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Rural Health
Resources by Topic: Healthcare business and finance

Robustness of Estimated Access to Opioid Use Disorder Treatment Providers in Rural Vs. Urban Areas of the United States
Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment differences between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
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Annual Influenza Vaccination Disparities in Medicare Beneficiaries
Explores disparities among Medicare beneficiaries who received influenza vaccinations in 2019 and 2020. Presents data on influenza vaccinations by race and ethnicity, sex, and urban-rural residence. Compares data for Medicare fee-for-service and Medicare Advantage enrollees.
Date: 11/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Final CY 2022 Physician Fee Schedule
Fact sheet addressing the Centers for Medicare and Medicaid Services policies for Medicare beginning on January 1, 2022. Includes sections on telehealth services, the Consolidated Appropriations Act, audio-only services, communications technology based services, Federally Qualified Health Centers and Rural Health Clinics, and additional policies.
Date: 11/2021
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Q&A on RHC COVID-19 Testing & Testing and Mitigation Programs
Recording of a November 30, 2021, webinar answering questions regarding the Rural Health Clinic COVID-19 Testing funding and discussing the close-out procedures for the program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 11/2021
Sponsoring organization: National Association of Rural Health Clinics
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Consistent SNAP Participation Increases Preventative Health Care Visits for Infants
Examines the connection between Supplemental Nutrition Assistance Program (SNAP) participation and preventive care in an infant's first year of life. Uses data from a survey covering 51,551 first-born children of low-income mothers, ages 18 and older, who participated in SNAP and Medicaid in Missouri between 2006-2014. Features statistics including urban or rural residence.
Author(s): Colleen Heflin, Irma Arteaga, Julia Stafford
Date: 11/2021
Sponsoring organizations: Center for Aging and Policy Studies, Lerner Center for Public Health Promotion
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The COVID-19 Pandemic's Impact on Rural Hospital Staffing
Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Sponsoring organization: The Chartis Group
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation
Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Examining Rural Hospital Bypass for Outpatient Services
Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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