Rural Health
Resources by Topic: Healthcare business and finance
Estimating the Effects of the Medicare $2 Drug List on Part D Enrollees
Discusses the Medicare $2 Drug List (M2DL) Model, which would allow Medicare Part D enrollees to purchase monthly drugs for $2 or less. Provides projected financial impact of the model, such as out of pocket (OOP) costs for individual drugs as well as OOP changes for enrollees, with breakdowns by demographic variables, including urban, rural-micropolitan, rural-other, or unclassified location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Discusses the Medicare $2 Drug List (M2DL) Model, which would allow Medicare Part D enrollees to purchase monthly drugs for $2 or less. Provides projected financial impact of the model, such as out of pocket (OOP) costs for individual drugs as well as OOP changes for enrollees, with breakdowns by demographic variables, including urban, rural-micropolitan, rural-other, or unclassified location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Trends in Medicaid and CHIP Telehealth, 2019-2021 Part II: Medicaid and CHIP Telehealth Utilization Trends by Enrollee and Provider Rurality
Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
How Community Health Centers Respond to Rural Hospital Closures
Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
view details
Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
view details
Civil Rights and Disparities in Pediatric Healthcare Access for Racial and Ethnic Minority Families in Arizona
Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Sponsoring organization: U.S. Commission on Civil Rights
view details
Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Sponsoring organization: U.S. Commission on Civil Rights
view details
The Pennsylvania Rural Health Model (PARHM): Fourth Annual Evaluation Report
Evaluates the fourth performance 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 healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluates the fourth performance 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 healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Rural-Urban Medicaid and CHIP Enrollee Comparisons Using the 2019 T-MSIS Analytic File
Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
view details
Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
view details
Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote Area (FAR) codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
view details
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote Area (FAR) codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
view details
Hospital Margins Rebounded in 2023, But Rural Hospitals and Those With High Medicaid Shares Were Struggling More Than Others
Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
view details
Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
view details
Extended Reality Telehealth for Rural Spaces
Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
view details
Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
view details
Critical Access Hospital Financial Sustainability Guide
Provides guidance and assistance to state Medicare Rural Hospital Flexibility (Flex) Program personnel, leaders of Critical Access Hospitals (CAHs), and others helping CAHs manage long-term financial stability. Presents potential interventions CAHs may use to address ongoing and systemic financial challenges in rural healthcare.
Date: 12/2024
Sponsoring organizations: EideBailly, National Rural Health Resource Center
view details
Provides guidance and assistance to state Medicare Rural Hospital Flexibility (Flex) Program personnel, leaders of Critical Access Hospitals (CAHs), and others helping CAHs manage long-term financial stability. Presents potential interventions CAHs may use to address ongoing and systemic financial challenges in rural healthcare.
Date: 12/2024
Sponsoring organizations: EideBailly, National Rural Health Resource Center
view details