Rural Health
Resources by Topic: Healthcare business and finance
State Legislative Approach to Enumerating Behavioral Health Workforce Shortages: Lessons Learned in New Mexico
Describes the model developed in New Mexico (NM) as a result of the Health Care Work Force Data Collection, Analysis and Policy Act, initially enacted in 2011, to address behavioral health workforce shortages, particularly in rural areas, and the increased demand for services due to Medicaid expansion in the state. Highlights the purpose of the legislation, the development of a statewide workforce committee, policies implemented, lessons learned, and offers suggestions for other states considering legislation supporting behavioral health workforce initiatives.
Author(s): Deborah B. Altschul, Caroline A. Bonham, Martha J. Faulkner, et al.
Citation: American Journal of Preventive Medicine, 54(6S3), S220-S229
Date: 06/2018
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Describes the model developed in New Mexico (NM) as a result of the Health Care Work Force Data Collection, Analysis and Policy Act, initially enacted in 2011, to address behavioral health workforce shortages, particularly in rural areas, and the increased demand for services due to Medicaid expansion in the state. Highlights the purpose of the legislation, the development of a statewide workforce committee, policies implemented, lessons learned, and offers suggestions for other states considering legislation supporting behavioral health workforce initiatives.
Author(s): Deborah B. Altschul, Caroline A. Bonham, Martha J. Faulkner, et al.
Citation: American Journal of Preventive Medicine, 54(6S3), S220-S229
Date: 06/2018
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Estimate of Federal Payment Reductions to Hospitals Following the ACA 2010-2028: Estimates and Methodology
Examines cumulative federal payment reductions to hospitals for 2010-2028. Addresses the impact of sequestration, changes in Medicare payments for bad debt including to Critical Access Hospitals, federal Medicaid Disproportionate Share Hospital (DSH) allotments, and other legislation affecting hospital reimbursement.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 06/2018
Sponsoring organizations: American Hospital Association, Dobson DaVanzo & Associates, Federation of American Hospitals
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Examines cumulative federal payment reductions to hospitals for 2010-2028. Addresses the impact of sequestration, changes in Medicare payments for bad debt including to Critical Access Hospitals, federal Medicaid Disproportionate Share Hospital (DSH) allotments, and other legislation affecting hospital reimbursement.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 06/2018
Sponsoring organizations: American Hospital Association, Dobson DaVanzo & Associates, Federation of American Hospitals
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Quantifying Disparities in Accessibility and Availability of Pediatric Primary Care across Multiple States with Implications for Targeted Interventions
Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
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Examines disparities in accessing pediatric primary care for rural and urban communities and children with public versus private insurance. Uses data on accessibility and availability for children in 7 states: California, Georgia, Louisiana, Minnesota, Mississippi, North Carolina, and Tennessee. Discusses the policy implications of the findings both generally and for the states studied.
Author(s): Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
Citation: Health Services Research, 53(3), 1458-1477
Date: 06/2018
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The Impacts of Medicaid Expansion on Rural Low-Income Adults – Lessons from the Oregon Health Insurance Experiment
Describes a randomly controlled study examining Medicaid expansion. Includes data from interviews with 86 rural study participants discussing healthcare access, personal finances, and self-reported health status.
Author(s): Heidi Allen, Bill Wright, Lauren Broffman
Citation: Medical Care Research and Review, 75(3), 354-383
Date: 06/2018
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Describes a randomly controlled study examining Medicaid expansion. Includes data from interviews with 86 rural study participants discussing healthcare access, personal finances, and self-reported health status.
Author(s): Heidi Allen, Bill Wright, Lauren Broffman
Citation: Medical Care Research and Review, 75(3), 354-383
Date: 06/2018
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Spurring Innovation: The Role of Child Health Policy
Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to children living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Sponsoring organization: AcademyHealth
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Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to children living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Sponsoring organization: AcademyHealth
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Vermont Care Network and the State of Vermont: A Shared Data Repository for Community-Based Behavioral Health Providers
Features a case study of the collaboration between HRSA, the Vermont Care Network, and the state of Vermont to create a state-wide data repository for behavioral health and developmental disability services. Details the types of data collected and the process by which it is aggregated and analyzed.
Date: 06/2018
Sponsoring organization: Center for Health Care Strategies
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Features a case study of the collaboration between HRSA, the Vermont Care Network, and the state of Vermont to create a state-wide data repository for behavioral health and developmental disability services. Details the types of data collected and the process by which it is aggregated and analyzed.
Date: 06/2018
Sponsoring organization: Center for Health Care Strategies
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Uvalde Memorial Hospital Strategizes SRHT Implementation
Describes Uvalde Memorial Hospital's (UMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, that focused on assessing UMH's finances and operations. UMH is a 25-bed county-owned not-for-profit Critical Access Hospital (CAH) located in Uvalde, Texas. Addresses swing bed usage, hospice, population health, cardiac rehabilitation, and staff efficiency.
Date: 06/2018
Sponsoring organization: National Rural Health Resource Center
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Describes Uvalde Memorial Hospital's (UMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, that focused on assessing UMH's finances and operations. UMH is a 25-bed county-owned not-for-profit Critical Access Hospital (CAH) located in Uvalde, Texas. Addresses swing bed usage, hospice, population health, cardiac rehabilitation, and staff efficiency.
Date: 06/2018
Sponsoring organization: National Rural Health Resource Center
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Making Connections Rural Health Series
Describes multiple components influencing rural health, including: access to care, the built and natural environment, education, health insurance, technology, rural economics, and system perspectives. Supplements the Understanding the Rural Landscape Learning Module. Focuses on addressing challenges rural communities faces with innovative solutions.
Additional links: Download Zip File
Date: 06/2018
Sponsoring organization: Georgia Health Policy Center
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Describes multiple components influencing rural health, including: access to care, the built and natural environment, education, health insurance, technology, rural economics, and system perspectives. Supplements the Understanding the Rural Landscape Learning Module. Focuses on addressing challenges rural communities faces with innovative solutions.
Additional links: Download Zip File
Date: 06/2018
Sponsoring organization: Georgia Health Policy Center
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It's an Addiction Crisis: Across Minnesota, the "Opioid Crisis" Is So Much More Than Just Opioids
Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews 3 rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Sponsoring organization: Center for Rural Policy and Development
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Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews 3 rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Sponsoring organization: Center for Rural Policy and Development
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