Rural Health
Resources by Topic: Healthcare business and finance
State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Community Characteristics and Financial and Operational Performance of Rural Health Clinics in the United States: A Chartbook
Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
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Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
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Best Practices for a Successful Rural Health Clinic
Webinar recording of a presentation on best practices in Rural Health Clinics (RHCs). Includes information on general rural health resources, funding programs, and events, as well as RHC certification, evaluation, emergency preparedness, and finances information.
Additional links: Presentation Slides
Date: 05/2022
Sponsoring organization: Kansas Department of Health and Environment
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Webinar recording of a presentation on best practices in Rural Health Clinics (RHCs). Includes information on general rural health resources, funding programs, and events, as well as RHC certification, evaluation, emergency preparedness, and finances information.
Additional links: Presentation Slides
Date: 05/2022
Sponsoring organization: Kansas Department of Health and Environment
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Let's Get a Good Deal on Health Care
Explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
Author(s): A. Clinton MacKinney
Citation: Rural Monitor
Date: 05/2022
Sponsoring organization: Rural Health Information Hub
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Explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
Author(s): A. Clinton MacKinney
Citation: Rural Monitor
Date: 05/2022
Sponsoring organization: Rural Health Information Hub
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report
Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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The Future of Telehealth Roundtable: The Potential Impact of Emerging Technologies on Health Equity
Presents insights and key ideas from a roundtable on the future of telehealth following the COVID-19 pandemic, covering barriers to telehealth delivery, opportunities for equitable care, and policy and regulatory issues impacting telehealth access. Includes rural mentions throughout.
Date: 05/2022
Sponsoring organization: National Committee for Quality Assurance
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Presents insights and key ideas from a roundtable on the future of telehealth following the COVID-19 pandemic, covering barriers to telehealth delivery, opportunities for equitable care, and policy and regulatory issues impacting telehealth access. Includes rural mentions throughout.
Date: 05/2022
Sponsoring organization: National Committee for Quality Assurance
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COVID-19 and Hospital Financial Viability in the US
Results of a study comparing operating and profit margins from 2016-2019 at 2,163 hospitals across the country to margins during the first year of the pandemic. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Yang Wang, Ge Bai, Gerard Anderson
Citation: JAMA Health Forum, 3(5)
Date: 05/2022
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Results of a study comparing operating and profit margins from 2016-2019 at 2,163 hospitals across the country to margins during the first year of the pandemic. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Yang Wang, Ge Bai, Gerard Anderson
Citation: JAMA Health Forum, 3(5)
Date: 05/2022
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Strategies for Rural Health Leaders' Success in a Post-COVID-19 World
Playbook for rural hospital leaders to approach COVID-19 response, vaccination, and related public health efforts. Discusses strategies for countering misinformation through partnerships with community institutions, conducting assessments of community vaccination needs, and communications and engagement. Features case studies of hospitals serving rural communities, and offers links to other tools and resources.
Additional links: Webinar: Rural Health Leaders on Strategies for Pandemic and Beyond
Date: 05/2022
Sponsoring organization: American Hospital Association
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Playbook for rural hospital leaders to approach COVID-19 response, vaccination, and related public health efforts. Discusses strategies for countering misinformation through partnerships with community institutions, conducting assessments of community vaccination needs, and communications and engagement. Features case studies of hospitals serving rural communities, and offers links to other tools and resources.
Additional links: Webinar: Rural Health Leaders on Strategies for Pandemic and Beyond
Date: 05/2022
Sponsoring organization: American Hospital Association
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ARPA's Enhanced Premium Subsidies Provide Particularly Large Benefits to Residents of Rural Areas
Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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Compares the differences between average Marketplace benchmark monthly premiums in urban and rural areas in each state in 2022. Discusses the impact of the American Rescue Plan Act (ARPA) expanded premium subsidies in rural areas.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 05/2022
Sponsoring organization: Urban Institute
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The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Sponsoring organization: Bipartisan Policy Center
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Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Sponsoring organization: Bipartisan Policy Center
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