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Rural Health Information Hub

Rural Health
Resources by Topic: Health reform

The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A Second Look
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Sponsoring organization: Government Accountability Office
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Options for Rural Health Care System Reform and Redesign
Examines options for rural healthcare infrastructure in a changing health care environment and reflects on previous work around the Affordable Care Act. Includes a discussion of the Frontier Extended Stay Clinic (FESC) and Frontier Community Health Integration Project (F-CHIP).
Date: 12/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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School-Based Health Centers in an Era of Health Care Reform: Building on History
Presents the history and growth of school-based health centers (SBHCs) in the U.S. Discusses the effect of SBHCs on delivering needed services to students from kindergarten to high school, including rural students. Includes suggestions for future use of SBHCs and for healthcare providers working in communities without a SBHC.
Author(s): Victoria Keeton, Samira Soleimanpour, Claire D. Brindis
Citation: Current Problems in Pediatric and Adolescent Health Care, 42(6), 132–158
Date: 07/2012
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Affordable Care Act Provisions Affecting the Rural Elderly
Discusses a number of provisions from the Patient Protection and Affordable Care Act that focus on elderly health and human service needs.
Date: 12/2011
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Securing High Quality Health Care in Rural America: The Impetus for Change in the Affordable Care Act
Analyzes the Patient Protection and Affordable Care Act's call for the development of a National Health Care Quality Strategy and Plan, or National Quality Strategy, that will affect healthcare for millions of rural Americans and thousands of rural healthcare providers. Works to answer the question, "What rural considerations should be addressed in a National Quality Strategy?"
Author(s): A. Clinton MacKinney, Jennifer P. Lundblad, Andrew F. Coburn, Timothy D. McBride, Keith J. Mueller
Date: 12/2010
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Patient Protection and Affordable Care Act
Includes the entire text of the 2010 healthcare reform law The Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act (ACA), signed into law in March 2010. The main provisions of the legislation focus on improving healthcare through expanded coverage, reduced costs, and regulatory accountability.
Date: 01/2010
Sponsoring organization: U.S. Congress
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A Rural Perspective/Commentary Regarding "Expanding Health Care Coverage to All Americans"
Summarizes discussions from the 2009 Rural Health Panel regarding proposed options for expanding healthcare coverage that would have a special significance in rural areas.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, Rebecca T. Slifkin
Date: 06/2009
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Crossing the Quality Chasm: A New Health System for the 21st Century
Examines the healthcare delivery system in rural America and recommends a fundamental redesign to ensure high quality, safe, and effective healthcare provision for all Americans.
Additional links: Read Online
Author(s): Committee on the Quality of Health Care in America
Date: 03/2001
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Key Rural Issues for Medicare Reform, 2001
Brief overview of rural issues related to Medicare reform. Discusses the need for rural representation and adequate payments to ensure healthcare access.
Date: 2001
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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