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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Non-Metropolitan and Metropolitan Trends in Mental Health Treatment Availability in Community Health and Community Mental Health Centers
Results of a study showing how the supply of community mental health centers (CMHCs) and community health centers (CHCs) offering mental health services changed over time, in non-metropolitan and metropolitan areas. Features statistics with breakdowns by year from 2000-2019 and by metropolitan and non-metropolitan location.
Author(s): Tyrone F. Borders, Timothy Williams, Katherine Youngen, Julia Cecil
Date: 06/2022
Sponsoring organization: Rural and Underserved Health Research Center
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Focus on School-based Mental Health for Rural Central Virginia's Youth
Policy brief highlighting the increasing need for mental healthcare among the rural youth population of central Virginia and in the U.S. in general. Explores the effect that pandemic-related school shutdowns have had on youth mental health and the stigma surrounding mental healthcare in rural areas. Features statistics on suicide rates per 100,000 population with breakdowns by sex and rural or urban location, and student to school psychologist ratios from 2019-2020 with breakdowns by state.
Author(s): Sety Abooali
Date: 06/2022
Sponsoring organization: Virginia State Office of Rural Health
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Geographic Disparities in New Onset of Internalizing Disorders in Pennsylvania Adolescents Using Electronic Health Records
Examines the prevalence of anxiety and depressive disorders among adolescents in 37 Pennsylvania counties. Includes demographic breakdowns of 7,974 subjects with internalizing disorder cases residing in rural, urban cluster, or urbanized areas. Discusses the relationship of geographic location, socioeconomic deprivation, and community greenness in relation to internalizing disorders.
Author(s): Irena Gorski-Steiner, Sean O'Dell, Karen Bandeen-Roche, et al.
Citation: Spatial and Spatio-Temporal Epidemiology, 41, 100439
Date: 06/2022
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Association Between Vaccination Coverage Disparity and the Dynamics of the COVID-19 Delta and Omicron Waves in the US
Examines vaccination disparities during the Delta and Omicron COVID-19 waves. Analyzes 2,417 counties for COVID-19 incidence and mortality rates. Discusses vaccination rates and impact of COVID-19 in rural areas.
Author(s): Diego F. Cuadros, Claudia M. Moreno, Godfrey Musuka, et al.
Citation: Frontiers in Medicine, 9
Date: 06/2022
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State of the State: An Update on Illinois' Opioid Statistics
Presents Illinois opioid statistics as well as national statistics. Includes 2019-2021 Illinois opioid fatality rate by rural, small urban, suburban, and urban county. Presents statewide overdose data by substance type as well as specifically opioid overdose data by user age and user race/ethnicity.
Author(s): Jennifer Epstein
Date: 06/2022
Sponsoring organization: Illinois Department of Public Health
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On the Farm
Documentary miniseries explores mental health and substance misuse on the American farm. Discusses the factors that contribute to psychological stress and substance use in farm families. Features interviews with experts as well as farmers and their families.
Additional links: Film Website
Date: 06/2022
Sponsoring organization: Mississippi State University
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