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Rural Health
Resources by Topic: Home health

Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility’s communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital’s swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Expanding Home-Based Primary Care to American Indian Reservations and Other Rural Communities: An Observational Study
Presents a study on the efficacy of home-based primary care for American Indians and other rural veterans. Breaks down data by demographic factors, such as age, gender, and living situation among others.
Author(s): B. Josea Kramer, Beth Creekmur, Michael N. Mitchell, Debra Saliba
Citation: Journal of the American Geriatrics Society, 66(4), 818-824
Date: 04/2018
Type: Document
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Home Health Care Services Payment System
Provides an overview of Medicare payments for home health care services. Includes information on rate setting and payments based on quality reporting and performance.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Research Highlight: VHA-Indian Health Service Collaborations Reveal Opportunities to Improve Rural Health Care
Describes results of the expansion of the Veterans Administration Home Based Primary Care program to rural areas and to American Indian reservations, beginning in 2009.
Author(s): B. Josea Kramer, Debra Saliba
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Findings are based on phone interviews with home health agency administrators, hospital discharge planners or case managers, and rural health innovators that took place during 2015-2016.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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