Rural Health
Resources by Topic: Policy
How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Caring for America: Legislation to Support Patients, Caregivers, and Providers
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on legislation related to funding for behavioral and mental health services for the healthcare workforce; a loan repayment program for local, state, and tribal public health professionals; increasing diversity in allied health professions; improving health outcomes in underserved communities through the use of community health workers; and more. Includes testimony from the National Association of County and City Health Officials, Augusta University, Ballad Health, and others.
Additional links: Alan Levine, Ballad Health - Testimony, Brooks A. Keel, Augusta University - Testimony, Lisa Macon Harrison, National Association of County and City Health Officials - Testimony
Date: 10/2021
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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The Veterans Community Care Program: Background and Early Effects
Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Sponsoring organization: Congressional Budget Office
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Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Sponsoring organization: Congressional Budget Office
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Ensuring Equity in Disaster Preparedness, Response, and Recovery
Video of testimony presented to the House Committee on Homeland Security on Oct. 27, 2021. Discusses disaster-related disparities and inequities in tribal, minority, underserved, and rural communities, and offers recommendations for improvement. Includes links for transcripts.
Additional links: Testimony by Chauncia Willis, Institute for Diversity and Inclusion in Emergency Management, Testimony by Christopher Currie, Government Accountability Office, Testimony by James Joseph, Tidal Basin Government Consulting, Testimony by Lori Peek, Natural Hazards Center, University of Colorado Boulder
Author(s): Lori Peek, Chauncia Willis, Christopher Currie, James Joseph
Date: 10/2021
Sponsoring organization: House Committee on Homeland Security
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Video of testimony presented to the House Committee on Homeland Security on Oct. 27, 2021. Discusses disaster-related disparities and inequities in tribal, minority, underserved, and rural communities, and offers recommendations for improvement. Includes links for transcripts.
Additional links: Testimony by Chauncia Willis, Institute for Diversity and Inclusion in Emergency Management, Testimony by Christopher Currie, Government Accountability Office, Testimony by James Joseph, Tidal Basin Government Consulting, Testimony by Lori Peek, Natural Hazards Center, University of Colorado Boulder
Author(s): Lori Peek, Chauncia Willis, Christopher Currie, James Joseph
Date: 10/2021
Sponsoring organization: House Committee on Homeland Security
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COVID-19: Additional Actions Needed to Improve Accountability and Program Effectiveness of Federal Response
Discusses the federal government's response to the COVID-19 pandemic. Provides an overview of federal actions on healthcare and economic policy areas through September 2021, including data on COVID-19 relief spending, testing, worker health and safety, and child nutrition programs. Offers 16 new recommendations to federal agencies regarding the proper use of relief funding, occupational health and safety, and fraud risks to unemployment insurance programs that would improve the federal response and preparation for future public health emergencies.
Additional links: Full Report
Date: 10/2021
Sponsoring organization: Government Accountability Office
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Discusses the federal government's response to the COVID-19 pandemic. Provides an overview of federal actions on healthcare and economic policy areas through September 2021, including data on COVID-19 relief spending, testing, worker health and safety, and child nutrition programs. Offers 16 new recommendations to federal agencies regarding the proper use of relief funding, occupational health and safety, and fraud risks to unemployment insurance programs that would improve the federal response and preparation for future public health emergencies.
Additional links: Full Report
Date: 10/2021
Sponsoring organization: Government Accountability Office
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U.S. Department of Health and Human Services Overdose Prevention Strategy
Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Measure Applications Partnership 2021-2022 Considerations for Measure Set Removal in Federal Programs: Final Report
Describes the Measure Set Review (MSR) process and the consideration of quality measures for potential removal from Medicare quality programs. Summarizes the National Quality Foundation (NQF) Coordinating Committee discussion and public input on selected hospital quality measures, including the impact of these measures on rural providers. Offers future considerations for the MSR process.
Date: 10/2021
Sponsoring organization: National Quality Forum
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Describes the Measure Set Review (MSR) process and the consideration of quality measures for potential removal from Medicare quality programs. Summarizes the National Quality Foundation (NQF) Coordinating Committee discussion and public input on selected hospital quality measures, including the impact of these measures on rural providers. Offers future considerations for the MSR process.
Date: 10/2021
Sponsoring organization: National Quality Forum
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Going to the Doctor: Rideshare as Nonemergency Medical Transportation
Discusses the role of rideshare-based non-emergency medical transportation (RB-NEMT) in serving the transportation needs across the country, including in rural areas. Details the different types of RB-NEMT services, such as door-to-door, curb-to-curb, hand-to-hand, and area-to-area. Breaks down the different groups that benefit from RB-NEMT by transportation limitations, age, and insurance type, among other factors. Discusses RB-NEMT's efficacy for rural areas, medical and logistical barriers, and makes policy recommendations.
Date: 10/2021
Sponsoring organization: RAND Corporation
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Discusses the role of rideshare-based non-emergency medical transportation (RB-NEMT) in serving the transportation needs across the country, including in rural areas. Details the different types of RB-NEMT services, such as door-to-door, curb-to-curb, hand-to-hand, and area-to-area. Breaks down the different groups that benefit from RB-NEMT by transportation limitations, age, and insurance type, among other factors. Discusses RB-NEMT's efficacy for rural areas, medical and logistical barriers, and makes policy recommendations.
Date: 10/2021
Sponsoring organization: RAND Corporation
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State of Telehealth: Removing Barriers to Access and Improving Patient Outcomes
Presents a recording of an October 7, 2021, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Examines the importance of access to telehealth services, telehealth utilization during the COVID-19 pandemic, the impact of the pandemic on telehealth regulations, and the role of broadband access in the public health response. Features testimony from the American Academy of Family Physicians, Project ECHO, Avel eCare, and the Federal Communications Commission.
Additional links: American Academy of Family Physicians Testimony, Avel eCare Testimony, Federal Communications Commission Testimony, Project ECHO Testimony
Date: 10/2021
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Presents a recording of an October 7, 2021, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Examines the importance of access to telehealth services, telehealth utilization during the COVID-19 pandemic, the impact of the pandemic on telehealth regulations, and the role of broadband access in the public health response. Features testimony from the American Academy of Family Physicians, Project ECHO, Avel eCare, and the Federal Communications Commission.
Additional links: American Academy of Family Physicians Testimony, Avel eCare Testimony, Federal Communications Commission Testimony, Project ECHO Testimony
Date: 10/2021
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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