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Rural Health
Resources by Topic: Policy

Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators
Summarizes key findings from a survey of State Flex Programs regarding the impact of COVID-19 on Critical Access Hospitals (CAHs) between May 26 - July 2, 2020. Describes the type of support and assistance requested by CAHs, promising strategies State Flex Programs used to support CAHs, and how State Flex Programs are planning for CAH needs after the pandemic.
Author(s): John Gale, Zachariah Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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2020-2025 Federal Health IT Strategic Plan
A guide for federal health information technology (HIT) activities. Identifies current healthcare challenges and opportunities related to HIT. Explains how the federal government intends to use HIT to promote health; enhance care delivery; build a secure, data-driven system; and develop an interoperable HIT infrastructure. Includes discussion of rural needs and opportunities related to HIT.
Date: 10/2020
Sponsoring organizations: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services
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Chart Book: The Far-Reaching Benefits of the Affordable Care Act's Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals for Medicaid revenue, operating margins, and uncompensated care on page 18.
Date: 10/2020
Sponsoring organization: Center on Budget and Policy Priorities
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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September 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2020 meeting. Covers the coronavirus pandemic and Medicare, the context for Medicare payment policy, a mandated report on the skilled nursing facility value-based purchasing program, a mandated report on the Protecting Access to Medicare Act of 2014's changes to the Medicare clinical laboratory fee schedule, and a Congressional request on private equity and Medicare. Includes rural references throughout.
Date: 09/2020
Sponsoring organization: Medicare Payment Advisory Commission
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RHC Cost Reporting During COVID
Recording of a September 22, 2020, webinar covering cost reporting basics for Rural Health Clinics (RHCs), including telehealth reporting, FTE and visit calculations, productivity waiver requests, provider relief fund payments, and cost report filing deadlines. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 09/2020
Sponsoring organization: National Association of Rural Health Clinics
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Building Capacity for Value
Slides presented at the 2020 Nebraska Rural Health Conference describing the evolution of value-based care. Discusses different approaches to value-based care transformation, including the Medicare Shared Savings Program Accountable Care Organizations and global budgeting. Presents management and leadership strategies to navigate future changes while meeting community health needs.
Author(s): Karla Weng
Date: 09/2020
Sponsoring organization: Rural Health Value
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Third Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 50 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2018 performance year. Also evaluates findings of the model to date, from NGACOs entering the model in 2016, 2017, and 2018. Includes information on the extent to which NGACOs served rural areas.
Additional links: CMS Perspective, October 2020, Findings at a Glance, Technical Appendices
Date: 09/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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How Evidence-based Is US Dental Workforce Policy for Rural Communities?
Examines the alignment of policy and infrastructure with evidence-based strategies to promote access to oral health services for rural people. Focuses on best practices as well as barriers and facilitators to implementation of workforce strategies to increase the availability of services. Presents a scoping review of the evidence behind key strategies in the U.S. health policy context.
Author(s): Miranda Werts, Ginachukwa Amah, Elizabeth Mertz
Date: 09/2020
Sponsoring organization: Oral Health Workforce Research Center
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Tracking FY2019 Federal Funding to Combat the Opioid Crisis
Report covering the allocation of federal resources for opioid initiatives at the federal, state, and local level. Presents data on federal funding and offers case studies of state and county-level spending data for Ohio, Arizona, Louisiana, Washington, Tennessee, and New Hampshire. Makes policy recommendations and briefly discusses grant initiatives that target rural-specific barriers to treatment.
Date: 09/2020
Sponsoring organization: Bipartisan Policy Center
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