Rural Health
Resources by Topic: Healthcare needs and services
Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Drilling Down on Dental Coverage and Costs for Medicare Beneficiaries
Examines the oral health of Medicare beneficiaries. Addresses the costs of not obtaining dental care, use of dental services, current sources of dental coverage, and out-of-pocket spending. Includes rural/urban breakdowns.
Date: 03/2019
Sponsoring organization: KFF
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Examines the oral health of Medicare beneficiaries. Addresses the costs of not obtaining dental care, use of dental services, current sources of dental coverage, and out-of-pocket spending. Includes rural/urban breakdowns.
Date: 03/2019
Sponsoring organization: KFF
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Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment
Reports on a study of how health plans are successfully engaging people in substance use disorder treatment for alcohol, opioids, and other substances. Discusses how initiation and engagement can be improved for commercial and Medicaid health insurance plans. Addresses rural factors throughout.
Author(s): Peggy O'Brien, Erika Crable, Catherine Fullerton, Lauren Hughey
Date: 03/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on a study of how health plans are successfully engaging people in substance use disorder treatment for alcohol, opioids, and other substances. Discusses how initiation and engagement can be improved for commercial and Medicaid health insurance plans. Addresses rural factors throughout.
Author(s): Peggy O'Brien, Erika Crable, Catherine Fullerton, Lauren Hughey
Date: 03/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Pain in the Nation Update: While Deaths from Alcohol, Drugs, and Suicide Slowed Slightly in 2017, Rates Are Still at Historic Highs
Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by age, and regionally, including rural versus metro areas.
Date: 03/2019
Sponsoring organization: Trust for America's Health
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Issue brief details updated rates of deaths related to drugs, alcohol, and suicide from 2016-2017. Breaks down data by age, and regionally, including rural versus metro areas.
Date: 03/2019
Sponsoring organization: Trust for America's Health
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Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia
Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
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Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
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Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
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Rural-Urban Residence and Stage at Breast Cancer Diagnosis Among Postmenopausal Women: The Women's Health Initiative
Study examining breast cancer diagnosis among postmenopausal women, comparing rural and urban residence in relation to stage of cancer diagnosis. Discusses social support and social strain as factors affecting cancer screening. Provides data drawn from the Women's Health Initiative (WHI) on clinical and sociodemographic characteristics of 7,120 women diagnosed with breast cancer using Rural-Urban Commuting Area (RUCA) codes to identify rural and urban residence.
Author(s): Shawnita Sealy-Jefferson, Molly E. Roseland, Michele L. Cote, et al.
Citation: Journal of Women's Health, 28(2), 276-283
Date: 02/2019
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Study examining breast cancer diagnosis among postmenopausal women, comparing rural and urban residence in relation to stage of cancer diagnosis. Discusses social support and social strain as factors affecting cancer screening. Provides data drawn from the Women's Health Initiative (WHI) on clinical and sociodemographic characteristics of 7,120 women diagnosed with breast cancer using Rural-Urban Commuting Area (RUCA) codes to identify rural and urban residence.
Author(s): Shawnita Sealy-Jefferson, Molly E. Roseland, Michele L. Cote, et al.
Citation: Journal of Women's Health, 28(2), 276-283
Date: 02/2019
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Insights from the Geographic Spread of the Lyme Disease Epidemic
Study examining the spread of pediatric lime disease in western Pennsylvania, comparing symptoms and provider types between rural and urban areas. Compiles interview data from 773 patients at the Children's Hospital of Pittsburgh, discussing implications for public health responses to epidemics in rural and urban settings. Figure 1 illustrates symptoms by type and case rates by age, month, and year of diagnosis.
Author(s): Taylor Eddens, Daniel J. Kaplan, Alyce J. M. Anderson, et al.
Citation: Clinical Infectious Diseases, 68(3), 426-434
Date: 02/2019
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Study examining the spread of pediatric lime disease in western Pennsylvania, comparing symptoms and provider types between rural and urban areas. Compiles interview data from 773 patients at the Children's Hospital of Pittsburgh, discussing implications for public health responses to epidemics in rural and urban settings. Figure 1 illustrates symptoms by type and case rates by age, month, and year of diagnosis.
Author(s): Taylor Eddens, Daniel J. Kaplan, Alyce J. M. Anderson, et al.
Citation: Clinical Infectious Diseases, 68(3), 426-434
Date: 02/2019
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