Rural Health
Resources by Topic: Policy
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report
Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2022 National Rural Health Association Policy Institute.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2022 National Rural Health Association Policy Institute.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Medicare: Information on Geographic Adjustments to Physician Payments for Physicians' Time, Skills, and Effort
Provides an overview of the work geographic practice cost indices (GPCI), which the Centers for Medicare & Medicaid Services uses to adjust Medicare physician payments to account for differences in the costs of providing care across various geographic locations. Examines the extent to which the work GPCI accounts for geographic variation in physician earnings and how Medicare payments could change under potential modifications to the work GPCI.
Additional links: Full Report
Date: 02/2022
Sponsoring organization: Government Accountability Office
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Provides an overview of the work geographic practice cost indices (GPCI), which the Centers for Medicare & Medicaid Services uses to adjust Medicare physician payments to account for differences in the costs of providing care across various geographic locations. Examines the extent to which the work GPCI accounts for geographic variation in physician earnings and how Medicare payments could change under potential modifications to the work GPCI.
Additional links: Full Report
Date: 02/2022
Sponsoring organization: Government Accountability Office
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Toward a Sustainable and Diversified Rural Health Workforce
Policy position paper focused on the rural health workforce. Provides an analysis of rural healthcare workforce data as well as federal and state policy levers related to the healthcare workforce. Offers policy recommendations and identifies areas for future analysis.
Author(s): Alison Coates, Whitney Zahnd, Courtney Burgin
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on the rural health workforce. Provides an analysis of rural healthcare workforce data as well as federal and state policy levers related to the healthcare workforce. Offers policy recommendations and identifies areas for future analysis.
Author(s): Alison Coates, Whitney Zahnd, Courtney Burgin
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Structural Factors That Impact Rural Life Expectancy
Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Rural Public Health: Improving the Health and Well-Being of Rural Populations
Policy position paper focused on public health activities in rural areas and the rural public health infrastructure. Offers policy recommendations that could improve rural public health outcomes.
Author(s): Brady Beecham, Vicki Brooks, Alanti McGill
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on public health activities in rural areas and the rural public health infrastructure. Offers policy recommendations that could improve rural public health outcomes.
Author(s): Brady Beecham, Vicki Brooks, Alanti McGill
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Rural Health Clinics
Policy position paper providing an overview of Rural Health Clinics. Offers policy recommendations regarding access to care, RHC reimbursement, and programmatic updates.
Author(s): Kelly Braun, Trent Bourland
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper providing an overview of Rural Health Clinics. Offers policy recommendations regarding access to care, RHC reimbursement, and programmatic updates.
Author(s): Kelly Braun, Trent Bourland
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Rural Emergency Hospital Conversion: Critical Factors for EMS Support
Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Mental Health in Rural Areas
Policy position paper focused on mental health in rural areas. Discusses barriers and policy recommendations regarding the availability, access, and acceptability of mental health care in rural communities.
Author(s): Brenda Mack, Heather Whetsell, Janessa M. Graves
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on mental health in rural areas. Discusses barriers and policy recommendations regarding the availability, access, and acceptability of mental health care in rural communities.
Author(s): Brenda Mack, Heather Whetsell, Janessa M. Graves
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Providing Health Literate Virtual Health Services: Proceedings of a Workshop-in Brief
Summarizes 3 presentations and a panel discussion from a virtual public workshop held on September 23, 2021, by the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy, covering health-literate telehealth services. Discusses challenges and potential for health-literate telehealth, access, and resources available through the HRSA Office for the Advancement of Telehealth (OAT).
Additional links: Read Online
Author(s): Board on Population Health
Date: 02/2022
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Summarizes 3 presentations and a panel discussion from a virtual public workshop held on September 23, 2021, by the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy, covering health-literate telehealth services. Discusses challenges and potential for health-literate telehealth, access, and resources available through the HRSA Office for the Advancement of Telehealth (OAT).
Additional links: Read Online
Author(s): Board on Population Health
Date: 02/2022
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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