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Rural Health
Resources by Topic: Healthcare business and finance

Colorectal Cancer Screening in Rural and Urban Primary Care Practices Amid Implementation of the Medicare Access and CHIP Reauthorization Act
Analyzes the rate of colorectal cancer screening in 139 primary care practices between 2016 and 2020, following the implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), which provides financial incentives for screening. Includes colorectal cancer screening rates by year and quarter, social deprivation, age, race, region, and rurality, with comparisons between rural and urban primary care practices.
Author(s): Tyrone F. Borders, Zachary J. Morgan, Lars E. Peterson
Citation: Journal of Primary Care & Community Health, 14
Date: 06/2023
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How Community Investment Saved a Rural Health System
Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Sponsoring organization: American Hospital Association
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Consolidation and Corporate Ownership in Health Care: Trends and Impacts on Access, Quality, and Costs
Recording of a June 8, 2023, U.S. Senate Committee on Finance hearing on healthcare consolidation and its impacts on healthcare access and finances. Testimony from the American Academy of Family Physicians discusses the impact of consolidation on rural primary care providers.
Additional links: R. Shawn Martin, American Academy of Family Physicians - Testimony
Date: 06/2023
Sponsoring organization: Senate Committee on Finance
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS for FY 2024
Comments on a May 1, 2023, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Offers comments on future hospital safety net policies, including a potential safety net adjustment for Medicare inpatient hospital payments; recent case law on rural reclassification and estimated implications; and supplemental uncompensated care payments to Puerto Rico.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Accountable Care Organizations: Presence in Rural America
Presentation slides from a June 6, 2023, webinar for the Rural Northern Border Healthcare Support Technical Assistance Center. Provides an overview of the Medicare Shared Savings Program, including the composition of program participants in 2023, the spread of Accountable Care Organizations (ACOs) in rural counties, and the federal and state policy landscape. Details changes to the Shared Savings Program for 2024.
Author(s): Keith J. Mueller
Date: 06/2023
Sponsoring organization: Rural Policy Research Institute
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Changing the Narrative — Rural Healthcare Opportunities and the Role of Emerging Leaders
Highlights programs that are shaping the next generation of rural health leaders. Features National Rural Health Association programs that strengthen current leaders' skills, as well as educational programs in Iowa, South Carolina, and Oregon.
Author(s): Kristin D. Wilson, Hallie Vonk
Citation: Rural Monitor
Date: 06/2023
Sponsoring organization: Rural Health Information Hub
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Diabetes Prevalence and Monitoring in Nonmetropolitan and Metropolitan Areas Within a Commercially Insured U.S. Population
Explores the prevalence of diabetes in metro and nonmetro areas. Draws data from commercial insurance enrollees and compares rates of diabetes testing and outcomes by rurality.
Author(s): Lindsey R. Hammerslag, Jeffery Talbert
Date: 06/2023
Sponsoring organization: Rural and Underserved Health Research Center
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MedPAC Comment on CMS's Proposed Rule on the Payment System for Inpatient Psychiatric Facilities for FY 2024
Comment on an April 4, 2023, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2024. Includes a discussion of rural IPF PPS payment adjustments.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Cost of Dementia in Illinois: Metro Versus Nonmetro
Examines prevalence of Alzheimer's dementia in metro and nonmetro counties in Illinois, with further breakdowns by race, number of people at risk, financial cost of dementia, risk calculation and life expectancy, and more.
Author(s): Adee Athiyaman
Date: 06/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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