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Rural Health
Resources by Topic: Healthcare business and finance

Rural/Urban Disparities in the Utilization of Health and Behavioral Assessments/Interventions in the Fee-for-Service Medicare Population
Compares the utilization of Health and Behavioral Assessments and Interventions (HBAI) services by Medicare recipients in rural and urban areas. Includes data on HBAI providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery C. Talbert
Citation: Rural and Underserved Health Research Center Publications
Date: 06/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHC COVID-19 Testing Funds: What You Need to Know
Recording of a May 26, 2020, webinar providing information about the funding appropriated by the Congress as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act for Rural Health Clinics (RHCs) to support COVID-19 testing and related activities. Discusses the specific terms and conditions RHCs will have to meet when spending the money to defeat the pandemic. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 05/2020
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Revealing Rural Realities: What Fuels Inaccurate and Incomplete Coverage of Rural Issues?
Report discussing the representation and misrepresentation of rural issues and prosperity in national and regional news media and journalism. Offers recommendations to journalists based on interviews in 2019 with rural experts, activists, and journalists, and a media scan to analyze coverage of rural America in national and regional news. Identifies rural healthcare as a common topic of coverage, noting media emphasis on negative aspects of rural life including hospital closures, health disparities, and suicide.
Date: 05/2020
Type: Document
Sponsoring organizations: Aspen Institute, Center for Rural Strategies, Hattaway Communications, Rural Housing Assistance Council
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Through the Eyes of Rural Healthcare Providers: Perspectives of Changes to Practice Ownership and Management
Qualitative brief exploring insights from interviews with 12 rural healthcare providers. Includes statistics from 1995-2015 on the number of South Carolina physicians who are self-employed or working for a private employer, with breakdowns by micropolitan or small adjacent/remote rural location.
Date: 05/2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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COVID-19 and Rural Hospital Struggles
Recording of a May 14, 2020, webinar on healthcare delivery and financial challenges facing rural hospitals as a result of the COVID-19 pandemic. Features leaders from health systems in Iowa, New Hampshire, Pennsylvania, and Wisconsin. Transcript available by clicking the dots above the video description, then selecting Show Transcript.
Date: 05/2020
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center
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Integrating Rural into the New Reality of Healthcare
Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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