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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

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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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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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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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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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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Understanding the "Tool-ish-ness" of Telehealth: Q&A with Dr. Jonathan Neufeld
An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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USDA's Supplemental Nutrition Assistance Program (SNAP) Contributed to Rural Economic Output, Jobs Following the Great Recession
Reports on the economic impacts of the Supplemental Nutrition Assistance Program (SNAP) in rural areas from 2009-2014 based on data from the USDA and U.S. Department of Commerce's Bureau of Economic Analysis. Discusses job creation, household spending, and food-sector investments.
Author(s): Cristina Miller, Katherine Ralston, Stephen Vogel
Citation: Amber Waves
Date: 12/2021
Sponsoring organization: USDA Economic Research Service
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Final CY 2022 Physician Fee Schedule
Fact sheet addressing the Centers for Medicare and Medicaid Services policies for Medicare beginning on January 1, 2022. Includes sections on telehealth services, the Consolidated Appropriations Act, audio-only services, communications technology based services, Federally Qualified Health Centers and Rural Health Clinics, and additional policies.
Date: 11/2021
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Do State Comprehensive Planning Statutes Address Physical Activity?: Implications for Rural Communities
Study examining state comprehensive plans related to physical activity with a focus on predominantly rural states and jurisdictions based on state statutory laws. Analyzes the rates at which physical activity, land use, parks and recreation, and other planning items were addressed in state statutes, offering a map of state-level rurality, population-conditional rules for planning, and physical activity-related plan elements.
Author(s): Lisa M. Charron, Chloe Milstein, Samantha I. Moyers, Christiaan G. Abildso, Jamie F. Chriqui
Citation: International Journal of Environmental Research and Public Health, 18(22), 12190
Date: 11/2021
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
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