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Rural Health
Resources by Topic: Policy

Training Tomorrow's Physicians: Recommendations for Expanding Graduate Medical Education Funding in California
Provides recommendations and action steps for expanding graduate medical education (GME) in California, including in rural and underserved areas. Supports creating a centralized state planning organization to coordinate GME efforts and reviews potential GME funding sources from federal, state, and private sources. Highlights successful examples from other states.
Date: 02/2019
Sponsoring organization: California Health Care Foundation
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Market Concentration and Potential Competition in Medicare Advantage
Examines competition among Medicare Advantage plans using county-level data on plans offered and enrollment for 2009-2017. Addresses market concentration in rural areas. Discusses the importance of plan competition to keep insurance prices down.
Author(s): Richard G. Frank, Thomas G. McGuire
Date: 02/2019
Sponsoring organization: Commonwealth Fund
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American Broadband Initiative Milestones Report
Highlights steps for the federal government to take to increase broadband access and increase private-sector investments in broadband. Discusses broadband and mobile broadband deployment and adoption in the U.S. and offers statistics by urban, rural, and tribal lands. Provides recommendations discussing strategies, objectives, and overcoming barriers to increase broadband in urban and rural areas and tribal lands.
Date: 02/2019
Sponsoring organization: U.S. Department of Agriculture
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Potential Effects of Work Requirements in Montana's Medicaid Program
Explores the potential impacts of Montana's proposed Medicaid reform legislation, Medicaid Reform and Integrity Act (MeRIA). Reports on Montana residents most likely to be affected by MeRIA's work requirements, and the potential loss of Medicaid coverage and resulting effects. Includes statistics describing the characteristics of Montana Medicaid expansion beneficiaries mostly likely to be impacted by the proposed work requirements by age, race/ethnicity, education, barriers to employment, and rurality.
Author(s): Leighton Ku, Erin Brantley
Date: 02/2019
Sponsoring organization: George Washington University Milken Institute School of Public Health Center for Health Policy Research
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Sponsoring organization: Pew
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Meeting the Demand for Health: Final Report of the California Future Health Workforce Commission
Provides actionable recommendations for developing California's health workforce, addressing rural throughout. Discusses the state's population health, current health workforce challenges, healthcare delivery transformation, and more. The commission was convened by major health philanthropies to develop a comprehensive California health workforce strategy and was composed of state leaders in health, policy, education, and workforce development.
Additional links: Executive Summary
Date: 02/2019
Sponsoring organization: California Future Health Workforce Commission
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How Primary Care Affects Health Care Costs and Outcomes
Recording of a February 5, 2019, Senate Committee on Health, Education, Labor and Pensions hearing on the impact of primary care on healthcare outcomes and costs. Testimonies include rural-relevant considerations and address direct care primary care practices, employer strategies such as worksite clinics, the impact of Project ECHO, and more.
Additional links: Joshua J. Umbehr Testimony, Katherine Bennett Testimony, Sapna Kripalani Testimony
Date: 02/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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An Overview of Medicare
Provides a basic overview of the Medicare program, including how it is financed, who is eligible and what benefits are covered under the program. Describes supplemental health insurance, benefits provided by the new drug law, and data on Medicare expenditures and financing.
Date: 02/2019
Sponsoring organization: KFF
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Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs)
Guidance for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing related to communication technology-based services effective January 1, 2019.
Date: 01/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Superfund: EPA Should Improve the Reliability of Data on National Priorities List Sites Affecting Indian Tribes
Examines the Environmental Protection Agency's (EPA) list of seriously contaminated sites for those having a health or cultural impact on Native American tribes, actions taken by the EPA to address tribal needs when cleaning up these sites, and EPA records on the sites and their consultation with tribes. Provides recommendations for the EPA. Appendices include a list of identified sites and 6 case studies.
Additional links: Full Report
Date: 01/2019
Sponsoring organization: Government Accountability Office
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