Rural Health
Resources by Topic: Policy
The Centers for Medicare & Medicaid Services Could Improve Its Wage Index Adjustment for Hospitals in Areas With the Lowest Wages
Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Water Safety in California Public Schools Following Implementation of School Drinking Water Policies
Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Study examining results from a California testing program created to detect lead in charter and public school drinking water. Analyzes factors associated with access to safe drinking water, including differences between rural and urban schools. Features data and statistics indicating whether school water systems were compliant with health standards and whether school drinking water was tested for lead.
Author(s): Isioma L. Umunna, Lauren S. Blacker, Christina E. Hecht, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Ensuring an Equitable Distribution of COVID-19 Vaccines in Rural Communities
Policy brief addressing rural access to COVID-19 vaccines. Discusses the vaccine infrastructure, distribution, transportation, and storage needed to reach rural residents. Provides guidance for national, state, and local leaders.
Author(s): John Gale, Alana Knudson, Michael Meit, Shena Popat
Date: 12/2020
Sponsoring organization: National Rural Health Association
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Policy brief addressing rural access to COVID-19 vaccines. Discusses the vaccine infrastructure, distribution, transportation, and storage needed to reach rural residents. Provides guidance for national, state, and local leaders.
Author(s): John Gale, Alana Knudson, Michael Meit, Shena Popat
Date: 12/2020
Sponsoring organization: National Rural Health Association
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Medicare Fee-For-Service Beneficiaries with Opioid Use Disorder in 2018: Disparities in Prevalence by Beneficiary Characteristics
Examines the sociodemographic, Medicare eligibility, clinical, and geographic characteristics of Medicare beneficiaries with opioid use disorder (OUD). Identifies disparities in OUD prevalence among Medicare beneficiaries. Discusses opportunities to tailor policies and interventions to beneficiary groups with high OUD prevalence to ensure access to treatment.
Date: 12/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Examines the sociodemographic, Medicare eligibility, clinical, and geographic characteristics of Medicare beneficiaries with opioid use disorder (OUD). Identifies disparities in OUD prevalence among Medicare beneficiaries. Discusses opportunities to tailor policies and interventions to beneficiary groups with high OUD prevalence to ensure access to treatment.
Date: 12/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telemedicine Utilization Report: Telehealth and Telemedicine During the COVID-19 Pandemic
Examines the use of telemedicine to deliver Medicaid-covered services in the state of Minnesota. Describes state and federal telehealth policy waivers and modifications that were temporarily implemented in response to the COVID-19 pandemic. Discusses telehealth use by and special considerations for rural populations.
Author(s): Neerja Singh, Julie Marquardt
Date: 12/2020
Sponsoring organization: Minnesota Department of Human Services
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Examines the use of telemedicine to deliver Medicaid-covered services in the state of Minnesota. Describes state and federal telehealth policy waivers and modifications that were temporarily implemented in response to the COVID-19 pandemic. Discusses telehealth use by and special considerations for rural populations.
Author(s): Neerja Singh, Julie Marquardt
Date: 12/2020
Sponsoring organization: Minnesota Department of Human Services
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NRHA Rapid Response Policy Brief: Telehealth
Policy position brief outlining the National Rural Health Association's policy statements and recommendations to encourage the adoption of telehealth services in rural America. Discusses reimbursement, healthcare quality, broadband access, and other telehealth policy topics.
Author(s): Pat Schou, Sarah Huling, Brady Beecham, Leslie Marsh, Rachael Sherard
Date: 12/2020
Sponsoring organization: National Rural Health Association
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Policy position brief outlining the National Rural Health Association's policy statements and recommendations to encourage the adoption of telehealth services in rural America. Discusses reimbursement, healthcare quality, broadband access, and other telehealth policy topics.
Author(s): Pat Schou, Sarah Huling, Brady Beecham, Leslie Marsh, Rachael Sherard
Date: 12/2020
Sponsoring organization: National Rural Health Association
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How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report
Summarizes a July 2020 virtual summit of rural participants in value‐based care (VBC) models and programs. Details six themes on VBC model design, implementation, and operation that can influence rural organization participation in VBC models. Provides recommendations for VBC model designers to improve rural healthcare provider participation and success in VBC models.
Author(s): Keith Mueller, Clint MacKinney, Jennifer Lundblad, Karla Weng
Date: 12/2020
Sponsoring organization: Rural Health Value
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Summarizes a July 2020 virtual summit of rural participants in value‐based care (VBC) models and programs. Details six themes on VBC model design, implementation, and operation that can influence rural organization participation in VBC models. Provides recommendations for VBC model designers to improve rural healthcare provider participation and success in VBC models.
Author(s): Keith Mueller, Clint MacKinney, Jennifer Lundblad, Karla Weng
Date: 12/2020
Sponsoring organization: Rural Health Value
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Modernizing Demand-Responsive Transportation for the Age of New Mobility
Provides an overview of demand-responsive transportation (DRT) and its role in supporting people with disabilities, older adults, people with lower incomes, and rural residents. Explores how a new data specification, the transactional data specification (TDS), can be used to modernize DRT services. Presents case studies of systems adopting TDS, including ITNAmerica, a national transportation network serving older adults in rural communities, and a pilot program in rural Oregon. Offers recommendations to policymakers and stakeholders to promote wide-scale adoption of TDS by DRT providers.
Author(s): Jana Lynott
Date: 12/2020
Sponsoring organization: AARP Public Policy Institute
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Provides an overview of demand-responsive transportation (DRT) and its role in supporting people with disabilities, older adults, people with lower incomes, and rural residents. Explores how a new data specification, the transactional data specification (TDS), can be used to modernize DRT services. Presents case studies of systems adopting TDS, including ITNAmerica, a national transportation network serving older adults in rural communities, and a pilot program in rural Oregon. Offers recommendations to policymakers and stakeholders to promote wide-scale adoption of TDS by DRT providers.
Author(s): Jana Lynott
Date: 12/2020
Sponsoring organization: AARP Public Policy Institute
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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