Rural Health
Resources by Topic: Policy
Morbidity and Mortality Related to Intimate Partner Violence in the Perinatal Period
Policy brief discussing intimate partner violence (IPV) during the perinatal period, including IPV and IPV screening disparities in rural areas. Offers policy recommendations to address IPV experienced by perinatal people living in rural areas, focusing on prevention, screening, and resources for survivors.
Author(s): Susie Gurzenda, Casey P. Balio, Megan Weis
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief discussing intimate partner violence (IPV) during the perinatal period, including IPV and IPV screening disparities in rural areas. Offers policy recommendations to address IPV experienced by perinatal people living in rural areas, focusing on prevention, screening, and resources for survivors.
Author(s): Susie Gurzenda, Casey P. Balio, Megan Weis
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Bridging the Gap: A Policy Framework for Sustainable Community Paramedicine in Rural America
Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief regarding the need for a national policy for non-physician licensed healthcare providers to be reimbursed for community paramedicine services. Discusses the role of community paramedicine in expanding access to care in rural areas and describes four community paramedicine models. Offers policy recommendations related to recognizing, supporting, and reimbursing community paramedicine programs.
Author(s): Katie Gorndt, Kimberly Haverly, Tom Syverson
Date: 12/2024
Sponsoring organization: National Rural Health Association
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2024 Communications Marketplace Report
Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2020-2023.
Date: 12/2024
Sponsoring organization: Federal Communications Commission
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Examines the state of competition across the broader communications marketplace, as well as laws, regulations, regulatory practices, or marketplace practices that pose a barrier to competitive entry and expansion of the marketplace. Includes data on tribal and rural areas throughout, including trends in broadband adoption and the percentage of households with multiple provider options between 2020-2023.
Date: 12/2024
Sponsoring organization: Federal Communications Commission
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What We Heard: Initial Feedback on The Strategic Framework for a National Plan on Aging
Summarizes feedback offered to the Administration for Community Living (ACL) on Aging in the United States: A Strategic Framework for a National Plan on Aging, a plan for creating a national set of recommendations for healthy aging and age-friendly communities. Notes rural concerns related to transportation, internet access, safety, and healthcare access.
Date: 12/2024
Sponsoring organization: Administration for Community Living
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Summarizes feedback offered to the Administration for Community Living (ACL) on Aging in the United States: A Strategic Framework for a National Plan on Aging, a plan for creating a national set of recommendations for healthy aging and age-friendly communities. Notes rural concerns related to transportation, internet access, safety, and healthcare access.
Date: 12/2024
Sponsoring organization: Administration for Community Living
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Medicare Could save Billions with Comparable Access for Enrollees If Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System
Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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2024 Research Report: Collaborative on Economic Mobility
Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
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Provides a landscape analysis of the Collaborative on Economic Mobility (CEM) cooperative agreement, which focuses on the implementation and strengthening of economic mobility practices. Discusses issues such as social inequities, early childhood education, healthcare access, family and community services, workforce development, policy, housing, transportation, and more. Includes consideration of rural communities, with comparisons of rural versus nonrural employment growth.
Date: 12/2024
Sponsoring organization: ACF Office of Community Services
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Water Affordability Needs Assessment: Report to Congress
Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Date: 12/2024
Sponsoring organization: U.S. Environmental Protection Agency
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Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Date: 12/2024
Sponsoring organization: U.S. Environmental Protection Agency
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December 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; and Mandated Report on Rural Emergency Hospitals - Presentation Slides, Assessing Payment Adequacy and Updating Payments: Skilled Nursing Facility Services - Presentation Slides
Date: 12/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; and Mandated Report on Rural Emergency Hospitals - Presentation Slides, Assessing Payment Adequacy and Updating Payments: Skilled Nursing Facility Services - Presentation Slides
Date: 12/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Healthy Border 2030: Collaborative Action to Improve the Health and Wellbeing of the United States - Mexico Border Population
Reports on the prevailing public health issues occurring in U.S.-Mexico border populations. Assesses health data and provides strategic recommendations to promote health, prevent disease, and support population health at the binational, state, and local levels.
Date: 12/2024
Sponsoring organization: United States-México Border Health Commission
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Reports on the prevailing public health issues occurring in U.S.-Mexico border populations. Assesses health data and provides strategic recommendations to promote health, prevent disease, and support population health at the binational, state, and local levels.
Date: 12/2024
Sponsoring organization: United States-México Border Health Commission
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Trends in Medicaid and CHIP Telehealth, 2019-2021 Part II: Medicaid and CHIP Telehealth Utilization Trends by Enrollee and Provider Rurality
Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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