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Rural Health
Resources by Topic: Healthcare business and finance

National Racial/Ethnic and Geographic Disparities in Experiences with Health Care Among Adult Medicaid Beneficiaries
Investigates whether experiences of adult Medicaid beneficiaries differ by race or ethnicity and rural or urban status, using data from 270,243 respondents to the 2014‐2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems Survey. Features statistics with breakdowns by large urban, small urban, or small town locations.
Author(s): Steven C. Martino, Megan Mathews, Denis Agniel, Nate Orr, Shondelle Wilson-Frederick, et al.
Citation: Health Services Research, 54(1), Part II, 287-296
Date: 02/2019
Type: Document
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Neighborhood Disadvantage and Chronic Disease Management
Assesses the relationship between neighborhood disadvantage and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage population. Features demographic statistics with breakdowns by 6 levels of population density.
Author(s): Shayla N.M. Durfey, Amy J.H. Kind, William R. Buckingham, Eva H. DuGoff, Amal N. Trivedi
Citation: Health Services Research, 54(1), Part II, 206-216
Date: 02/2019
Type: Document
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How Primary Care Affects Health Care Costs and Outcomes
Recording of a February 5, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the impact of primary care on healthcare outcomes and costs. Testimonies include rural-relevant considerations and address direct care primary care practices, employer strategies such as worksite clinics, the impact of Project ECHO, and more.
Additional links: Joshua J. Umbehr Testimony, Katherine Bennett Testimony, Sapna Kripalani Testimony
Date: 02/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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How Rural Hospitals Improve Value and Affordability
Issue brief discussing four strategies rural hospitals are undertaking to improve the quality of care and patient experience, while decreasing the cost of healthcare services. Covers strategies on population health, new models of care, telehealth, and workforce programs. Includes multiple case studies and rural program examples for each strategy.
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
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Rural Report: Challenges Facing Rural Communities and the Roadmap to Ensure Local Access to High-Quality, Affordable Care
Reports on continuing, current, and emerging challenges for rural hospitals working to provide access to healthcare services in rural communities. Includes discussion on policy recommendations to improve access and covers new models of care, reimbursement policies, regulatory requirements, telehealth, workforce issues, and prescription drug costs.
Additional links: Executive Summary, Infographic
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
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Rural Health Network Thrives on Innovation in Whole-Person Care
Profiles a rural health network in Missouri that includes social service support at four of their clinics. Offers an overview of how the program began, highlights their innovative approaches to addressing community needs, and discusses network sustainability.
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Value
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An Overview of Medicare
Provides a basic overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. Describes supplemental health insurance, benefits provided by the new drug law, and data on Medicare expenditures and financing.
Date: 02/2019
Type: Document
Sponsoring organization: KFF
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Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis
Examines the integration of oral health and primary care as a method of increasing access to preventive oral health services for children under age 6 using 2012-2014 Medicaid claims data from 39 states. Includes patient characteristics, such as age, sex, and poverty level, as well as healthcare utilization rates, with breakdowns by metro and nonmetro counties.
Author(s): Caroline K. Geiger, Ashley M. Kranz, Andrew W. Dick, et al.
Citation: Journal of Rural Health, 35(1), 3-11
Date: 01/2019
Type: Document
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Operative Time and Cost Variability for Functional Endoscopic Sinus Surgery
Examines the sources of variation in costs of endoscopic sinus surgery (ESS) to determine the value of the procedure by analyzing cost and operative time data from 13 different facilities (four community rural hospitals, seven community urban centers, and two tertiary care centers) within Intermountain Healthcare (IHC).
Author(s): Andrew J. Thomas, Kristine A. Smith, Christopher I. Newberry, et al.
Citation: International Forum of Allergy & Rhinology, 9(1), 23-29
Date: 01/2019
Type: Document
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Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs)
Guidance for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing related to communication technology-based services effective January 1, 2019.
Citation: MLN Matters, MM10843
Date: 01/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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