Rural Health
Resources by Topic: Policy
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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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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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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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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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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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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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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Engaging Families and Providers When Aligning Early Childhood and Medicaid Systems: State Lessons
Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Sponsoring organization: Center for Health Care Strategies
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Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Sponsoring organization: Center for Health Care Strategies
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Policy, Systems, and Environmental Strategies Generated by Stakeholders to Support Food Security in Rural Communities
Examines policy, systems, and environmental (PSE) strategies in rural communities of Arizona, Georgia, Kentucky, Michigan, and Texas that address food insecurity. Provides recommendations based on interview data such as improving ease of program enrollment, providing more awareness of services, and making program use more hassle-free.
Additional links: Arizona Brief, Full Report, Georgia Brief, Kentucky Brief, Michigan Brief, Texas Brief
Author(s): Carmen Byker Shanks, Shelly Palmer, Emily Shaw, et al.
Date: 12/2023
Sponsoring organization: No Kid Hungry
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Examines policy, systems, and environmental (PSE) strategies in rural communities of Arizona, Georgia, Kentucky, Michigan, and Texas that address food insecurity. Provides recommendations based on interview data such as improving ease of program enrollment, providing more awareness of services, and making program use more hassle-free.
Additional links: Arizona Brief, Full Report, Georgia Brief, Kentucky Brief, Michigan Brief, Texas Brief
Author(s): Carmen Byker Shanks, Shelly Palmer, Emily Shaw, et al.
Date: 12/2023
Sponsoring organization: No Kid Hungry
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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VA Health Care: Actions Needed to Improve Information Reported on Mobile Medical Units
Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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