Rural Health
Resources by Topic: Healthcare business and finance
Health Care Artificial Intelligence Toolkit
Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
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Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
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Characteristics of People Using Medicaid Long-Term Services and Supports, 2021
Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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HHS Finalizes Section 1557 Nondiscrimination Rule - Impacts for RHCs
Recording of a July 15, 2024, webinar discussing the May 2024 U.S. Department of Health and Human Services final rule, Nondiscrimination in Health Programs and Activities. Highlights sections of the rule most important to Rural Health Clinics (RHCs) and timelines for compliance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up
Date: 07/2024
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 15, 2024, webinar discussing the May 2024 U.S. Department of Health and Human Services final rule, Nondiscrimination in Health Programs and Activities. Highlights sections of the rule most important to Rural Health Clinics (RHCs) and timelines for compliance. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up
Date: 07/2024
Sponsoring organization: National Association of Rural Health Clinics
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Disability and Independence in Rural America: White Paper
Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Variation in Dentist Participation Between Dental Medicaid Managed Care Organizations
Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry, 84(4), 362-370
Date: 07/2024
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Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry, 84(4), 362-370
Date: 07/2024
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Fewer Hospitalized Medicare Beneficiaries Are Receiving Recommended Home Health Care
Describes trends in Medicare patients' receipt of recommended home health services following a hospitalization between 2016 and 2022. Presents data on home health referral completion rates by patient characteristics, including rural/urban location. Discusses factors that could influence home health utilization trends and considerations for policymakers.
Author(s): Marie Steele-Adjognon, Clarence Kelley, Lane Koenig
Date: 07/2024
Sponsoring organizations: Commonwealth Fund, KNG Health Consulting, LLC
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Describes trends in Medicare patients' receipt of recommended home health services following a hospitalization between 2016 and 2022. Presents data on home health referral completion rates by patient characteristics, including rural/urban location. Discusses factors that could influence home health utilization trends and considerations for policymakers.
Author(s): Marie Steele-Adjognon, Clarence Kelley, Lane Koenig
Date: 07/2024
Sponsoring organizations: Commonwealth Fund, KNG Health Consulting, LLC
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Rural Community Health Worker Programs: Proving Value and Finding Sustainability
Features four rural healthcare organizations describing the impact of their community health worker (CHW) programs and strategies for sustaining them. Discusses CHW roles, activities, reimbursement options, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2024
Sponsoring organization: Rural Health Information Hub
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Features four rural healthcare organizations describing the impact of their community health worker (CHW) programs and strategies for sustaining them. Discusses CHW roles, activities, reimbursement options, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2024
Sponsoring organization: Rural Health Information Hub
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The Low-Volume Hospital Adjustment Before and During COVID-19
Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Why Primary Care Practitioners Aren't Joining Value-Based Payment Models: Reasons and Potential Solutions
Explores reasons why primary care providers do not participate in value-based payment models. Presents findings from focus group and key informant interviews with primary care providers and primary care member organizations. Covers financial, workforce, and administrative burden-related challenges, and outlines potential solutions. Includes a discussion of financial challenges small and rural independent practices face in participating in value-based payment models.
Author(s): Ann S. O'Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich
Date: 07/2024
Sponsoring organization: Commonwealth Fund
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Explores reasons why primary care providers do not participate in value-based payment models. Presents findings from focus group and key informant interviews with primary care providers and primary care member organizations. Covers financial, workforce, and administrative burden-related challenges, and outlines potential solutions. Includes a discussion of financial challenges small and rural independent practices face in participating in value-based payment models.
Author(s): Ann S. O'Malley, Rumin Sarwar, Cindy Alvarez, Eugene C. Rich
Date: 07/2024
Sponsoring organization: Commonwealth Fund
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