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Rural Health
Resources by Topic: Pharmacy and prescription drugs

Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Author(s): Amy Kandilov, Vincent Keyes, Noƫlle Siegfried, et al.
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Utilization of the 340B Drug Pricing Program in Rural Practices Policy Paper
Policy brief describing the 340B Drug Pricing Program with a focus on rural hospitals. Discusses the challenges with measuring its impact on rural hospitals and the program's benefits for rural communities.
Author(s): Austin Gillard, Dennis Shelby, Karen White
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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HELP Committee Executive Session: S. 1199, S. 1173, and S.1895
Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Report to Congress on Medicaid and CHIP, June 2019
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Addresses the Medicaid Prescription Drug Program and Medicaid Drug Rebate Program, Medicaid Disproportionate Share Hospital (DSH) payments to safety-net hospitals, therapeutic foster care coverage, state efforts to improve Medicaid integrity, and challenges facing Medicaid in Puerto Rico.
Date: 06/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Investing in America's Health Care
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on a wide variety of healthcare bills addressing funding for community health centers, teaching health centers, the National Health Service Corps, a tribal diabetes program, the National Quality Forum, Medicaid disproportionate share hospital (DSH) payments, and more. Includes testimony from Shasta Community Health Center, Vidant Health, SPAN Parent Advocacy Network, Medicare Rights Center, and others.
Additional links: C. Dean Germano Testimony, Diana Autin Testimony, Fred Riccardi Testimony, Michael Waldrum Testimony, Thomas Barker Testimony
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Analysis of Oral Dietary Supplement Use in Rural Older Adults
Interviewed 138 rural older Nebraskan adults using at least 3 prescribed medications to determine associations with oral dietary supplement (ODS) use. Discusses implications of ODS use alongside prescription medication as well as rural-specific reasons for ODS use.
Author(s): Marcia Y. Shade, Matthew Witry, Katie Robinson, Kevin Kupzyk
Citation: Journal of Clinical Nursing, 28(9-10), 1600-1606
Date: 05/2019
Type: Document
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Type: Document
Sponsoring organization: AcademyHealth
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