Rural Health
Resources by Topic: Healthcare needs and services
Maternal, Infant, and Early Childhood Home Visiting Program in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) in rural areas. Discusses the history of home visiting and the MIECHV program, Tribal MIECHV, program structure, eligible models, and promising approaches. Highlights three evidence-based home visiting models in Oregon that receive MIECHV funding. Offers policy recommendations related to improving MIECHV for rural families.
Date: 09/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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September 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Mental Health Outcomes Among Patients Living in US Counties Lacking Broadband Access and Psychiatrists
Presents a study on mental health access for people who live in counties without psychiatrists and broadband coverage. Discusses the expansion of telehealth services for mental healthcare and consultation. Aims to evaluate mental health access in mostly rural counties with a workforce shortage and a lack of broadband access.
Author(s): Tarun Ramesh, Ryan K. McBain, Jonathan H. Cantor, et al.
Citation: JAMA Network Open, 6(9), e2333781
Date: 09/2023
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Presents a study on mental health access for people who live in counties without psychiatrists and broadband coverage. Discusses the expansion of telehealth services for mental healthcare and consultation. Aims to evaluate mental health access in mostly rural counties with a workforce shortage and a lack of broadband access.
Author(s): Tarun Ramesh, Ryan K. McBain, Jonathan H. Cantor, et al.
Citation: JAMA Network Open, 6(9), e2333781
Date: 09/2023
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MedPAC Response to a Congressional Request for Information on Improving Access to Health Care in Rural and Underserved Areas
Letter to the House Committee on Ways and Means responding to a request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Letter to the House Committee on Ways and Means responding to a request for information on improving access to healthcare in rural and underserved areas. Covers MedPAC recommendations for policies to target payments to better support rural beneficiaries' access to care, including the Rural Emergency Hospital program and a proposed Medicare Safety-Net Index; changes to the hospital wage index to address geographic inequities; and the alignment of payment rates across ambulatory settings for certain services.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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CDC's State of Vaccine Confidence Insights Report: Vaccination in Rural America Special Report
Examines vaccine confidence and uptake among rural populations in the United States between 2017-2023, with a focus on COVID-19 vaccination. Covers differences in vaccine uptake among rural, suburban, and rural populations. Discusses concerns about vaccination and identifies strategies for successful outreach to rural areas.
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Examines vaccine confidence and uptake among rural populations in the United States between 2017-2023, with a focus on COVID-19 vaccination. Covers differences in vaccine uptake among rural, suburban, and rural populations. Discusses concerns about vaccination and identifies strategies for successful outreach to rural areas.
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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2022 Preparedness Profile Study
Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Kellie Hall, Krishna Patel, Deise Galan, et al.
Date: 09/2023
Sponsoring organization: National Association of County and City Health Officials
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Provides an overview of local health department (LHD) readiness in addressing emergencies and threats. Includes data on percentage of LHDs that focus on issues related to workforce, partnerships, preparedness capacity, and preparedness response activity, with select data broken down by small, medium, and large LHDs.
Author(s): Kellie Hall, Krishna Patel, Deise Galan, et al.
Date: 09/2023
Sponsoring organization: National Association of County and City Health Officials
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Characteristics of 30-Day All-cause Hospital Readmissions, 2016–2020
Examines trends in 30-day all-cause hospital readmissions among patients 1 year old and older in the United States between 2016 and 2020. Explores changes in readmission rates from the pre-pandemic period (2016-2019) to 2020. Presents data by primary payer and patient characteristics.
Author(s): H. Joanna Jiang, Molly Hensche
Date: 09/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines trends in 30-day all-cause hospital readmissions among patients 1 year old and older in the United States between 2016 and 2020. Explores changes in readmission rates from the pre-pandemic period (2016-2019) to 2020. Presents data by primary payer and patient characteristics.
Author(s): H. Joanna Jiang, Molly Hensche
Date: 09/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Influenza, Tdap, and COVID-19 Vaccination Coverage and Hesitancy Among Pregnant Women — United States, April 2023
Examines influenza, Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), and COVID-19 vaccination coverage among women pregnant during the 2022-23 influenza season. Includes data on vaccination coverage for those living in rural and nonrural areas.
Author(s): Hilda Razzaghi, Katherine E. Kahn, Kayla Calhoun, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(39), 1065-1071
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Examines influenza, Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis), and COVID-19 vaccination coverage among women pregnant during the 2022-23 influenza season. Includes data on vaccination coverage for those living in rural and nonrural areas.
Author(s): Hilda Razzaghi, Katherine E. Kahn, Kayla Calhoun, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(39), 1065-1071
Date: 09/2023
Sponsoring organization: Centers for Disease Control and Prevention
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National Report: Rural Substance Use Disorder Stigma and Treatment Needs
Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Oral Health Among Medicare Beneficiaries in Nursing Homes
Evaluated oral health among 2,355,366 Medicare beneficiaries living in nursing homes. Highlights characteristics associated with specific types of dental issues including age, sex, rurality, and more.
Author(s): Steffany Chamut, Carla Shoff, Kristiana Yao, Lee A. Fleisher, Natalia I. Chalmers
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Evaluated oral health among 2,355,366 Medicare beneficiaries living in nursing homes. Highlights characteristics associated with specific types of dental issues including age, sex, rurality, and more.
Author(s): Steffany Chamut, Carla Shoff, Kristiana Yao, Lee A. Fleisher, Natalia I. Chalmers
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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