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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Promoting Health Coverage of American Indian and Alaska Native Children
Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Sponsoring organization: Georgetown University Health Policy Institute
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Greater Good Podcasts Rural Health Segment, Part 1: How Did We Get Here? Rural Health Challenges in America
Set of three podcast episodes featuring Erika Ziller and Yvonne Jonk of the Maine Rural Health Research Center discussing current rural health issues and challenges, as well as historical factors related to the current rural health system. Addresses rural aging and long-term care, dental care, health insurance coverage, and health-related impacts of growing up in a rural community. Also compares rural health in Maine, other parts of the U.S., and rural communities in other countries.
Additional links: Part 2: Growing Up Rural, Part 3: Rural Health in Maine and America vs. the World
Author(s): Carrie Wilshusen, Erika Ziller, Yvonne Jonk
Date: 09/2019
Sponsoring organization: University of Maine Graduate and Professional Center
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Health Insurance Coverage in the United States: 2018
Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Sponsoring organization: U.S. Census Bureau
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Evaluation of the Accountable Care Organization Investment Model: AIM Implementation and Impacts over Two Performance Years
Evaluation examining the first two years of the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Reports on AIM ACO composition, including rurality. Appendices include detailed information on each AIM ACO.
Additional links: Appendices, Findings at a Glance
Date: 09/2019
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Rural Hospital Closures Reduce Access to Emergency Care
Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Sponsoring organization: Center for American Progress
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Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis - An Update
Revisits a study from 2016 on the effects of hospital acquisitions in terms of cost, care quality, and revenue. Highlights data by hospital type, including rural status, as well as several performance measures.
Author(s): Monica Noether, Sean May, Ben Stearns
Date: 09/2019
Sponsoring organization: American Hospital Association
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Medicaid Expansion in Texas: Potential Economic and Employment Implications
Compares the findings of a survey of low-income adults in Texas – a non-expansion Medicaid state – with the findings from surveys of low-income populations living in Arkansas, Kentucky, and Louisiana – states having expanded Medicaid to assess the economic impact on their families and their state.
Author(s): Lucy Chen, Joy Madubuonwu, Caroline Pecos-Duarte, Benjamin D. Sommers
Date: 09/2019
Sponsoring organization: Commonwealth Fund
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Texas Rural Hospital Closures Since January 2013
A map identifying the location of rural hospital closures in Texas along with whether they later reopened or now provide limited services.
Date: 09/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Transformation Support Provided Remotely to a National Cohort of Optometry Practices
Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(5), S33-S39
Date: 08/2019
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2019 Rural Emergency Care Integration Summit: Flex Program Support for Rural EMS: Moving from Loaded Miles to Value-Based Models
Provides an overview of the March 2019 Rural Emergency Care Summit convened by the National Rural Health Resource Center. Explores the role of emergency medical services (EMS) as the healthcare system transitions from volume-based to value-based care. Addresses challenges to EMS and hospital collaboration and strategies for future integration. Discusses how Flex Programs could support rural EMS improvements.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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