Rural Health
Resources by Topic: Healthcare business and finance
Update on Rural Independently Owned Pharmacy Closures in the United States, 2003-2021
Provides updated information on independently owned rural pharmacy closures from 2003 to 2021. Compares the annual retail pharmacy counts and percent change in the number of pharmacies by pharmacy type and metropolitan, micropolitan, and noncore county status. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Edmer Lazaro, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides updated information on independently owned rural pharmacy closures from 2003 to 2021. Compares the annual retail pharmacy counts and percent change in the number of pharmacies by pharmacy type and metropolitan, micropolitan, and noncore county status. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Edmer Lazaro, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Beneficiary Access to Prescription Drugs in Rural Areas
Policy brief identifying the types of pharmacies used by Medicare beneficiaries in rural areas with limited or no access to pharmacies, using data from July 2016 to December 2017. Features statistics on county and beneficiary characteristics and claim event counts, with breakdowns by county pharmacy cohort.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief identifying the types of pharmacies used by Medicare beneficiaries in rural areas with limited or no access to pharmacies, using data from July 2016 to December 2017. Features statistics on county and beneficiary characteristics and claim event counts, with breakdowns by county pharmacy cohort.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS Update for CY 2023
Comments on a June 28, 2022, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 28, 2022, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Assessing the Characteristics of New York State Dentists Serving Medicaid Beneficiaries
Results of a study exploring the demographic, educational, and practice characteristics of dentists in New York, to understand which factors are associated with dentists' participation and their level of participation in the Medicaid program. Features statistics with breakdowns by rural or urban location.
Author(s): Shen Wang, Robert Martiniano, Kristen Stiegler
Date: 08/2022
Sponsoring organization: Center for Health Workforce Studies
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Results of a study exploring the demographic, educational, and practice characteristics of dentists in New York, to understand which factors are associated with dentists' participation and their level of participation in the Medicaid program. Features statistics with breakdowns by rural or urban location.
Author(s): Shen Wang, Robert Martiniano, Kristen Stiegler
Date: 08/2022
Sponsoring organization: Center for Health Workforce Studies
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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