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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Medicaid and Counties: Understanding the Program and Why It Matters to Counties
Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Sponsoring organization: National Association of Counties
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Healthcare Experiences of Uninsured and Under-Insured American Indian Women in the United States
Explores experiences of American Indian women who do not receive healthcare services through the Indian Health Service. Discusses the different ways American Indian women pay for healthcare based on information gained from 31 semi-structured interviews.
Author(s): Jessica L. Liddell, Jenn M. Lilly
Citation: Global Health Research and Policy, 7, 5
Date: 02/2022
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How States Can Expand Health Care Access in Rural Communities
Discusses policy options states could use to increase access to care and the supply of healthcare providers in rural areas. Covers financial assistance programs for medical and dental education; malpractice reform; scope of practice changes for advanced practice registered nurses, physician assistants, and dental health aide therapists; telemedicine parity; and mobile clinics.
Date: 02/2022
Sponsoring organization: Center for American Progress
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Chartis Center for Rural Health Research & Resources for the 2022 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year and presentation slides on this report from the 2022 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year
Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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The Problem Of The Color Line: Spatial Access To Hospital Services For Minoritized Racial And Ethnic Groups
Study examining healthcare access by race and geography, covering distances to hospital services for minoritized ZIP Code Tabulation Areas (ZTCAs). Discusses factors that lead to disparities in access for rural minority communities, including policy, rural hospital closures, and safety-net program issues.
Additional links: Story Map: The Problem Of The Color Line
Author(s): Jan M. Eberth, Peiyin Hung, Gabriel A. Benavidez, et al.
Citation: Health Affairs, 41(2), 237-246
Date: 02/2022
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Status of Women in Kansas
Updates the 2016 study The Status of Women in Kansas and the Bi-State Region. Examines socioeconomic status and 2015-19 data from the American Community Survey (ACS). Discusses demographics, employment and earnings, childcare and healthcare, poverty and social insurance, civic engagement, the disproportionate impact of the COVID-19 recession on women, and more.
Author(s): Donna K. Ginther, Genna Hurd, Xan Wedel, Thomas Becker, Patricia Oslund
Date: 02/2022
Sponsoring organization: Kansas Institute for Policy & Social Research
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CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report
Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality Payment Program Participation in 2020: Results At-a-Glance
Provides an overview of the results of the Quality Payment Program for the 2020 performance year. Highlights mean and median final scores in the Merit-based Incentive Payment System (MIPS) for small practices.
Date: 02/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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