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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG's Top Recommendations
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in their view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the July 2019 edition include: reforming the hospital wage index system, a quality program and disaster planning for Indian Health Service (IHS) hospitals, and Medicaid payments for 340B drugs.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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State-Level and County-Level Estimates of Health Care Costs Associated with Food Insecurity
Results of a study to estimate state- and county-level healthcare costs associated with food insecurity, using data from the 2011-2013 National Health Interview Survey/Medical Expenditure Panel Survey. Features statistics including demographic characteristics of participants, with breakdown by location in a nonmetropolitan area.
Author(s): Seth A. Berkowitz, Sanjay Basu, Craig Gundersen, Hilary K. Seligman
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Markup of 26 Bills, Full Committee (July 17, 2019)
Recording of a U.S. House Committee on Energy and Commerce markup session of 26 bills. Addresses bills reauthorizing the National Health Service Corps, funding for Federally Qualified Health Centers, Medicaid funding for the U.S. territories, and other health-related bills.
Date: 07/2019
Sponsoring organization: U.S. House of Representatives
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noƫlle Siegfried, et al.
Date: 07/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Telehealth in Rural America
Policy brief focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Sponsoring organization: National Rural Health Association
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An Introduction to RHI's Network Sustainability Toolkit: History and Background
Provides an audio recording of a presentation on the history and background of the Network Sustainability Toolkit. Covers the goals for the toolkit, what it includes, and the research process behind the creation of the toolkit. Summarizes the characteristics of a sustainable rural health network.
Date: 07/2019
Sponsoring organization: National Rural Health Resource Center
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Guidance to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools
Report provides guidance to school systems and state governments about mental health and substance use in schools. Highlights examples of methods to identify and address mental health issues and substance use in schools. Discusses state-level Medicaid funding for behavioral health.
Author(s): Elinore McCance-Katz, Calder Lynch
Date: 07/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
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When Will the U.S. Territories Exhaust Federal Medicaid Funding?
Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Nebraska's Uninsured and the Coverage Gap by County
Highlights the percent of the population without health insurance by county in Nebraska for 2017. Details the percentage of people employed without insurance and those that fall in the gap between Medicaid eligibility and the least expensive insurance plan.
Date: 07/2019
Sponsoring organization: Center for Rural Affairs
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