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Rural Health
Resources by Topic: Substance abuse

Finalized CY 2020 Physician Fee Schedule
Fact sheet describing calendar year 2020 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule. Includes sections on opioid use disorder treatment services, care management services, chronic care remote physiologic monitoring services, and online digital evaluation service (E-visit).
Date: 11/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Opioid Hydra: Understanding Overdose Mortality Epidemics and Syndemics Across the Rural-Urban Continuum
Documents the trends in drug overdose mortality by opioid type along the ruralā€urban continuum. Identifies the opioid overdose mortality epidemics and opioid syndemic mortality rates by core-based statistical area (metropolitan and non-metropolitan county). Discusses the socioeconomic indicators including demographic, drug risk, and economic characteristics of communities affected by the different classes of opioid overdose epidemics.
Author(s): David J. Peters, Shannon M. Monnat, Andrew L. Hochstetler, et al.
Citation: Rural Sociology, 2019, 1-3
Date: 10/2019
Type: Document
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Analysis of Buprenorphine Prescribing Patterns Among Advanced Practitioners in Medicaid
Presentation slides from an October/November 2019 public meeting, describing the effects of the Comprehensive Addiction and Recovery Act of 2016 on access to opioid use disorder treatment for Medicaid beneficiaries. Includes information on urban and rural trends in prescribing.
Author(s): John Wedeles
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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SORH Response to the National Substance Use Disorder Crisis
Looks at the role of State Offices of Rural Health (SORHs) in state-level substance use disorder and opioid use disorder initiatives. Highlights the activities of SORHs in several states as case studies and details the lessons learned in those states.
Date: 10/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide
Report discusses different methods for adolescent substance use and suicide prevention. Highlights rates of suicide and substance use, such as binge drinking, misuse of pain medication, and vaping. Explores differences in rates for youth in rural and urban areas.
Date: 10/2019
Type: Document
Sponsoring organization: Trust for America's Health
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Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016
Presents statistics from the 2016 National Inpatient Sample (NIS) on delivery-related inpatient stays involving substance use disorders (SUDs). Types of SUDs reported include the use of opioids, cocaine, and other stimulants in urban and rural areas. Examines clinical outcomes at delivery including preterm delivery, severe preeclampsia/eclampsia, obstetric hemorrhage, and placental abruption. Compares delivery outcomes with or without SUD diagnosis, and by rural or urban residence of patient.
Author(s): Anita Soni, Kathryn R. Fingar, Lawrence D. Reid
Date: 10/2019
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Risk Factors and Potentially Preventable Deaths in Rural Communities
Compares rates of potentially avoidable deaths in rural and urban communities and shows how these deaths vary by census region. Features statistics on modifiable risk factors, such as smoking, excessive alcohol use, and obesity, and percent of potentially preventable deaths attributable to specific health conditions, with breakdowns by rural and urban areas.
Author(s): Mark Holmes, Kristie W. Thompson
Date: 10/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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West Virginia Substance Use Response Plan
Outlines West Virginia's plan to prevent and treat substance use disorder throughout the state. Details a number of goals in terms of prevention, treatment, research, and the criminal justice system pertaining to substance use disorder.
Date: 10/2019
Type: Document
Sponsoring organization: West Virginia Department of Health and Human Resources
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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