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Rural Health
Resources by Topic: Pharmacy and prescription drugs

Exploring the Role of Health Centers in Providing Medication-assisted Treatment
Examines the geographic areas that are most dependent on health centers for medication-assisted treatment (MAT) for opioid use disorder. Compares statistics on DATA-waived providers and health centers with MAT patients across metropolitan, non-metropolitan, and rural health centers.
Date: 2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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2020 340B Health Annual Survey: 340B Hospitals Use Benefits to Provide Services and Improve Outcomes for Low-Income and Rural Patients
Summarizes the results of a November 2020 - January 2021 survey of nearly 500 hospitals, including small and rural hospitals, that participate in the 340B drug pricing program. Describes how these hospitals utilize their savings from the 340B program to benefit patients. Discusses the importance of the program to Critical Access Hospitals, Disproportionate Share Hospitals, and other safety-net facilities.
Date: 2021
Type: Document
Sponsoring organization: 340B Health
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Few Patients Received High Amounts of Opioids from IHS-Run Pharmacies
Presents an evaluation of the opioid prescribing practices of the Indian Health Service (IHS). Bases analysis on IHS opioid prescribing data, discusses the role of electronic health records (EHRs) in monitoring opioid prescriptions, and makes recommendations to improve monitoring.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Drug Pricing Program: HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B Requirements
Examines the Health Services and Research Administration's (HRSA) oversight of covered entities' compliance with 340B Program requirements. Describes the 340B Program, the HRSA audit process, and findings from audits conducted between 2012-2019. Discusses additional efforts by HRSA to promote compliance and identify noncompliance.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Buprenorphine Dispensing in an Epicenter of the U.S. Opioid Epidemic: A Case Study of the Rural Risk Environment in Appalachian Kentucky
Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
Type: Document
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November 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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PharmD Concentration Helps Pharmacy Students Prepare for a Career in Rural America
Features the Rural Pharmacy Practice program, a concentration for PharmD students at the University of Wisconsin–Madison School of Pharmacy who are interested in working in rural communities. Describes how the program was created. Discusses the experiences students have, including conducting community needs assessments and related population health projects.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Success: Pembina County Memorial Hospital, ND
Describes the quality improvement efforts of Pembina County Memorial Hospital (PCMH), a Critical Access Hospital in Pembina, North Dakota. Discusses PCMH's use of patient experience data, communication regarding emergency department transfers, and antibiotic stewardship efforts.
Date: 10/2020
Type: Document
Sponsoring organization: Stratis Health
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