Rural Health
Resources by Topic: Policy
Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic
Presents a study of telehealth expansion during the COVID-19 pandemic and program integrity risks, including fraud, waste, and abuse. Offers a range of data on telehealth usage and programs
Date: 12/2022
Sponsoring organizations: Office of Inspector General (HHS), Pandemic Response Accountability Committee
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Presents a study of telehealth expansion during the COVID-19 pandemic and program integrity risks, including fraud, waste, and abuse. Offers a range of data on telehealth usage and programs
Date: 12/2022
Sponsoring organizations: Office of Inspector General (HHS), Pandemic Response Accountability Committee
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Federal Support for Financially Distressed Hospitals
Provides an overview of Medicare hospital payments and federal funding opportunities to assist financially distressed hospitals. Includes information on COVID-19 relief funding targeted to rural and safety net hospitals.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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Provides an overview of Medicare hospital payments and federal funding opportunities to assist financially distressed hospitals. Includes information on COVID-19 relief funding targeted to rural and safety net hospitals.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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USDA's ReConnect Program: Expanding Rural Broadband
Provides an overview of the U.S. Department of Agriculture's ReConnect program, which provides loans, grants, and loan/grant combinations to build and enhance broadband infrastructure in eligible rural service areas. Summarizes program details, funding allocations, the three rounds of awards, and funding awards by state. Compares the ReConnect program with other USDA broadband programs. Identifies issues that may impact the program's effectiveness, related legislation introduced in the 117th Congress, and potential policy options.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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Provides an overview of the U.S. Department of Agriculture's ReConnect program, which provides loans, grants, and loan/grant combinations to build and enhance broadband infrastructure in eligible rural service areas. Summarizes program details, funding allocations, the three rounds of awards, and funding awards by state. Compares the ReConnect program with other USDA broadband programs. Identifies issues that may impact the program's effectiveness, related legislation introduced in the 117th Congress, and potential policy options.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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Rural Health Clinic All-Inclusive Rate: CY 2023 Update
Provides an overview of Rural Health Clinic (RHC) payment limits and cost report data requirements for calendar year 2023.
Date: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Rural Health Clinic (RHC) payment limits and cost report data requirements for calendar year 2023.
Date: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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2023-2028 Texas State Health Plan
Provides recommendations to the Texas legislature on how to help ensure access to healthcare for all Texans. Addresses access to care, rural health, the mental health and behavioral health workforce, and teleservices and technology.
Date: 11/2022
Sponsoring organization: Texas Statewide Health Coordinating Council
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Provides recommendations to the Texas legislature on how to help ensure access to healthcare for all Texans. Addresses access to care, rural health, the mental health and behavioral health workforce, and teleservices and technology.
Date: 11/2022
Sponsoring organization: Texas Statewide Health Coordinating Council
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Advancing Environmental Health and Justice: A Call for Assessment and Oversight of Health Care Waste
Addresses the impact on humans resulting from healthcare waste that is processed, incinerated, or transported to landfills. Discusses the inequities that occur with transport and waste sites that disproportionately harm communities of low-income and/or of color in urban and rural areas. Highlights evidence-based strategies and advocacy efforts for public health officials to support when developing solutions to reduce healthcare waste hazards and their effect on humans in rural and urban healthcare systems.
Date: 11/2022
Sponsoring organization: American Public Health Association
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Addresses the impact on humans resulting from healthcare waste that is processed, incinerated, or transported to landfills. Discusses the inequities that occur with transport and waste sites that disproportionately harm communities of low-income and/or of color in urban and rural areas. Highlights evidence-based strategies and advocacy efforts for public health officials to support when developing solutions to reduce healthcare waste hazards and their effect on humans in rural and urban healthcare systems.
Date: 11/2022
Sponsoring organization: American Public Health Association
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Access to Emergency Medical Services in Rural Communities: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Date: 11/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Date: 11/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid Population-Based Payment: The Current Landscape, Early Insights, and Considerations for Policymakers
Provides an overview of population-based payment (PBP) models and the Medicaid PBP landscape. Identifies promising strategies for designing and implementing PBPs in Medicaid and considerations for state and federal policymakers who want to support these programs. Highlights state PBP approaches, including the Pennsylvania Rural Health Model.
Author(s): Rob Houston, Anne Smithey, Kelsey Brykman
Date: 11/2022
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of population-based payment (PBP) models and the Medicaid PBP landscape. Identifies promising strategies for designing and implementing PBPs in Medicaid and considerations for state and federal policymakers who want to support these programs. Highlights state PBP approaches, including the Pennsylvania Rural Health Model.
Author(s): Rob Houston, Anne Smithey, Kelsey Brykman
Date: 11/2022
Sponsoring organization: Center for Health Care Strategies
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National Rural Health Day Webinar: CMS Framework for Advancing Health Care
Recording of a November 15, 2022, webinar providing an overview of the Centers for Medicare & Medicaid (CMS) Framework for Advancing Health Care in Rural, Tribal and Geographically Isolated Communities. Discusses the CMS Framework for Health Equity and identifies other rural health resources, including other recent CMS rural health reports.
Additional links: Presentation Slides, Transcript
Date: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a November 15, 2022, webinar providing an overview of the Centers for Medicare & Medicaid (CMS) Framework for Advancing Health Care in Rural, Tribal and Geographically Isolated Communities. Discusses the CMS Framework for Health Equity and identifies other rural health resources, including other recent CMS rural health reports.
Additional links: Presentation Slides, Transcript
Date: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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