Rural Health
Resources by Topic: Healthcare business and finance
Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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A Tale of Two Public Dental Benefit Programs: Iowa Dentist Participation in Traditional Medicaid Versus a Medicaid Expansion Program
Examines differences in dentist participation in Iowa's Dental Wellness Plan and Medicaid programs and discusses the policy implications for oral health access. Addresses differences in rural and urban participation in both programs.
Author(s): Julie C. Reynolds, Susan C. McKernan, Peter C. Damiano, Raymond A. Kuthy
Citation: BMC Oral Health, 19, 89
Date: 05/2019
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Examines differences in dentist participation in Iowa's Dental Wellness Plan and Medicaid programs and discusses the policy implications for oral health access. Addresses differences in rural and urban participation in both programs.
Author(s): Julie C. Reynolds, Susan C. McKernan, Peter C. Damiano, Raymond A. Kuthy
Citation: BMC Oral Health, 19, 89
Date: 05/2019
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Supporting Rural Health: Practical Solutions for State Policymakers
Reports on 3 regional meetings of state health policy leaders and national experts regarding top rural health concerns and successful models for addressing them. Highlights lessons for policymakers from rural health initiatives focused on community health, strategies for expanding rural health workforce capacity, and examples of states working with research centers to develop evidence-based policies. Includes models from several states for each area discussed.
Author(s): Emily Whelan Parento
Date: 05/2019
Sponsoring organization: Milbank Memorial Fund
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Reports on 3 regional meetings of state health policy leaders and national experts regarding top rural health concerns and successful models for addressing them. Highlights lessons for policymakers from rural health initiatives focused on community health, strategies for expanding rural health workforce capacity, and examples of states working with research centers to develop evidence-based policies. Includes models from several states for each area discussed.
Author(s): Emily Whelan Parento
Date: 05/2019
Sponsoring organization: Milbank Memorial Fund
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Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI
Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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The Competition Conundrum
Reports on an analysis of hospital and health insurance carrier market competition in Colorado and offers county-level data. Assesses the relationship between market competition and health insurance premiums. Includes discussion on health insurance market challenges specific to rural areas. Offers suggestions to improve market competition and conditions.
Date: 05/2019
Sponsoring organization: Colorado Health Institute
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Reports on an analysis of hospital and health insurance carrier market competition in Colorado and offers county-level data. Assesses the relationship between market competition and health insurance premiums. Includes discussion on health insurance market challenges specific to rural areas. Offers suggestions to improve market competition and conditions.
Date: 05/2019
Sponsoring organization: Colorado Health Institute
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The Special Diabetes Program for Indians: Estimates of Medicare Savings
Examines the potential Medicare savings due to the Special Diabetes Program for Indians (SDPI) efforts in providing diabetes prevention and treatment services to American Indians and Alaska Natives. Focuses on diabetes prevalence and end-stage renal disease related to diabetes. Appendix II includes additional information about the SDPI.
Date: 05/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the potential Medicare savings due to the Special Diabetes Program for Indians (SDPI) efforts in providing diabetes prevention and treatment services to American Indians and Alaska Natives. Focuses on diabetes prevalence and end-stage renal disease related to diabetes. Appendix II includes additional information about the SDPI.
Date: 05/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural/Urban and Regional Variation in the 2019 CMS Hospital Wage Index
Findings brief describing the geographic variation in the 2019 Centers for Medicare and Medicaid Services (CMS) hospital wage index by rural and urban definitions. Includes data comparisons for rural and urban definitions by Census region, frontier and remote (FAR) codes, and state.
Author(s): Kristie W. Thompson, Ann Howard, George H. Pink
Date: 05/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing the geographic variation in the 2019 Centers for Medicare and Medicaid Services (CMS) hospital wage index by rural and urban definitions. Includes data comparisons for rural and urban definitions by Census region, frontier and remote (FAR) codes, and state.
Author(s): Kristie W. Thompson, Ann Howard, George H. Pink
Date: 05/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Opportunities to Advance Complex Care in Rural and Frontier Areas
Examines obstacles rural and frontier healthcare organizations face in providing complex care based on interviews with experts around the U.S. Focuses on rural social determinants of health, workforce shortages, and rural community relationships. Includes examples of models related to community collaboration, care coordination, social determinants of health, the health workforce, technology, and payment.
Author(s): Jim Lloyd
Date: 05/2019
Sponsoring organization: Center for Health Care Strategies
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Examines obstacles rural and frontier healthcare organizations face in providing complex care based on interviews with experts around the U.S. Focuses on rural social determinants of health, workforce shortages, and rural community relationships. Includes examples of models related to community collaboration, care coordination, social determinants of health, the health workforce, technology, and payment.
Author(s): Jim Lloyd
Date: 05/2019
Sponsoring organization: Center for Health Care Strategies
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The Race to Value-Based Payment
Slides from a presentation at the 2019 National Rural Health Association (NRHA) annual meeting on value-based payment. Highlights different models of payment transitioning from fee-for-service to value-based payment as well as facilitators and strategies used.
Author(s): Keith J. Mueller
Date: 05/2019
Sponsoring organization: Rural Health Value
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Slides from a presentation at the 2019 National Rural Health Association (NRHA) annual meeting on value-based payment. Highlights different models of payment transitioning from fee-for-service to value-based payment as well as facilitators and strategies used.
Author(s): Keith J. Mueller
Date: 05/2019
Sponsoring organization: Rural Health Value
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Medicare Physician Payment Reform After Two Years: Examining MACRA Implementation and the Road Ahead
Provides a recording of a U.S. Senate Committee on Finance hearing on physician payment reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). Features testimonies about what is working well and challenges faced, including provisions and challenges for small and rural practices. Contains testimonies from the American Medical Association, American Academy of Family Physicians, American College of Surgeons, American Medical Group Association, and Brookings Institution.
Additional links: American Medical Association Testimony, John Cullen Testimony, Scott Hines Testimony
Date: 05/2019
Sponsoring organization: Senate Committee on Finance
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Provides a recording of a U.S. Senate Committee on Finance hearing on physician payment reforms under the Medicare Access and CHIP Reauthorization Act (MACRA). Features testimonies about what is working well and challenges faced, including provisions and challenges for small and rural practices. Contains testimonies from the American Medical Association, American Academy of Family Physicians, American College of Surgeons, American Medical Group Association, and Brookings Institution.
Additional links: American Medical Association Testimony, John Cullen Testimony, Scott Hines Testimony
Date: 05/2019
Sponsoring organization: Senate Committee on Finance
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