Rural Health
Resources by Topic: Policy
Current State of the Health Center Workforce: Pandemic Challenges and Policy Solutions to Strengthen the Workforce of the Future
Presents results of a February 2022 survey regarding health center employee turnover in the prior 6 months. Compares survey results from urban and rural health centers, as well as the smallest and largest health centers. Identifies the workforce categories with the highest rates of employee turnover and the most common reasons for staff departures. Discusses policies that can be used to recruit and retain health center staff.
Date: 03/2022
Sponsoring organization: National Association of Community Health Centers
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Presents results of a February 2022 survey regarding health center employee turnover in the prior 6 months. Compares survey results from urban and rural health centers, as well as the smallest and largest health centers. Identifies the workforce categories with the highest rates of employee turnover and the most common reasons for staff departures. Discusses policies that can be used to recruit and retain health center staff.
Date: 03/2022
Sponsoring organization: National Association of Community Health Centers
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Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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Strengthening Federal Mental Health and Substance Use Disorder Programs: Opportunities, Challenges, and Emerging Issues
Presents a full committee hearing of the U.S. Senate Committee on Health, Education, Labor, and Pensions discussing the current state of federal mental health and substance use disorder programs. Features testimonies from representatives of the Heath Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the National Institute of Mental Health, and the National Institute on Drug Abuse.
Additional links: Carole Johnson Testimony, Joshua A. Gordon Testimony, Miriam E. Delphin-Rittmon Testimony, Nora D. Volkow Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Presents a full committee hearing of the U.S. Senate Committee on Health, Education, Labor, and Pensions discussing the current state of federal mental health and substance use disorder programs. Features testimonies from representatives of the Heath Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the National Institute of Mental Health, and the National Institute on Drug Abuse.
Additional links: Carole Johnson Testimony, Joshua A. Gordon Testimony, Miriam E. Delphin-Rittmon Testimony, Nora D. Volkow Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Rural Quality of Life: Opportunities and Challenges for the Rural Care Economy
Recording of a March 22, 2022, hearing of the U.S. Senate Committee on Agriculture, Nutrition, and Forestry on challenges and opportunities for the care economy in rural communities. Features testimony from the U.S. Department of Agriculture Undersecretary for Rural Development, the University of Minnesota Rural Health Research Center, and Southeast Health Group, a Certified Community Behavioral Health Clinic (CCBHC) in rural La Junta, Colorado.
Additional links: Carrie Henning-Smith, University of Minnesota Rural Health Research Center - Testimony, Joseph Carrica, Southeast Health Group - Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Agriculture, Nutrition, and Forestry
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Recording of a March 22, 2022, hearing of the U.S. Senate Committee on Agriculture, Nutrition, and Forestry on challenges and opportunities for the care economy in rural communities. Features testimony from the U.S. Department of Agriculture Undersecretary for Rural Development, the University of Minnesota Rural Health Research Center, and Southeast Health Group, a Certified Community Behavioral Health Clinic (CCBHC) in rural La Junta, Colorado.
Additional links: Carrie Henning-Smith, University of Minnesota Rural Health Research Center - Testimony, Joseph Carrica, Southeast Health Group - Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Agriculture, Nutrition, and Forestry
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Do Rural Hospitals Have An Advantage During A Pandemic?
Analysis of the challenges, advantages, and policy landscape affecting rural hospitals during the COVID-19 pandemic. Discusses workforce issues, community relationships, and emergency preparedness.
Author(s): Miriam Krikorian Atkinson, John L. Hick, Sara J. Singer, Nicholas V. Cagliuso, Paul D. Biddinger
Citation: Health Affairs Forefront
Date: 03/2022
Sponsoring organization: Health Affairs
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Analysis of the challenges, advantages, and policy landscape affecting rural hospitals during the COVID-19 pandemic. Discusses workforce issues, community relationships, and emergency preparedness.
Author(s): Miriam Krikorian Atkinson, John L. Hick, Sara J. Singer, Nicholas V. Cagliuso, Paul D. Biddinger
Citation: Health Affairs Forefront
Date: 03/2022
Sponsoring organization: Health Affairs
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VA Recommendations to the Asset and Infrastructure Review (AIR) Commission
Presents Department of Veterans Affairs' (VA) recommendations to the Asset and Infrastructure Review (AIR) Commission to modernize and realign the VA health care system. Recommendations cover investing in the VA outpatient care infrastructure, enhancing care for veterans with complex needs, providing access to inpatient medical and surgical care, and strengthening the VA's ability to execute its education, research, and emergency preparedness missions. Volume I outlines the legislative history; the present and future of VA health care, including the access needs of rural veterans; the methodology used to conduct the market assessments; and a national summary of the recommendations. Volume II details the recommendations and is organized by the 18 Veterans Integrated Service Networks (VISNs).
Additional links: Appendices, Volume I, Volume II
Date: 03/2022
Sponsoring organization: U.S. Department of Veterans Affairs
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Presents Department of Veterans Affairs' (VA) recommendations to the Asset and Infrastructure Review (AIR) Commission to modernize and realign the VA health care system. Recommendations cover investing in the VA outpatient care infrastructure, enhancing care for veterans with complex needs, providing access to inpatient medical and surgical care, and strengthening the VA's ability to execute its education, research, and emergency preparedness missions. Volume I outlines the legislative history; the present and future of VA health care, including the access needs of rural veterans; the methodology used to conduct the market assessments; and a national summary of the recommendations. Volume II details the recommendations and is organized by the 18 Veterans Integrated Service Networks (VISNs).
Additional links: Appendices, Volume I, Volume II
Date: 03/2022
Sponsoring organization: U.S. Department of Veterans Affairs
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2022
Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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USDA Rural Housing Programs: An Overview
Outlines housing programs administered by the U.S. Department of Agriculture's (USDA's) Rural Housing Service (RHS) and targeted specifically to residents of rural communities. Describes trends related to Section 502 Direct and Guaranteed Loans. Highlights policy proposals regarding multifamily housing preservation and the administration of rural housing programs. Includes information on the appropriations of rural housing programs between fiscal years 2017-2021.
Date: 03/2022
Sponsoring organization: Congressional Research Service
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Outlines housing programs administered by the U.S. Department of Agriculture's (USDA's) Rural Housing Service (RHS) and targeted specifically to residents of rural communities. Describes trends related to Section 502 Direct and Guaranteed Loans. Highlights policy proposals regarding multifamily housing preservation and the administration of rural housing programs. Includes information on the appropriations of rural housing programs between fiscal years 2017-2021.
Date: 03/2022
Sponsoring organization: Congressional Research Service
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Indian Health Service: Information on Third-Party Collections and Processes to Procure Supplies and Services
Reviews the Indian Health Service (IHS) oversight of collections received from third-party payers such as Medicare, Medicaid, and private insurance for care provided to patients. Examines recent trends in third-party collections; describes IHS's processes to procure medical supplies, pharmaceuticals, and health care services; and discusses the extent to which IHS has entered into procurement contracts under the Buy Indian Act.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Reviews the Indian Health Service (IHS) oversight of collections received from third-party payers such as Medicare, Medicaid, and private insurance for care provided to patients. Examines recent trends in third-party collections; describes IHS's processes to procure medical supplies, pharmaceuticals, and health care services; and discusses the extent to which IHS has entered into procurement contracts under the Buy Indian Act.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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