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Rural Health
Resources by Topic: Service delivery models

Rural Hospitals and Medicaid Payment Policy
Fact sheet describing how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Navigating Towards Health
Examines how health navigators can be incorporated into workplaces and healthcare teams. Health navigators are professionals who help people find care despite barriers, such as insurance, transportation, or finding a doctor. Discusses three critical points for integrating health navigators into the workforce and offers guidance for employers to determine the appropriate ratio of navigators to patients.
Author(s): Karam Ahmad, Alex Caldwell, Brian Clark, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Colorado Health Institute
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Primary Care: The Foundation for a High Performance Rural Health Care System
Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telemedicine in N.H.
Radio interview discusses the advantages and barriers to telemedicine both broadly and within New Hampshire. Covers the role of state laws regarding reimbursement, broadband access, and how rural hospitals are using telemedicine.
Citation: New Hampshire Public Radio
Date: 07/2018
Type: Audio
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Community Care Integration
Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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Realizing the Benefits of Rural Broadband: Challenges and Solutions
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the benefits, challenges, and solutions to rural broadband issues. Features testimony from an Associate Administrator and Chief Nursing Officer at Wallowa Memorial Hospital, a 25-bed Critical Access Hospital (CAH) in Enterprise, Oregon, on the role broadband plays in healthcare access via telehealth to rural and frontier areas.
Additional links: Jenni Word Testimony
Date: 07/2018
Type: Video/Multimedia
Sponsoring organizations: House Energy and Commerce Committee, Subcommittee on Communications and Technology
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Average Beneficiary CMS Hierarchical Condition Category (HCC) Risk Scores for Rural and Urban Providers
Findings brief investigating potential differences in urban and rural CMS-HCC risk scores at the provider’s patient panel level. Features statistics from the 2015 Medicare Physician and Other Supplier Public Use File to compare patient panel CMS-HCC risk scores with breakdowns by urban and rural providers across provider specialties, census divisions, and Merit-Based Incentive Payment System (MIPS) participation requirements.
Author(s): Abby F. Hoffman, Kristin L. Reiter, Randy K. Randolph
Date: 07/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Comment on CMS's Interim Final Rule on Durable Medical Equipment Fee Schedule Adjustments
Describes Medicare's method of setting payment rates for durable medical equipment, prosthetics, orthotics, and supplies, and explains the reinstitution of 50/50 blended payment rates for rural and non-contiguous areas from June 1, 2018 to December 31, 2018.
Author(s): Francis J. Crosson
Date: 07/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Telepsychiatry Program: Children’s Hospital and Medical Center
Describes the development, impact, lessons learned, and future goals of a telepsychiatry program designed to provide behavioral healthcare services to children in rural Nebraska.
Date: 07/2018
Type: Document
Sponsoring organization: American Hospital Association
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