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Rural Health
Resources by Topic: Healthcare business and finance

Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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Texas Rural Acute Care Hospital Closures
Identifies rural hospital closures by year and county for Texas between 1965-2018. Includes notes on whether they later reopened with full or partial services.
Date: 01/2020
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Lifehacks for Telemedicine: Top Hacks Handbook
Provides highlights from Telemedicine Hack, a 10-week virtual learning community hosted through teleECHO sessions and discussion panels. Topics include telemedicine implementation, documentation, billing and reimbursement, and clinical best practices. Video recordings of the sessions and other resources are available via links throughout the guide.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Striving for Birth Equity: Family Medicine's Role in Overcoming Disparities in Maternal Morbidity and Mortality
Policy position paper examining disparities in maternal morbidity and mortality, and offering recommendations for ways in which family physicians, educators, and policy makers can facilitate and advocate for change. Mentions rural throughout.
Date: 2020
Type: Document
Sponsoring organization: American Academy of Family Physicians
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Telehealth and Telemedicine in Missouri
Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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Florida Rural Health Network Service Areas and Rural Hospitals 2020
Map of Florida with counties delineated identifying the rural health network service areas and the location of rural hospitals including Critical Access Hospitals.
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Florida Office of Rural Health
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural-Urban Differences in Hospital Payer Mix in 2017
Fact sheet reporting payer mix, which refers to the percentage of inpatient days paid by Medicare and Medicaid, by hospital location and Critical Access Hospital (CAH) status. Highlights key observations on data drawn from the 2017 American Hospital Association annual survey.
Date: 2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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