Rural Health
Resources by Topic: Healthcare business and finance
Changes in Marketplace Premiums and Insurer Participation, 2022-2023
Examines changes in Affordable Care Act Health Insurance Marketplace premiums and insurer participation between 2022 and 2023. Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2019 to 2022 by state. Includes tables for select states with select urban and rural regional data.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 04/2023
Sponsoring organization: Urban Institute
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Examines changes in Affordable Care Act Health Insurance Marketplace premiums and insurer participation between 2022 and 2023. Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2019 to 2022 by state. Includes tables for select states with select urban and rural regional data.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 04/2023
Sponsoring organization: Urban Institute
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In Need of a Checkup: Examining the Cybersecurity Risks to the Healthcare Sector
Recording of a March 16, 2023, U.S. Senate Committee on Homeland Security and Governmental Affairs hearing on cybersecurity threats facing the healthcare sector. Features testimony from Kate Pierce, the former Chief Information Officer and Chief Information Security Officer of an Alabama Critical Access Hospital, who discusses cybersecurity in small and rural hospitals.
Additional links: Kate Piece, Fortified Health Security - Testimony
Date: 03/2023
Sponsoring organization: Senate Committee on Homeland Security and Governmental Affairs
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Recording of a March 16, 2023, U.S. Senate Committee on Homeland Security and Governmental Affairs hearing on cybersecurity threats facing the healthcare sector. Features testimony from Kate Pierce, the former Chief Information Officer and Chief Information Security Officer of an Alabama Critical Access Hospital, who discusses cybersecurity in small and rural hospitals.
Additional links: Kate Piece, Fortified Health Security - Testimony
Date: 03/2023
Sponsoring organization: Senate Committee on Homeland Security and Governmental Affairs
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance, Additional Guidance
Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Date: 03/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Date: 03/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Oversight Hearing – Addressing the Challenges of Rural America
Recording of a March 29, 2023, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies regarding challenges rural communities face. Discussions include access to healthcare; rural workforce development, including the healthcare workforce; telehealth; and more.
Additional links: Carrie Cochran-McClain, National Rural Health Association - Testimony, Tearsanee Davis, University of Mississippi Medical Center - Testimony, Tom Morris, Federal Office of Rural Health Policy - Testimony
Date: 03/2023
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Recording of a March 29, 2023, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies regarding challenges rural communities face. Discussions include access to healthcare; rural workforce development, including the healthcare workforce; telehealth; and more.
Additional links: Carrie Cochran-McClain, National Rural Health Association - Testimony, Tearsanee Davis, University of Mississippi Medical Center - Testimony, Tom Morris, Federal Office of Rural Health Policy - Testimony
Date: 03/2023
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Closure of Labor & Delivery Units in Rural Counties Is Associated with Reduced Adequacy of Prenatal Care, Even When Prenatal Care Remains Available
Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, demographics, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 03/2023
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Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, demographics, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 03/2023
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Health Care Coverage, Affordability, and Access Among Rural and Urban Adults Ages 50 to 64
Examines differences in healthcare coverage, affordability, and access trends among rural and urban adults aged 50-64 between 2012 and 2019. Explores possible factors driving healthcare coverage disparities. Offers policy recommendations to improve access to coverage and affordable healthcare among older adults, especially those in rural areas.
Author(s): Olivia Dean, Beth Carter, Robert C. Saunders, et al.
Date: 03/2023
Sponsoring organizations: AARP Public Policy Institute, KNG Health
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Examines differences in healthcare coverage, affordability, and access trends among rural and urban adults aged 50-64 between 2012 and 2019. Explores possible factors driving healthcare coverage disparities. Offers policy recommendations to improve access to coverage and affordable healthcare among older adults, especially those in rural areas.
Author(s): Olivia Dean, Beth Carter, Robert C. Saunders, et al.
Date: 03/2023
Sponsoring organizations: AARP Public Policy Institute, KNG Health
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Inflation Reduction Act Research Series: Medicare Part D Enrollee Savings from Elimination of Vaccine Cost-Sharing
Explains new vaccine payment policies for Medicare Part D effective January 1, 2023. Examines vaccine related data for people covered by Medicare Part D. Vaccines included are shingles, tetanus/diphtheria/pertussis, hepatitis A, hepatitis B and more. Shows breakdown of demographics receiving both any vaccine and specific vaccines through Medicare Part D including a urban-rural comparison.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explains new vaccine payment policies for Medicare Part D effective January 1, 2023. Examines vaccine related data for people covered by Medicare Part D. Vaccines included are shingles, tetanus/diphtheria/pertussis, hepatitis A, hepatitis B and more. Shows breakdown of demographics receiving both any vaccine and specific vaccines through Medicare Part D including a urban-rural comparison.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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Describes a care model utilizing community health workers (CHWs) to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional settings such as a food bank distribution centers, county fairs, livestock auctions, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
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Programs of All-Inclusive Care for the Elderly in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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