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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Haves and the Have-Nots: Disparities in Telehealth Availability in Rural Hospitals
Webinar presenting research on the association between telehealth and rural hospital finances. Compared rural hospitals that had no telehealth technology with those that did between 2009 and 2019. Evaluated both hospital characteristics such as payer mix and ownership as well as community characteristics such as age, poverty, and more. Discusses future plans to continue this research. Transcript available in the video description.
Date: 04/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Evaluating Access to Pediatric Dental Care in the Southeast States
Analyzed 2019 American Community Survey data to evaluate dental care access for children in 10 southeastern states. Considers insurance type and rurality. Makes recommendations for policymakers considering interventions. Note the abstract to the publisher's final edited version of this article.
Author(s): Nicoleta Serban, Simin Ma, Katrine Pospichel, Lisha Yang
Citation: The Journal of the American Dental Association, 153(4), 330-341
Date: 04/2022
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Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States
Examines geriatric emergency departments receiving either Level 1, 2, or 3 Geriatric Emergency Department accreditation by March 1, 2021. Shows rural and urban locations of accredited facilities as well as their distribution compared to the U.S. population aged 65 and older. Lists care processes available at accredited facilities.
Author(s): Maura Kennedy, Adriane Lesser, Juhi Israni, et al.
Citation: Annals of Emergency Medicine: An International Journal 79(4), 367-373
Date: 04/2022
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Rural EMS: Taking the Next Step
Discusses funding, hiring, collaboration, and policy to support emergency medical services (EMS) in rural Minnesota. Utilizes Minnesota Department of Health (MDH) survey data and interview data to discuss issues related to EMS management and sustainability. Provides charts showing recruitment and training barriers in rural versus urban areas.
Additional links: Summary
Author(s): Kelly Asche
Date: 04/2022
Sponsoring organization: Center for Rural Policy and Development
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The Role of Social Determinants of Health in Value-Based Payment Models During COVID-19: An Evolving Rural Perspective
Recording of an April 2022 webinar discussing how some rural health providers address social determinants of health in their communities and mitigate hardships associated with COVID-19. Highlights strategies using value-based payment models and collaboration with community partners. Transcript is available in the video description.
Additional links: Presentation Slides
Author(s): Alana Knudson
Date: 04/2022
Sponsoring organizations: National Rural Health Resource Center, NORC Walsh Center for Rural Health Analysis
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Rural Health Quality: How CMS Initiatives Improve How We Measure and Address Gaps in Care
Recording of an April 2022 webinar regarding healthcare quality measurement in rural areas. Discusses measurement challenges in rural areas and how CMS is working to mitigate these issues. Presents resources and programs for rural providers to improve healthcare quality. Transcript is available by clicking the three dots above the video description, then selecting Show Transcript.
Additional links: Presentation Slides
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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April 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Sponsoring organization: Medicare Payment Advisory Commission
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The Justice Gap: The Unmet Civil Legal Needs of Low-Income Americans
Reports on civil legal needs experienced by low-income Americans who do not seek professional legal help and the paths they take when facing civil legal problems. Includes information on legal needs related to healthcare access and other issues that impact health, such as housing and COVID-19. Provides details for specific groups, including rural residents, seniors, veterans, people with disabilities, parents of children under 18, and domestic violence survivors.
Additional links: Executive Summary, Full Report, Special Focus Rural
Date: 04/2022
Sponsoring organization: Legal Services Corporation
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Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for Rural Track Programs (RTPs)
Describes changes in direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs that began on October 1, 2022.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare's Prospective Payment System for Inpatient Psychiatric Facilities at 15 Years
Examine how Medicare enrollees' use of inpatient psychiatric facility (IPF) services and the characteristics of IPFs have changed since the introduction of the IPF-PPS in 2005. Explores whether there have been changes in events that occur before or after IPF stays that may indicate potential changes in the quality of services. Includes information on per diem costs for rural IPFs compared to urban facilities.
Date: 04/2022
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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