Rural Health
Resources by Topic: Healthcare business and finance
Rural Track Program Funding: An Erosion in Definitions of Rural Places Requires New Action
Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
view details
Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
view details
CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Fourth 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 the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved areas, including beneficiaries in rural areas.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Fourth 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 the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved areas, including beneficiaries in rural areas.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by demographic variables, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
view details
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by demographic variables, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
view details
Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health, 39(2), 416-425
Date: 03/2023
view details
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health, 39(2), 416-425
Date: 03/2023
view details
The Association between Grandparents as Caregivers and Overdose Mortality in Appalachia and Non-Appalachia Counties
Evaluates associations between drug overdose mortality and grandparents as primary caregivers of children in Appalachian and non-Appalachian counties using national datasets from the period 2015-2019. Covers factors associated with grandparents as primary caregivers, rurality and other demographics. Discusses the impact of high rates of kinship care and opioid use disorder in rural and Appalachian areas.
Author(s): Kate E. Beatty, Stephanie M. Mathis, Abby R. McCurry, et al.
Citation: Frontiers in Public Health, 11, 1035564
Date: 02/2023
view details
Evaluates associations between drug overdose mortality and grandparents as primary caregivers of children in Appalachian and non-Appalachian counties using national datasets from the period 2015-2019. Covers factors associated with grandparents as primary caregivers, rurality and other demographics. Discusses the impact of high rates of kinship care and opioid use disorder in rural and Appalachian areas.
Author(s): Kate E. Beatty, Stephanie M. Mathis, Abby R. McCurry, et al.
Citation: Frontiers in Public Health, 11, 1035564
Date: 02/2023
view details
Office for the Advancement of Telehealth Grantee Directory, 2022-2023
Provides contact information and brief overviews for 72 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2023 funding year.
Date: 02/2023
Sponsoring organization: Office for the Advancement of Telehealth
view details
Provides contact information and brief overviews for 72 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2023 funding year.
Date: 02/2023
Sponsoring organization: Office for the Advancement of Telehealth
view details
Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details
Integrating Z Coding for Social Determinants of Health and Its Impact on Rural Areas
Policy brief discussing the potential impact of utilizing Z codes to capture important information on social determinants of health in rural areas barriers for identifying and reporting these codes in rural communities and healthcare settings. Offers recommendations for policies and actions to increase the use and effectiveness of Z codes, especially among rural, under-resourced health providers.
Author(s): Elizabeth Hall-Lipsy, Joseph Robare, Jeanne Edevold Larson
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details
Policy brief discussing the potential impact of utilizing Z codes to capture important information on social determinants of health in rural areas barriers for identifying and reporting these codes in rural communities and healthcare settings. Offers recommendations for policies and actions to increase the use and effectiveness of Z codes, especially among rural, under-resourced health providers.
Author(s): Elizabeth Hall-Lipsy, Joseph Robare, Jeanne Edevold Larson
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details
Modernizing Payment to Critical Access Hospitals: A Proposal for the Next Iteration of the Flex Program
Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
view details
Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
view details
Obesity Prevention and Treatment in Rural America Through Changes in Diet and Food Availability
Policy position paper regarding obesity prevention and treatment through rural-specific programming and equitable coverage. Offers policy recommendations to address obesity among rural populations.
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details
Policy position paper regarding obesity prevention and treatment through rural-specific programming and equitable coverage. Offers policy recommendations to address obesity among rural populations.
Date: 02/2023
Sponsoring organization: National Rural Health Association
view details