Rural Health
Resources by Topic: Rural-urban differences
CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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Redefining Rural: Towards a Better Understanding of Geography, Demography, and Economy in America's Rural Places
Offers a hybrid definition of rurality based on metro and nonmetro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Offers a hybrid definition of rurality based on metro and nonmetro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Meeting the Needs of Older Adults Living in Rural Communities: The Roles of Area Agencies on Aging
Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, sex, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Sponsoring organization: RAND Corporation
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Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, sex, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Sponsoring organization: RAND Corporation
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Which Hospitals Could Be Financially Affected by a Public Option?
Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Sponsoring organization: Urban Institute
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Describes the potential impacts of a public option health insurance plan on hospital finances, including rural hospitals. Analyzes hospital discharge data to identify hospitals that had a greater share of total charges paid by private insurance across 25 states. Presents data by hospital and patient characteristics.
Author(s): Anuj Gangopadhyaya, Claire O'Brien
Date: 03/2021
Sponsoring organization: Urban Institute
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QuickStats: Age-Adjusted Death Rates for Influenza and Pneumonia, by Urbanization Level and Sex — National Vital Statistics System, United States, 2019
Bar chart showing influenza and pneumonia death rates for urban and rural counties overall, for males, and for females.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(12), 456
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Bar chart showing influenza and pneumonia death rates for urban and rural counties overall, for males, and for females.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(12), 456
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Death Rates from COVID-19 Surpassed Urban Death Rates in Early September 2020
Chart showing weekly COVID-19 death rates per 100,000 adults, comparing urban and rural communities. Discusses higher death rates in rural areas in early September 2020, addressing factors impacting the increase.
Date: 03/2021
Sponsoring organization: USDA Economic Research Service
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Chart showing weekly COVID-19 death rates per 100,000 adults, comparing urban and rural communities. Discusses higher death rates in rural areas in early September 2020, addressing factors impacting the increase.
Date: 03/2021
Sponsoring organization: USDA Economic Research Service
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Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
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Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
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"All Hands On Deck": The COVID-19 Pandemic Through Nurses' Eyes
Podcast recording featuring Mary Wakefield describes the role of nurses and the challenges they have faced throughout the COVID-19 pandemic. Discusses shortages of personal protective equipment, workforce challenges, vaccine administration, and solutions to support nurses in the future. Highlights the experiences of nurses at rural hospitals and clinics.
Date: 03/2021
Sponsoring organization: Commonwealth Fund
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Podcast recording featuring Mary Wakefield describes the role of nurses and the challenges they have faced throughout the COVID-19 pandemic. Discusses shortages of personal protective equipment, workforce challenges, vaccine administration, and solutions to support nurses in the future. Highlights the experiences of nurses at rural hospitals and clinics.
Date: 03/2021
Sponsoring organization: Commonwealth Fund
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