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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Addressing Factors that Affect Health Care Costs: Recommendations for Indiana Stakeholders
Highlights the factors affecting healthcare costs in Indiana and makes recommendations to healthcare stakeholders, such as providers, policymakers, and consumers. Presents 16 factors that contribute to healthcare costs and discusses rural hospital closures.
Author(s): Nir Menachemi, Paul Halverson
Date: 01/2020
Sponsoring organization: Center for Health Policy, Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis
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Bringing it All Together for EMS in Wright County, Iowa
Video details how Wright County, Iowa, used supplemental Flex funding to solidify their emergency medical services (EMS). Highlights the way the county used the supplement funding to initiate a project to design a sustainable EMS program that provides coverage to the whole county.
Date: 01/2020
Sponsoring organization: National Rural Health Resource Center
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Health Care Use and Access among Rural and Urban Nonelderly Adult Medicare Beneficiaries
Highlights healthcare access and utilization by disabled adults under 65 who are enrolled in Medicare. Compares rural and urban participants by demographics and geographic region, among other measures.
Author(s): Erika Ziller, Amanda Burgess, Deborah Thayer
Date: 01/2020
Sponsoring organization: Maine Rural Health Research Center
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Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Healthcare Professionals' Mental Health Needs: Where Can They Go?
Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Sponsoring organization: Rural Health Information Hub
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Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Vermont Rural Health Services Task Force: Act 26 of 2019, Report and Recommendations
Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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