Rural Health
Resources by Topic: Physicians
Migration Policy and the Supply of Foreign Physicians: Evidence from the Conrad 30 Waiver Program
Evaluates the impact of the Conrad 30 Visa Waiver program on the supply of physicians in underserved areas including rural communities. Evaluates state and federal policy changes to determine impact of the program on U.S.-trained supply of physicians.
Author(s): Breno Braga, Gaurav Khanna, Sarah Turner
Citation: NBER Working Paper Series, Working Paper 32005
Date: 12/2023
Sponsoring organization: National Bureau of Economic Research
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Evaluates the impact of the Conrad 30 Visa Waiver program on the supply of physicians in underserved areas including rural communities. Evaluates state and federal policy changes to determine impact of the program on U.S.-trained supply of physicians.
Author(s): Breno Braga, Gaurav Khanna, Sarah Turner
Citation: NBER Working Paper Series, Working Paper 32005
Date: 12/2023
Sponsoring organization: National Bureau of Economic Research
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Confronting Workforce Shortages and Health Worker Well-Being
Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023
Sponsoring organization: National Academy of Medicine
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Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023
Sponsoring organization: National Academy of Medicine
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Arizona Graduate Medical Education (GME): Growing Arizona's Primary Care Physician Workforce
Presentation slides highlighting training physicians in Arizona. Discusses population growth trends, health professional shortage areas, Medicaid enrollment data, and more. Discusses rural throughout.
Author(s): Dan Derksen
Date: 12/2023
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Presentation slides highlighting training physicians in Arizona. Discusses population growth trends, health professional shortage areas, Medicaid enrollment data, and more. Discusses rural throughout.
Author(s): Dan Derksen
Date: 12/2023
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Prioritizing Primary Care: Twenty-first Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress regarding primary care training and education. Reviews the historical development of accelerated pathway programs for clinicians, physician assistants, and dentists, and program outcomes. Explores challenges related to securing an adequate number of clinical training sites, as well as recommendations to address this shortage. Outlines recommendations to support the training of more primary care clinicians who practice in underserved communities.
Date: 12/2023
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress regarding primary care training and education. Reviews the historical development of accelerated pathway programs for clinicians, physician assistants, and dentists, and program outcomes. Explores challenges related to securing an adequate number of clinical training sites, as well as recommendations to address this shortage. Outlines recommendations to support the training of more primary care clinicians who practice in underserved communities.
Date: 12/2023
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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2023 Indiana Family Medicine Residencies Exit Survey Report
Results of a survey of 114 final-year residents from the 14 Indiana Family Medicine residency programs, to determine what they plan to do after graduation and where they plan to practice. Includes feedback on the residents' training and their programs' curricula, as well as suggestions for improvement. Mentions rural and underserved populations throughout.
Author(s): Komal Kochhar, Monling Ho
Date: 11/2023
Sponsoring organization: Indiana University School of Medicine
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Results of a survey of 114 final-year residents from the 14 Indiana Family Medicine residency programs, to determine what they plan to do after graduation and where they plan to practice. Includes feedback on the residents' training and their programs' curricula, as well as suggestions for improvement. Mentions rural and underserved populations throughout.
Author(s): Komal Kochhar, Monling Ho
Date: 11/2023
Sponsoring organization: Indiana University School of Medicine
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Bringing the Doctor to the Patients: Cardiology Outreach to Rural Areas
Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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Analyzed 30 year cardiologist rural outreach travel data from Iowa to determine factors impacting outreach decision-making and the impact on rural access to cardiology care. Discusses cardiologist distribution, predicted impacts of reduction in workforce, and policy measures to increase access to care, particularly for the most at risk rural outreach sites.
Author(s): J. Jason Bell, Sanghak Lee, Thomas Gruca
Citation: Journal of Marketing, 88(1)
Date: 10/2023
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First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Medicare: Performance-Based and Geographic Adjustments to Physician Payments
Statement to the U.S. House of Representatives Committee on Energy and Commerce, Subcommittee on Health, summarizing the Government Accountability Organization's (GAO) 2021 reports on the Quality Payment Program and the two tracks it established to incentivize Medicare providers and its 2022 report on geographic adjustments to physician payments. Includes information on the participation of providers in rural and underserved areas in Advanced Alternative Payment Models (APMs) and the challenges these providers face in transitioning to APMs.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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Statement to the U.S. House of Representatives Committee on Energy and Commerce, Subcommittee on Health, summarizing the Government Accountability Organization's (GAO) 2021 reports on the Quality Payment Program and the two tracks it established to incentivize Medicare providers and its 2022 report on geographic adjustments to physician payments. Includes information on the participation of providers in rural and underserved areas in Advanced Alternative Payment Models (APMs) and the challenges these providers face in transitioning to APMs.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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