Rural Health
Resources by Topic: Policy
Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Medicare Payment for Rural or Geographically Isolated Hospitals
Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2024
Sponsoring organization: Congressional Research Service
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Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2024
Sponsoring organization: Congressional Research Service
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Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning
Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Dental Therapy Resource Guide
Describes the role of dental therapists in expanding access to dental health care in rural communities. Outlines the status of state laws and regulations regarding dental therapy education and practice as of August 2021. Compares the scope of practice of dental therapists to other dental care providers.
Date: 04/2024
Sponsoring organization: National Association of Community Health Centers
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Describes the role of dental therapists in expanding access to dental health care in rural communities. Outlines the status of state laws and regulations regarding dental therapy education and practice as of August 2021. Compares the scope of practice of dental therapists to other dental care providers.
Date: 04/2024
Sponsoring organization: National Association of Community Health Centers
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History of the National Survey of Early Care and Education, Part II: The Development of the 2019 NSECE and the NSECE COVID-19 Longitudinal Follow-Up
Provides information on the different versions of the National Survey of Early Care and Education (NSECE), including policy developments, funding, program expansions, survey methodology, and findings. Includes discussion of ECE in rural areas.
Author(s): Martha Zaslow, Tamara Halle, Rebecca Madill, Nicole Forry
Date: 03/2024
Sponsoring organizations: Administration for Children and Families, Child Trends
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Provides information on the different versions of the National Survey of Early Care and Education (NSECE), including policy developments, funding, program expansions, survey methodology, and findings. Includes discussion of ECE in rural areas.
Author(s): Martha Zaslow, Tamara Halle, Rebecca Madill, Nicole Forry
Date: 03/2024
Sponsoring organizations: Administration for Children and Families, Child Trends
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Swimming Upstream on the Path to Thriving
Explores challenges and opportunities for equitable economic development in rural, disadvantaged communities. Discusses the impact of persistent poverty, local entrepreneurship supports, community development strategies and policies, and investment models. Highlights the relationship between community health and prosperity, including discussion of the value of local hospitals and medical centers.
Author(s): May Erouart, Amanda Weinstein
Date: 03/2024
Sponsoring organization: Center on Rural Innovation
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Explores challenges and opportunities for equitable economic development in rural, disadvantaged communities. Discusses the impact of persistent poverty, local entrepreneurship supports, community development strategies and policies, and investment models. Highlights the relationship between community health and prosperity, including discussion of the value of local hospitals and medical centers.
Author(s): May Erouart, Amanda Weinstein
Date: 03/2024
Sponsoring organization: Center on Rural Innovation
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Interim Final Rule on Non-Congregate Summer Meals: What It Means for You This Summer
A recorded webinar that discusses the interim final rule (IFR) on non-congregate summer meals in rural areas. Provides information on definitions, eligibility, and allowable models and flexibilities. Transcript available below description.
Additional links: Slide Deck
Date: 03/2024
Sponsoring organization: No Kid Hungry
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A recorded webinar that discusses the interim final rule (IFR) on non-congregate summer meals in rural areas. Provides information on definitions, eligibility, and allowable models and flexibilities. Transcript available below description.
Additional links: Slide Deck
Date: 03/2024
Sponsoring organization: No Kid Hungry
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Successful Non-Congregate Meal Service Models for Rural Areas: Implementation Guide
Provides models and examples of non-congregate meal service implementation in rural areas. Includes background on policy decisions and legislative definitions.
Date: 03/2024
Sponsoring organization: No Kid Hungry
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Provides models and examples of non-congregate meal service implementation in rural areas. Includes background on policy decisions and legislative definitions.
Date: 03/2024
Sponsoring organization: No Kid Hungry
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A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees' Access to Care
Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers who actively serve Medicare or Medicaid enrollees in 20 counties, 10 urban and 10 rural, across 10 states in 2021. Explores the extent to which traditional Medicare, Medicare Advantage, and Medicaid enrollees received behavioral health services and whether they used telehealth or in-person services. Offers recommendations to encourage more behavioral health providers to serve these enrollees and expand coverage to additional behavioral health provider types. Includes rural and urban comparisons throughout.
Additional links: Report Highlights
Date: 03/2024
Sponsoring organization: Office of Inspector General (HHS)
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Rural Partners Network with Farah Ahmad
Podcast episode featuring Farah Ahmad, Deputy Under Secretary for Rural Development at the U.S. Department of Agriculture (USDA). Discusses the Rural Partners Network, an alliance of 25 federal agencies working together with 36 communities across 10 states and Puerto Rico to help rural communities build prosperity through job creation, infrastructure development, and community improvement. Describes how USDA Rural Development and the Rural Partners Network are working to address housing and transportation concerns in rural areas.
Date: 03/2024
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode featuring Farah Ahmad, Deputy Under Secretary for Rural Development at the U.S. Department of Agriculture (USDA). Discusses the Rural Partners Network, an alliance of 25 federal agencies working together with 36 communities across 10 states and Puerto Rico to help rural communities build prosperity through job creation, infrastructure development, and community improvement. Describes how USDA Rural Development and the Rural Partners Network are working to address housing and transportation concerns in rural areas.
Date: 03/2024
Sponsoring organization: Impact! Communications, Inc.
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