Rural Health
Resources by Topic: Policy
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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Affordability and Availability: Expanding Broadband in the Black Rural South
Report examining broadband access in African American communities in the rural South. Highlights economic, healthcare, and educational opportunities that accompany broadband access. Discusses financial and policy barriers to broadband access in the Black rural South and offers policy recommendations to increase access.
Author(s): Dominique Harrison
Date: 10/2021
Sponsoring organization: Joint Center for Political and Economic Studies
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Report examining broadband access in African American communities in the rural South. Highlights economic, healthcare, and educational opportunities that accompany broadband access. Discusses financial and policy barriers to broadband access in the Black rural South and offers policy recommendations to increase access.
Author(s): Dominique Harrison
Date: 10/2021
Sponsoring organization: Joint Center for Political and Economic Studies
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State Cross-Agency Collaboration During the COVID-19 Pandemic Response
Examines cross-agency approaches to COVID-19 response efforts in Illinois, Indiana, and Rhode Island. Identifies key themes, lessons, and best practices for other states to consider when preparing for future public health emergencies. Highlights efforts to serve rural populations.
Author(s): Elinor Higgins, Rebecca Cooper
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Examines cross-agency approaches to COVID-19 response efforts in Illinois, Indiana, and Rhode Island. Identifies key themes, lessons, and best practices for other states to consider when preparing for future public health emergencies. Highlights efforts to serve rural populations.
Author(s): Elinor Higgins, Rebecca Cooper
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Addressing Health-Related Social Needs to Improve Rural Health: Ideas to Action
Identifies strategies for building community and regional systems of care to better address the social needs of patients and inform the design of community-level rural health transformation initiatives, pilots, or demonstrations in rural Maine. Examines existing literature and evidence from similar initiatives in Vermont, Idaho, and Oregon, and highlights key observations. Describes key components of a demonstration designed to build, implement, and test strategies for aligning health, social service, and other systems in order to advance whole-person care.
Author(s): Andrew F. Coburn, Deborah A. Deatrick
Date: 09/2021
Sponsoring organizations: Maine Rural Health Action Network, New England Rural Health Association
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Identifies strategies for building community and regional systems of care to better address the social needs of patients and inform the design of community-level rural health transformation initiatives, pilots, or demonstrations in rural Maine. Examines existing literature and evidence from similar initiatives in Vermont, Idaho, and Oregon, and highlights key observations. Describes key components of a demonstration designed to build, implement, and test strategies for aligning health, social service, and other systems in order to advance whole-person care.
Author(s): Andrew F. Coburn, Deborah A. Deatrick
Date: 09/2021
Sponsoring organizations: Maine Rural Health Action Network, New England Rural Health Association
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Health Panel Comment Letter – Rural Emergency Hospitals (REH)
Offers comments in response to the Centers for Medicare and Medicaid Services (CMS) Request for Information on Rural Emergency Hospitals (REH). Addresses the type and scope of services REHs could offer, conditions of participation, health equity, collaboration and care coordination, quality measurement, payment, and enrollment.
Date: 09/2021
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Centers for Medicare and Medicaid Services (CMS) Request for Information on Rural Emergency Hospitals (REH). Addresses the type and scope of services REHs could offer, conditions of participation, health equity, collaboration and care coordination, quality measurement, payment, and enrollment.
Date: 09/2021
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Rural Public Health and Health Care: A Scan of Field Practice and Trends
Offers a historical overview of rural healthcare and rural public health theories and practice methods and describes newer theories, such as value-based care, personalized medicine, social determinants of health, and health in all policies. Outlines trends in public health and healthcare, including community engagement, evidence-based decision making, and delivery integration, discussing rural implications of these trends.
Date: 09/2021
Sponsoring organization: Aspen Institute
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Offers a historical overview of rural healthcare and rural public health theories and practice methods and describes newer theories, such as value-based care, personalized medicine, social determinants of health, and health in all policies. Outlines trends in public health and healthcare, including community engagement, evidence-based decision making, and delivery integration, discussing rural implications of these trends.
Date: 09/2021
Sponsoring organization: Aspen Institute
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