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Rural Health
Resources by Topic: Healthcare business and finance

The Future of Remote Patient Monitoring
Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Sponsoring organization: Bipartisan Policy Center
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Medicare Advantage Demographics Report, 2021
Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, The Lewin Group
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Graduate Medical Education Funding
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
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Frontline Presence, Building Trust, Emergency Preparedness, and Lessons Learned: Q&A with Dr. Tim Putnam
An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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Medicare COVID-19 Hospitalization Trends Report
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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How to Solve New Mexico's Health Care Worker Shortage
Proposes state-level policy and funding changes to address healthcare workforce shortages in New Mexico, covering topics including Medicaid reimbursement, financial incentives for education and practice, credentialing, workforce programs, and more. Highlights the needs of rural and tribal communities, including discussion of rural provider retention, workforce pipelines, the Rural Healthcare Tax Credit (RHTC), and state and federal cooperation with tribal nations.
Date: 2024
Sponsoring organization: Think New Mexico
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340B Discount Drug Program Reform Policy Principles
Policy position paper on the 340B program. Explores ways in which the program benefits rural health systems and patients, and the impact of restrictions by drug manufacturers on rural safety net providers.
Date: 2024
Sponsoring organization: National Rural Health Association
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Generating a Profile of the Near Dual Population
Chart pack from a project examining policy approaches to supporting Near Duals, who are adults aged 65+ experiencing financial precarity and not currently dually enrolled in Medicare and full-benefit Medicaid, utilizing Medicare Current Beneficiary Survey (MCBS) and Medicare administrative claims data. Analyzes characteristics of Near Dual population, including data on Near Duals' likelihood of living in rural and medically underserved areas.
Additional links: Project Overview: Defining and Examining the Near Duals
Date: 2024
Sponsoring organization: NORC at the University of Chicago
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