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Rural Health
Resources by Topic: Health reform

Implementation of the Affordable Care Act and Rural Health Clinic Capacity in Iowa
Examines the results from an online survey of 142 Rural Health Clinics (RHCs) in Iowa to determine their potential to respond to the opportunities and challenges of the Affordable Care Act (ACA). Discusses the capacity of RHCs to provide dental care and mental health services, recruit primary care providers, and participate in value-based healthcare delivery.
Author(s): Brad Wright, Peter C. Damiano, Suzanne E. Bentler
Citation: Journal of Primary Care & Community Health, 6(1), 61-65
Date: 2015
Type: Document
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report
Evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Provides information on whether and how each project addressed the needs of underserved areas, including rural areas. One rural-focused project used telehealth to deliver services. Other projects provided transportation to help meet rural needs.
Date: 12/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report
First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report
Evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Includes 2 rural-focused projects and 9 projects that included services to rural areas.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Includes 2 projects focused on rural areas. One offers medication management services to patients with multiple chronic conditions and the other provides hospital pharmacist to community pharmacist care coordination.
Date: 10/2014
Type: Document
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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How Did Rural Residents Fare on the Health Insurance Marketplaces?
Examines 2014 premiums, issuers, and plans offered to residents of urban and rural counties. Highlights disparities between states with a small rural population and those with a significant rural population.
Date: 08/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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