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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Medicare Advantage Growth and Its Impact on Rural Health Care
Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Sponsoring organization: National Rural Health Association
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What's in it for Rural? Analyzing the Opportunities for Rural America in IIJA, CHIPS, and IRA
Evaluates the significance to rural areas of appropriations and authorizations approved by the Infrastructure Investment and Jobs Act (IIJA), the CHIPS and Science Act (CHIPS), and the Inflation Reduction Act (IRA). Identifies rural-significant funding by agency and sector, and discusses economic and financial aspects of allocations and funding structure. Summarizes major appropriations in infrastructure, energy, broadband, environment, and more. Provides recommendations for use and reporting of funds by officials, agencies, and policymakers.
Author(s): Anthony F. Pipa, Elise Pietro
Date: 12/2023
Sponsoring organization: The Brookings Institution
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December 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2023 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, hospice services, outpatient dialysis services, ambulatory surgical center services, skilled nursing facilities, skilled nursing facility services, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Fact Sheet: How to Define Rurality
Fact sheet defines rural in the context of the Veterans Health Administration. Discusses RUCA codes, Census tracts, and how the VA assigns rurality.
Date: 12/2023
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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2023 Nebraska Rural Poll Research Report: Perceptions of the Farm Bill Among Nonmetropolitan Nebraskans
Analyzes 2023 Nebraska Rural Poll results related to how rural Nebraskans perceive federal agricultural policy and farm bill programs. Includes survey data and demographic information on survey respondents.
Author(s): Rebecca Vogt, Heather Akin, Cheryl Burkhart-Kriesel, et al.
Date: 12/2023
Sponsoring organization: University of Nebraska-Lincoln
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2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report
Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Confronting Workforce Shortages and Health Worker Well-Being
Six videos addressing the impact of healthcare worker shortages and how those shortages affect individual well-being and the ability to provide care in rural communities. Includes a keynote presentation by the Chief Medical Officer of the Indian Health Service. Transcripts available under the descriptions of the videos.
Date: 12/2023
Sponsoring organization: National Academy of Medicine
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Federal Funding for Broadband Deployment: Agencies and Considerations for Congress
Provides an overview of federal agencies that fund broadband deployment and describes each agency's key broadband programs. Discusses policy issues and considerations for Congress related to federal broadband deployment funding at these agencies, including creating a coordinated national broadband strategy, expanding oversight, and shifting to funding sustainability.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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The Influence of Organizational Aspects of the U.S. Agricultural Industry and Socioeconomic and Political Conditions on Farmworkers' COVID-19 Workplace Safety
Interviewed 14 rural Latinx California farmworkers between July 2020 and April 2021 on the impacts of regulatory oversight and workplace safety measures on COVID-19 risks in the workplace. Discusses legal status for farmworkers and offers policy recommendations for occupational health and safety measures.
Author(s): Fabiola M. Perez-Lua, Alec M. Chan-Golston, Nancy J. Burke, Maria-Elena De Trinidad Young
Citation: International Journal of Research and Public Health, 20(23), 7138
Date: 12/2023
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Supporting Resilience in Rural Areas Through Cross-Sector Partnerships
Discusses the importance of working across multiple agencies and organizations to address social, economic, and environmental determinants of health. Describes the Health in All Policies (HiAP) approach that uses cross-sector strategies to build health infrastructure and sustainability, with examples from rural communities.
Date: 12/2023
Sponsoring organization: Association of State and Territorial Health Officials
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