Rural Health
Resources by Topic: Healthcare business and finance
The COVID-19 Pandemic's Impact on Rural Hospital Staffing
Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Sponsoring organization: The Chartis Group
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Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Sponsoring organization: The Chartis Group
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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Rural Telehealth and Healthcare System Readiness Measurement Framework: Final Report
Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 11/2021
Sponsoring organization: National Quality Forum
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Presents a performance measurement framework to guide quality and performance improvement for healthcare services delivered via telehealth in rural areas in response to disasters. Covers five domains — access to care and technology; costs, business models, and logistics; experience; effectiveness; and equity — rural-specific measurement issues, and potential solutions. Includes recommendations for rural telehealth measurement for time-sensitive emergencies, public health emergencies, and disasters.
Date: 11/2021
Sponsoring organization: National Quality Forum
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Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation
Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Network Adequacy for Behavioral Health: Existing Standards and Considerations for Designing Standards
Summarizes findings from a technical expert panel and an environmental scan to examine federal and state network adequacy standards for behavioral health across Medicare Advantage, Medicaid managed care, and commercial insurance. Presents considerations and principles for designing, monitoring, and enforcing additional behavioral health network adequacy standards.
Author(s): Katharine Bradley, Allison Wishon, Alexandra C. Donnelly, Amanda Lechner
Date: 11/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from a technical expert panel and an environmental scan to examine federal and state network adequacy standards for behavioral health across Medicare Advantage, Medicaid managed care, and commercial insurance. Presents considerations and principles for designing, monitoring, and enforcing additional behavioral health network adequacy standards.
Author(s): Katharine Bradley, Allison Wishon, Alexandra C. Donnelly, Amanda Lechner
Date: 11/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries
Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
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Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
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Examining Rural Hospital Bypass for Outpatient Services
Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare: Information on the Transition to Alternative Payment Models by Providers in Rural, Health Professional Shortage, or Underserved Areas
Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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Describes the participation of providers in rural and health professional shortage areas in Advanced APMs from 2017 through 2019. Discusses challenges providers in rural, shortage, and underserved areas face in transitioning to APMs, as well as actions CMS takes to help these providers transition to APMs. Includes data by practice and provider type.
Additional links: Full Report
Date: 11/2021
Sponsoring organization: Government Accountability Office
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Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization
Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Sponsoring organization: Rural Telehealth Research Center
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Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Sponsoring organization: Rural Telehealth Research Center
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