Rural Health
Resources by Topic: Healthcare business and finance
Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Preconception Health Disparities and Birth Outcomes among Foreign-Born and Native-Born Hispanic Women in Oklahoma
Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Sponsoring organization: Oklahoma State Department of Health
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Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Sponsoring organization: Oklahoma State Department of Health
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The Action Report: Kansas Power Up & Go
Explores strategies to retain young people and families in rural Kansas. Discusses issues such as child care, housing, broadband, employment with health insurance packages, career opportunities and economic development, cultural sensitivity, and more.
Date: 08/2021
Sponsoring organizations: Kansas Office Of Rural Prosperity, The Kansas Sampler Foundation
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Explores strategies to retain young people and families in rural Kansas. Discusses issues such as child care, housing, broadband, employment with health insurance packages, career opportunities and economic development, cultural sensitivity, and more.
Date: 08/2021
Sponsoring organizations: Kansas Office Of Rural Prosperity, The Kansas Sampler Foundation
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A Qualitative Assessment of Barriers and Facilitators Associated with Addressing Social Determinants of Health among Members of a Health Collaborative in the Rural Midwest
Examines capacities and barriers in addressing social determinants of health for patients in rural Northeastern Minnesota and Northwestern Wisconsin based on interviews from 37 participants of a healthcare collaborative. Discusses specific needs of rural providers, including access to community-based social services, aligned payment models, and capacity for collaboration, among others.
Author(s): Kim Nichols Dauner, Lacey Loomer
Citation: BMC Health Services Research, 21
Date: 08/2021
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Examines capacities and barriers in addressing social determinants of health for patients in rural Northeastern Minnesota and Northwestern Wisconsin based on interviews from 37 participants of a healthcare collaborative. Discusses specific needs of rural providers, including access to community-based social services, aligned payment models, and capacity for collaboration, among others.
Author(s): Kim Nichols Dauner, Lacey Loomer
Citation: BMC Health Services Research, 21
Date: 08/2021
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report
Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
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Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018
Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by sex, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by sex, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas
Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Sponsoring organization: National Academy for State Health Policy
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2022
Comments on a July 9, 2021, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 9, 2021, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2021
Sponsoring organization: Medicare Payment Advisory Commission
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