Rural Health
Resources by Topic: Healthcare business and finance
Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Supporting Critical Access Hospital Staff during COVID-19
Presents summaries of initiatives taken in three Critical Access Hospitals (CAHs) to support staff during the COVID-19 pandemic with regard to child care, stress and well-being, and work flexibility. Discusses similarities across these programs and offers considerations for CAHs interested in implementing similar initiatives.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania, Ira Moscovice
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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Presents summaries of initiatives taken in three Critical Access Hospitals (CAHs) to support staff during the COVID-19 pandemic with regard to child care, stress and well-being, and work flexibility. Discusses similarities across these programs and offers considerations for CAHs interested in implementing similar initiatives.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania, Ira Moscovice
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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Higher Electronic Health Record Functionality Is Associated with Lower Operating Costs in Urban—but Not Rural—Hospitals
Explores the relationship between electronic health record (EHR) use and functionality and hospital operating costs. Examines the effects of different categories of EHR functionality on general, inpatient, and outpatient costs. Compares the relationship between EHR functionality and operating costs across urban and rural hospitals.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Applied Clinical Informatics, 13(3), 665-676
Date: 05/2022
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Explores the relationship between electronic health record (EHR) use and functionality and hospital operating costs. Examines the effects of different categories of EHR functionality on general, inpatient, and outpatient costs. Compares the relationship between EHR functionality and operating costs across urban and rural hospitals.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Applied Clinical Informatics, 13(3), 665-676
Date: 05/2022
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The Affordable Care Act Medicaid Expansion, Social Disadvantage, and the Practice Location Choices of New General Internists
Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Sponsoring organization: The Conference Board
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Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Sponsoring organization: The Conference Board
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Convergence of Service Providers and Managers' Perspectives on Strengths, Gaps, and Priorities for Rural Health System Redesign: A Whole-Systems Qualitative Study in Washington County, Maine
Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
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Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
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Rural–Urban Disparities in Health Access Factors Over Time: Implications for Cancer Prevention and Health Equity in the Midwest
Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382-389.
Date: 05/2022
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Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382-389.
Date: 05/2022
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