Rural Health
Resources by Topic: Healthcare business and finance
Health and Health Care for American Indians and Alaska Natives (AIANs)
Compares the rates of poverty, job security, insurance coverage, and chronic health needs in the American Indian and Alaska Native populations in the U.S.
Additional links: Infographic, Slides
Date: 05/2019
Sponsoring organization: KFF
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Compares the rates of poverty, job security, insurance coverage, and chronic health needs in the American Indian and Alaska Native populations in the U.S.
Additional links: Infographic, Slides
Date: 05/2019
Sponsoring organization: KFF
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Profile of American Indian Mothers with Oklahoma Medicaid Reimbursed Live Birth in 2016
An assessment of selected maternal characteristics and birth outcomes among American Indian mothers who gave live birth in Oklahoma in 2016 using data based on deliveries reimbursed by Oklahoma Medicaid, and data from Vital Records Division of Oklahoma State Department of Health (OSDH).
Author(s): Lu Zhou, Shelly Patterson, Tram Nguyen
Date: 04/2019
Sponsoring organizations: Oklahoma Health Care Authority, Oklahoma State Department of Health
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An assessment of selected maternal characteristics and birth outcomes among American Indian mothers who gave live birth in Oklahoma in 2016 using data based on deliveries reimbursed by Oklahoma Medicaid, and data from Vital Records Division of Oklahoma State Department of Health (OSDH).
Author(s): Lu Zhou, Shelly Patterson, Tram Nguyen
Date: 04/2019
Sponsoring organizations: Oklahoma Health Care Authority, Oklahoma State Department of Health
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Trends in Risk of Financial Distress among Rural Hospitals from 2015 to 2019
Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Sponsoring organization: North Carolina Rural Health Research Program
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities
Examines characteristics of Medicare beneficiaries who use inpatient psychiatric facilities (IPF) to help reduce preventable admissions and readmissions and create quality of care measures. Addresses the types of care patients receive before, during, and after their stay at an IPF. Includes a chart identifying the number of freestanding and psychiatric unit IPFs in rural and mental health shortage areas.
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines characteristics of Medicare beneficiaries who use inpatient psychiatric facilities (IPF) to help reduce preventable admissions and readmissions and create quality of care measures. Addresses the types of care patients receive before, during, and after their stay at an IPF. Includes a chart identifying the number of freestanding and psychiatric unit IPFs in rural and mental health shortage areas.
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Trends in Emergency Department Use by Rural and Urban Populations in the United States
Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
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Describes urban and rural differences in emergency department (ED) use from January 2005 to December 2016. Features statistics including demographics, payers, and characteristics of care, such as trends in ambulatory care–sensitive conditions and ED safety-net status.
Author(s): Margaret B. Greenwood-Ericksen, Keith Kocher
Citation: JAMA Network Open 2(4)
Date: 04/2019
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Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
Examines state and federal policy options for increasing alignment and integration of people eligible for Medicare and Medicaid through Dual Eligible Special Needs Plans (D-SNPs). Reviews the literature on the topic, provides case studies from 5 states, reports on a meeting with officials from states working on D-SNPs, and addresses challenges for offering D-SNPs in rural areas.
Author(s): Nancy Archibald, Michelle Soper, Leah Smith, Alexandra Kruse, Joshua Wiener
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines state and federal policy options for increasing alignment and integration of people eligible for Medicare and Medicaid through Dual Eligible Special Needs Plans (D-SNPs). Reviews the literature on the topic, provides case studies from 5 states, reports on a meeting with officials from states working on D-SNPs, and addresses challenges for offering D-SNPs in rural areas.
Author(s): Nancy Archibald, Michelle Soper, Leah Smith, Alexandra Kruse, Joshua Wiener
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Small Area Health Insurance Estimates: 2017
Reports on health insurance coverage in the U.S. in 2017 and changes between 2016 and 2017, as well as changes between 2013 and 2017. Includes maps showing county-level uninsured rates.
Author(s): Lauren Bowers, Carolyn Gann
Date: 04/2019
Sponsoring organization: U.S. Census Bureau
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Reports on health insurance coverage in the U.S. in 2017 and changes between 2016 and 2017, as well as changes between 2013 and 2017. Includes maps showing county-level uninsured rates.
Author(s): Lauren Bowers, Carolyn Gann
Date: 04/2019
Sponsoring organization: U.S. Census Bureau
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