Rural Health
Resources by Topic: Policy
Successful Implementation of the Healthy Diné Nation Act in Stores on the Navajo Nation
Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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Medicare and Beneficiaries Pay More for Preadmission Services at Affiliated Hospitals Than at Wholly Owned Settings
Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Sponsoring organization: Office of Inspector General (HHS)
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Reimagining Hunger Responses in Times of Crisis: Insights from Case Examples and a Survey of Native Communities' Food Access During COVID-19
Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Author(s): Toni Stanger-McLaughlin, Sandy Martini, Geri Henchy, et al.
Date: 12/2021
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
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Report examining food insecurity among American Indian and Alaska Native communities during the COVID-19 pandemic based on 504 food access survey responses. Discusses food insecurity rates in relation to respondent characteristics, resiliency of Native producers and food economies, and policy recommendations to address food access issues.
Author(s): Toni Stanger-McLaughlin, Sandy Martini, Geri Henchy, et al.
Date: 12/2021
Sponsoring organizations: Food Research & Action Center, Indigenous Food and Agriculture Initiative, Native American Agriculture Fund
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Public Health Forward: Modernizing the U.S. Public Health System
Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Sponsoring organization: Bipartisan Policy Center
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Provides a framework for policymakers and public health officials to guide investments and decision-making to implement a public health system to address challenges beyond the COVID-19 pandemic with a focus on equity. Covers six core areas: financing, laws and governance, community engagement, partnerships, workforce, and data and information technology. Highlights challenges and considerations for rural communities and Tribal nations throughout.
Date: 12/2021
Sponsoring organization: Bipartisan Policy Center
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COVID-19: Selected States Modified Meal Provision and Other Older Americans Act Services to Prioritize Safety
Examines how four states utilized COVID-19 funding and regulatory flexibilities to address challenges to serving older adults during the COVID-19 pandemic. Identifies strategies states and localities used to meet nutrition and other needs of older adults. Includes perspectives from rural localities and service providers.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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Examines how four states utilized COVID-19 funding and regulatory flexibilities to address challenges to serving older adults during the COVID-19 pandemic. Identifies strategies states and localities used to meet nutrition and other needs of older adults. Includes perspectives from rural localities and service providers.
Additional links: Full Report
Date: 12/2021
Sponsoring organization: Government Accountability Office
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December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Sponsoring organization: Medicare Payment Advisory Commission
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No Surprises Act Webinar
Recording of a December 14, 2021, webinar providing an overview of the No Surprises Act and how it impacts Rural Health Clinics. Outlines price transparency and good faith estimate requirements and enforcement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: CMS Regulations, CMS-10791 Good Faith Estimate for Health Care Items and Services, Good Faith Estimate Information and Webinar Q&A Follow-Up, Presentation Slides, Transcript
Date: 12/2021
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 14, 2021, webinar providing an overview of the No Surprises Act and how it impacts Rural Health Clinics. Outlines price transparency and good faith estimate requirements and enforcement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: CMS Regulations, CMS-10791 Good Faith Estimate for Health Care Items and Services, Good Faith Estimate Information and Webinar Q&A Follow-Up, Presentation Slides, Transcript
Date: 12/2021
Sponsoring organization: National Association of Rural Health Clinics
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Rural Opioid Treatment Program Patient Perspectives on Take-Home Methadone Policy Changes During COVID-19: A Qualitative Thematic Analysis
Examines patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
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Examines patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
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Policy Implications of the COVID-19 Pandemic on Food Insecurity in Rural America: Evidence from Appalachia
Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
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Study examining food access during the COVID-19 pandemic in a rural Appalachian community in Kentucky, based on qualitative data from 5 focus groups. Discusses food scarcity, supply chain disruptions, federal food assistance, community food resources, and home gardening, and highlights policy implications related to federal programs and social determinants of health.
Author(s): Kathryn M. Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: International Journal of Environmental Research and Public Health, 18(23), 12792
Date: 12/2021
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