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Rural Health Information Hub

Rural Health
Resources by Topic: Home and community-based services

Virtual Home Visiting During the Covid-19 Pandemic: Lessons Learned for Research, Practice, and Policy
Reports on listening sessions regarding the use of virtual technology to perform home visiting in response to the COVID-19 pandemic. Discusses issues such as program implementation and activities, equitable service delivery, and the future of home visiting, with information specific to rural and tribal areas.
Author(s): Alena Hadley, Jasmine Hayes, Shefali Pai-Samant, Francesca Stern
Date: 01/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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Recommendations for Strengthening Iowa's Community-Based Services System: Final Evaluation Report
Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Type: Document
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid race and ethnicity data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Disability Research and Practice Summit
Recordings and presentation slides from the January 2023 Rural Disability Research and Practice Summit. Covers rural issues related to personal assistance services and digital access. Includes perspectives from rural consumers, workers, and service providers.
Date: 01/2023
Type: Document
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas
Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities
Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Advancing Rural Health Equity: Fiscal Year 2022 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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October 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) October 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, improving access to Medicaid coverage and care for adults leaving incarceration, the unwinding of the Public Health Emergency, streamlining the delivery of home- and community-based services, potential recommendations for structuring Disproportionate Share Hospital allotments during economic crises, and more. Includes rural references and considerations throughout.
Date: 10/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas
Results of a study addressing the need for and supply of workers to provide personal care services in rural communities. Features statistics on characteristics of personal care aides employed during 2013-2017 with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing percentages of adults with self-care disabilities and supply of personal care aides per 1,000 adults with self-care disabilities.
Author(s): Susan A. Chapman, Lillie Greiman, Timothy Bates et al.
Citation: Health Affairs, 41(10)
Date: 10/2022
Type: Document
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