Rural Health
Resources by Topic: Healthcare business and finance
Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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A Path Forward: The Rural Healthcare System of the Future
Presentation slides that discuss federal and state healthcare policies, implementation of new models of care, and plans to transform patient modalities of care. Includes U.S. county-level map on the Medicare Shared Savings Program Accountable Care Organizations (ACO) assigned beneficiary population as well as county-level data on ACO attributed lives in Illinois and residents enrolled in Medicare advantage.
Author(s): Keith J. Mueller
Date: 06/2023
Sponsoring organizations: Iowa Department of Health Management and Policy, Rural Policy Research Institute
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Presentation slides that discuss federal and state healthcare policies, implementation of new models of care, and plans to transform patient modalities of care. Includes U.S. county-level map on the Medicare Shared Savings Program Accountable Care Organizations (ACO) assigned beneficiary population as well as county-level data on ACO attributed lives in Illinois and residents enrolled in Medicare advantage.
Author(s): Keith J. Mueller
Date: 06/2023
Sponsoring organizations: Iowa Department of Health Management and Policy, Rural Policy Research Institute
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Additional links: Summary
Author(s): Morgan McDonald, David Dill
Date: 06/2023
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Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Additional links: Summary
Author(s): Morgan McDonald, David Dill
Date: 06/2023
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Health Care-Related Expiring Provisions of the 118th Congress, First Session
Outlines the healthcare-related funding and governmental authorities that will expire during the first session of the 118th Congress, calendar year 2023, if not extended through congressional action. Highlights similar provisions that expired during the 117th Congress (2021-2022). Includes rural references throughout.
Date: 06/2023
Sponsoring organization: Congressional Research Service
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Outlines the healthcare-related funding and governmental authorities that will expire during the first session of the 118th Congress, calendar year 2023, if not extended through congressional action. Highlights similar provisions that expired during the 117th Congress (2021-2022). Includes rural references throughout.
Date: 06/2023
Sponsoring organization: Congressional Research Service
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Sponsoring organizations: National Alliance for Care at Home, National Hospice and Palliative Care Organization
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Rural Health on Life Support - The State of America's Rural Health Systems
Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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The Impact of COVID-19 on CAH Financial Indicators
Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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The Impact of COVID-19 Funding on Profitability of Critical Access Hospitals
Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Sponsoring organization: Center for Health Workforce Studies
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