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Rural Health
Resources by Topic: Pharmacy and prescription drugs

High-Risk Individuals and Naloxone Use: Implications for THN Programs in Rural Appalachian Communities
Presents thematic analysis of factors influencing opioid overdose and naloxone use from interviews with 16 people who use opioid drugs in 4 rural, Appalachian Pennsylvania counties. Identifies opioid overdose risk factors, including substance use habits, as well as factors facilitating or preventing effective naloxone interventions. Covers naloxone access and knowledge, experiences, attitudes toward first responders, and disconnects between naloxone intervention and opioid dependence treatment.
Author(s): Victor Garcia, Lisa McCann, Erick Lauber, et al.
Citation: Journal of Appalachian Health, 5(3), 9-21
Date: 12/2023
Type: Document
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Addressing COVID-19 Vaccine Hesitancy in Rural Community Pharmacies: A Protocol for a Stepped Wedge Randomized Clinical Trial
Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
Type: Document
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2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Pharmaceuticalization of Obesity: Empirical Analysis of Metro and Nonmetro Populations, Cognitions and Behavior
Examines perceptions, attitudes, and behavioral intentions related to obesity medications in metro and nonmetro areas. Utilizes 2023 data from Kaiser Family Foundation's Health Tracking Poll to analyze weight loss drug prescriptions across demographic groups.
Author(s): Adee Athiyaman
Date: 11/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Amid Unwinding of Pandemic-Era Policies, Medicaid Programs Continue to Focus on Delivery Systems, Benefits, and Reimbursement Rates: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2023 and 2024
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, pharmacy and prescription drugs, and telehealth. Highlights challenges posed by the unwinding of COVID-19 Public Health Emergency (PHE), as well as other challenges and priorities.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Early Learnings From the Rural Health Redesign Center and its Rural Emergency Hospital Technical Assistance Center
Provides a brief overview of the Rural Emergency Hospital (REH) designation and the Rural Health Redesign Center's Rural Emergency Hospital Technical Assistance Center (REH-TAC). Describes the characteristics of Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals that have explored REH conversion and have sought technical assistance from REH-TAC. Includes data on net patient revenue, operating income, margins, annualized 340B revenue, and more, by hospital type. Highlights common concerns raised by hospitals exploring REH conversion.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Redesign Center
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2023 Rural Opioid and Stimulant Wellness Summit
Videos of presentations at the 2023 Rural Opioid and Stimulant Wellness Summit in Utah. Topics discussed include farmer mental health, adverse childhood experiences, equine-assisted therapy for veterans, pharmacology, person first language and stigma, harm reduction, peer support, complementary treatment options, and use of opioids and stimulants in Utah. Captions available in the video player.
Date: 10/2023
Type: Video/Multimedia
Sponsoring organization: Utah State University Extension
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RCORP - Medication Assisted Treatment Access II Grantee Directory: 2023 Cohort
Provides contact information and initial project information for 26 initiatives funded under the Rural Communities Opioid Response Program - Medication Assisted Treatment (MAT) Access grant program for 2023. Projects focus on establishing new MAT access points and increasing capacity for the provision of sustainable MAT services in high-risk rural communities.
Date: 10/2023
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, JBS International, Inc.
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