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Rural Health
Resources by Topic: Healthcare needs and services

Critical Access Hospitals: Views on How Medicare Payment and Other Factors Affect Behavioral Health Services
Provides an overview of Medicare payment policies for care provided by Critical Access Hospitals (CAHs). Explores how CAHs provide behavioral health services in their communities. Summarizes findings from interviews with officials from 10 CAHs, stakeholder organizations, the Centers for Medicare & Medicaid Services (CMS), and the Health Resources and Services Administration (HRSA) regarding how Medicare payment policies and other factors affect CAHs' ability to provide behavioral health services.
Additional links: Full Report
Date: 06/2023
Sponsoring organization: Government Accountability Office
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Progress and Ongoing Challenges to Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Kanawha County, West Virginia
Case study of policy initiatives to increase access to primary care, focusing on Kanawha County, West Virginia. Discusses workforce shortages, healthcare access, structural barriers to primary care, healthcare affordability, and more.
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker, Megan Houston
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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How a Black Community Brought Affordable Health Care and Clean Water to Rural South Carolina in the 1970s
Reports on a predominately Black rural community in South Carolina that worked together to provide indoor plumbing, build a health center, and improve health outcomes of their citizens in the 1970s.
Author(s): Olivia Lewis
Date: 06/2023
Sponsoring organization: National Association of Community Health Centers
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Nurses' Perceptions, Experiences, and Practices Regarding Human Papillomavirus Vaccination: Results from a Cross-Sectional Survey in Montana
Analyzes the roles and perceptions of nurses in administering the human papillomavirus (HPV) vaccination in predominantly rural and medically underserved areas. Examines data from 227 nurse respondents in Montana about their experiences and beliefs related to HPV, with a focus on barriers and facilitators of vaccine uptake.
Author(s): Juthika Thaker, Alexandria N. Albers, Sophia R. Newcomer
Citation: BMC Nursing, 22, 211
Date: 06/2023
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49th Annual Arizona Rural Health Conference
Offers an agenda and presentation slides from the 2023 Arizona Rural Health Conference. Covers a variety of topics including workforce issues, health disparities, community partnerships, and more.
Date: 06/2023
Sponsoring organization: Arizona Center for Rural Health
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Global to Local Toolkit: Adapting Global Interventions for Local Public Health
A toolkit that discusses strategies for adapting evidence-based, global interventions in public health to local health departments (LHDs) in the United States. Provides an overview of a case study from a predominately rural LHD that used global strategies to address the behavioral workforce shortage in their area. Includes resources and tools for planning and networking.
Additional links: Are You Prepared to Go Global-to-Local? Checklist, Global-to-Local Partner Identification Tool
Date: 06/2023
Sponsoring organization: National Association of County and City Health Officials
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Addressing the Impact of Rural Hospital Closures on Maternal and Infant Health
Blog post discussing the impact of rural hospital closures on rural maternal and infant health outcomes. Identifies risk-appropriate strategies to ensure the provision of maternal and infant healthcare at facilities that best meet each individual's level of health risk. Covers birthing centers, hub-and-spoke models, and telehealth models to preserve access to care.
Author(s): Lexa Giragosian
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2023
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Improving Financial Access to Maternal and Infant Care in Rural Areas
A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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