Rural Health
Resources by Topic: Healthcare business and finance
AHA Future of Rural Health Care Task Force: Final Recommendations
Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Sponsoring organization: American Hospital Association
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Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Sponsoring organization: American Hospital Association
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Prevalence of Inflammatory Bowel Disease Among Medicare Fee-For-Service Beneficiaries — United States, 2001-2018
Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Medicare-Paid Naloxone: Trends in Non-Metropolitan and Metropolitan Areas Metropolitan Areas
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in non-metro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
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Policy brief examining Medicare-paid naloxone dispensing, comparing rates in non-metro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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April 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2021 meeting. Covers Medicare's skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, rebalancing the Medicare Advantage benchmark policy, revising Medicare's indirect medical education payments to better reflect teaching hospital costs, Medicare vaccine coverage and payment, and improving Medicare's policies for separately payable drugs in the hospital outpatient prospective payment system. Includes a discussion of training rural physicians, among other rural references.
Date: 04/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part III: Availability among Current Healthcare.gov Enrollees under the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among current HealthCare.gov enrollees under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability for both pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes enrollee data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among current HealthCare.gov enrollees under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability for both pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes enrollee data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part II: Availability among Uninsured Non-elderly Adults under the American Rescue Plan
Analyzes the expanded access to federally-sponsored Health Insurance Marketplace low premium plans among eligible uninsured non-elderly adults under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes uninsured non-elderly adult data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the expanded access to federally-sponsored Health Insurance Marketplace low premium plans among eligible uninsured non-elderly adults under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes uninsured non-elderly adult data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Case Study: Avera Behavioral Health
Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Sponsoring organization: American Hospital Association
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Profiles Avera Behavioral Health, which partners with primary care providers, families, and other healthcare providers via a telepsychiatry network to serve rural communities nationwide. Discusses the development of the Avera Behavioral Health network, goals of the program, innovative approaches, and the impact of the COVID-19 pandemic on the network. Highlights key lessons for successful community networks.
Date: 04/2021
Sponsoring organization: American Hospital Association
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The Effect of the COVID-19 Pandemic on the Economics of United States Emergency Care
Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
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Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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