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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Community Health Workers: Roles and Opportunities in Health Care Delivery System Reform
Identifies and discusses health services research on the utilization and integration of Community Health Workers (CHWs) into healthcare service delivery. Includes an analysis regarding the various CHW models, employment data, training and credentialing, and challenges associated with the development of this occupation.
Author(s): John E. Snyder
Date: 01/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2016 Rural Hospital Replacement Facility Study
Examines the effects of facility replacement on rural Critical Access Hospitals (CAHs), including service volumes, operating efficiency, financial performance, and healthcare quality.
Date: 2016
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Benefiting Hospitals, Not Patients: An Analysis of Charity Care Provided by Hospitals Enrolled in the 340B Discount Program
Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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The Small Area Health Insurance Estimates (SAHIE): 2013-2014
Reports on health insurance coverage in the United States in 2014 and changes between 2013 and 2014. Includes maps showing county-level uninsured rates.
Date: 2016
Sponsoring organization: U.S. Census Bureau
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Closing Gaps in Native American Health
Describes health disparities between Wisconsin Native Americans and their White peers, with discussion of how new Medicaid policies could result in increased access to health services, improved care coordination for tribal health patients, and additional support for Indian Health Service providers. Features statistics including infant mortality rates, age-adjusted mortality rate, diabetes and cancer age-adjusted mortality rates, suicide rates, and average age of death.
Date: 2016
Sponsoring organization: Wisconsin Council on Children and Families
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After a Parent Left Employment, One in Five Children Lost Private Insurance
Examines children's loss of private health insurance after parental job loss. Includes data on rural compared to urban privately insured children. Reports that, after parental job loss, rural and urban children were similarly impacted related to health insurance coverage.
Author(s): Kristin Smith
Date: 2016
Sponsoring organization: Carsey School of Public Policy
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ACO Investment Model, Rural Hospital Collaboration
Highlights how 3 rural Minnesota hospitals implemented the Accountable Care Organization Investment Model (AIM), which encourages coordinated care in rural areas through upfront and ongoing Centers for Medicare & Medicaid Services (CMS) payments.
Date: 2016
Sponsoring organization: American Hospital Association Rural Health Services
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Impact of Financial and Operational Interventions Funded by the Flex Program
Analyzes the impact of Flex Program sponsorship and associated financial and operational activities on the financial performance of Critical Access Hospitals.
Author(s): Rebecca G. Whitaker, George H. Pink, G. Mark Holmes
Date: 11/2015
Sponsoring organization: Flex Monitoring Team
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