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Rural Health
Resources by Topic: Policy

Exploring the State of Value-Based Care
Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Sponsoring organization: Rural Health Value
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Environmental Scan on Identifying a Pathway Toward Maximizing Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access
Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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The State of Obesity 2024: Better Policies for a Healthier America
Presents data on adult and childhood obesity rates, with breakdowns by state and select demographic characteristics. Examines current and emerging policies, provides funding opportunities, and outlines recommended policy actions. Includes a special feature about food environments and systems.
Author(s): Molly Warren, Madison West
Date: 09/2024
Sponsoring organization: Trust for America's Health
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CDC Rural Public Health Strategic Plan, FY 2024 - 2029
Outlines the CDC Office of Rural Health's strategic plan to improve health outcomes in rural communities, in collaboration with internal and external partners and federal agencies, by supporting and advancing rural public health science and practice. Identifies 4 key priorities for the next 5 years: advance results-based engagement with partners and communities to address rural public health challenges; strengthen rural public health infrastructure and workforce; advance rural public health sciences; and improve rural public health preparedness and response capacity.
Date: 09/2024
Sponsoring organization: CDC Office of Rural Health
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Rural Emergency Hospitals Fact Sheet
Provides a brief overview of the Rural Emergency Hospital (REH) provider designation. Outlines REH payment, services, eligibility requirements, and how to apply for REH designation.
Date: 09/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Communications and Technology Subcommittee Hearing: "From Introduction to Implementation: A BEAD Program Progress Report"
Recording of a September 10, 2024, House Energy & Commerce Committee Communications and Technology Subcommittee hearing on the status and progress of implementing the Broadband Equity Access and Deployment (BEAD) Program. Features testimony from Shirley Bloomfield, Chief Executive Officer of NTCA – The Rural Broadband Association.
Additional links: Shirley Bloomfield, NTCA – The Rural Broadband Association - Testimony
Date: 09/2024
Sponsoring organization: House Committee on Energy and Commerce
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Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal
Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2024
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals that offer obstetric (OB) care, distribution of OB providers, travel time to maternity care, chronic conditions of birthing people, social drivers of health, and more. Includes rural versus urban characteristics of the maternal health workforce as well as access and policy discussions specific to rural areas.
Date: 09/2024
Sponsoring organization: March of Dimes
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Ensuring Access To Care: 340B Arrangements with Community and Specialty Pharmacies Improve Access to Care for Underserved Patients
Provides an overview of the 340B Drug Pricing Program, related legislation, benefits to underserved communities, relationship to specialty and community pharmacies, and more. Includes discussion on the value of the 340B program for rural pharmacies.
Date: 09/2024
Sponsoring organization: American Hospital Association
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