Looks at the needs of rural people and current health insurance policy.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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