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Rural Health
Resources by Topic: Rural-urban differences

Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Delivery of Fall Prevention Interventions for At-Risk Older Adults in Rural Areas: Findings from a National Dissemination
Identifies the geographical reach of 8 evidence-based fall prevention programs in the U.S. Compares fall prevention program dissemination characteristics by rurality. Includes participant and workshop statistics for the 8 fall prevention programs and various program delivery sites by metro, nonmetro adjacent, and nonmetro non-adjacent areas.
Author(s): Matthew Lee Smith, Samuel D. Towne, Angelica Herrera-Venson, et al.
Citation: International Journal of Environmental Research and Public Health, 15(12), 2798
Date: 12/2018
Type: Document
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New SASI Analysis: In the Deep South, Significant Percentages of People Most Impacted by HIV Live Outside Large Urban Areas Demonstrating a Need for Increased Federal Resources
Examines HIV data in the Deep South to help identify targets for federal funding, focusing on underserved groups in rural areas and small cities. Analyzes Black and Latino populations, drug injection users, men who have sex with men, women, and people aged 13-24 living with HIV. Identifies 6 states where a higher proportion of these groups live outside large, urban areas. See additional links for state-specific reports.
Additional links: Alabama Report, Georgia Report, Louisiana Report, Mississippi Report, North Carolina Report, South Carolina Report
Author(s): Carolyn McAllaster, Gabrielle Goodrow
Date: 12/2018
Type: Document
Sponsoring organizations: Duke University, Southern HIV/AIDS Strategy Initiative
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Medicare: Voluntary and Mandatory Episode-Based Payment Models and Their Participants
Reviews tests of 6 episode-based Medicare payment models. Describes the characteristics of providers that participated in these models, including rural or urban location, addresses factors affecting their decision to participate, and compares the advantages of mandatory versus voluntary participation.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Transit and Livability: Results from the National Community Livability Survey
Results from Phase 3 of a livability study examining the connection between transit and quality of life in metro urban and nonmetro rural communities. Features socio-demographic statistics and importance of factors affecting community livability, including access to healthcare, with breakdowns by metro and nonmetro location.
Author(s): Ranjit Godavarthy, Jeremy Mattson, Jonathan Brooks, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Disparities in Social Determinants of Health Outcomes and Behaviours Between Older Adults in Alaska and the Contiguous US: Evidence from a National Survey
Examines sociodemographic factors, rural versus urban residence, health outcomes, and behaviors among adults aged 65 years and older living in Alaska to those living in the contiguous 48 states. Assesses if residence, living in Alaska versus the lower 48 states, is associated with the social determinants of health and health outcomes.
Author(s): Steven A. Cohen, Ana X. Talamas, Natalie J. Sabik
Citation: International Journal of Circumpolar Health, 78(1)
Date: 12/2018
Type: Document
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Cesarean Delivery - New Mexico PRAMS
Reports on data from New Mexico's Pregnancy Risk Assessment Monitoring System (PRAMS) regarding the prevalence of cesarean sections (c-sections). Includes breakdowns by reason for c-section, age, race/ethnicity, rural/urban residence, and more.
Date: 12/2018
Type: Document
Sponsoring organization: New Mexico Department of Health
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Medicare Fee-for-Service: Information on the Second Year of Nationwide Reduced Payment Rates for Durable Medical Equipment
Analyzes 2017 Medicare claims data to describe changes in the number of beneficiaries receiving and suppliers furnishing Medicare beneficiaries with rate-adjusted versus non-adjusted items in non-bid areas. Includes information on changes in rural and non-rural non-bid areas.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Regional Forum Findings: A Component of the 2019 State Health Assessment
Reports on findings from 5 regional forums and an online survey of rural Appalachian and non-Appalachian, suburban, and urban counties in Ohio to inform the state health assessment and the state health improvement plan. Includes information on strengths, positive trends, challenges, negative trends, and priorities by rural and urban counties.
Additional links: Executive Summary
Author(s): Amy Bush Stevens, Hailey Akah
Date: 12/2018
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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