Rural Health
Resources by Topic: Healthcare business and finance
Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Leveraging Medicaid to Support Housing and Nutrition in Ohio
Describes the Ohio Medicaid program and the federal Medicaid health-related social needs (HRSN) framework. Discusses how Medicaid coverage in Ohio can cover aspects of housing and nutrition needs as of 2023. Includes county-level map depicting percent of income spent on housing in Ohio as well as examples of programs addressing HRSNs in rural areas.
Author(s): Hailey Akah, Robin Blair-Ackison, Edith Nkenganyi, et al.
Date: 09/2024
Sponsoring organization: Health Policy Institute of Ohio
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Describes the Ohio Medicaid program and the federal Medicaid health-related social needs (HRSN) framework. Discusses how Medicaid coverage in Ohio can cover aspects of housing and nutrition needs as of 2023. Includes county-level map depicting percent of income spent on housing in Ohio as well as examples of programs addressing HRSNs in rural areas.
Author(s): Hailey Akah, Robin Blair-Ackison, Edith Nkenganyi, et al.
Date: 09/2024
Sponsoring organization: Health Policy Institute of Ohio
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Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 among Medicaid/CHIP Enrollees in 20 States
Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Sponsoring organization: Maine Rural Health Research Center
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A Snapshot of Sources of Coverage Among Medicare Beneficiaries
Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2022. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Juliette Cubanski, Tricia Neuman
Date: 09/2024
Sponsoring organization: KFF
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Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2022. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Juliette Cubanski, Tricia Neuman
Date: 09/2024
Sponsoring organization: KFF
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September 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Innovations in Rural Obstetrics to Maintain Access to Care
Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Exploring the State of Value-Based Care
Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Sponsoring organization: Rural Health Value
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Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Sponsoring organization: Rural Health Value
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Workforce Toolkit to Support Critical Access Hospitals and Rural Providers
Toolkit intended to help Critical Access Hospitals (CAHs) and other rural providers improve workforce recruitment and retention efforts. Provides information on healthcare workforce challenges faced by CAHs. Offers examples of external resources that CAHs may utilize to address their workforce needs across four topics: organizational culture and leadership, leveraging partnerships, emergency medical services workforce, and administrative and support staff workforce.
Date: 09/2024
Sponsoring organization: Flex Monitoring Team
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Toolkit intended to help Critical Access Hospitals (CAHs) and other rural providers improve workforce recruitment and retention efforts. Provides information on healthcare workforce challenges faced by CAHs. Offers examples of external resources that CAHs may utilize to address their workforce needs across four topics: organizational culture and leadership, leveraging partnerships, emergency medical services workforce, and administrative and support staff workforce.
Date: 09/2024
Sponsoring organization: Flex Monitoring Team
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Environmental Scan on Identifying a Pathway Toward Maximizing Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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