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Resources by Topic: Transportation

Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System
Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics, including age, sex, race, and ethnicity, and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
Type: Document
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2020 Transportation Trends
Identifies trends and issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural areas to address transportation needs.
Date: 07/2021
Type: Document
Sponsoring organization: National Aging and Disability Transportation Center
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Rural-Urban Variations in Travel Burdens for Care: Findings from the 2017 National Household Travel Survey
Provides estimates of the distance traveled and time spent on one-way trips for medical and dental care, examines how rural residents' travel behaviors vary by sociodemographic and geographic characteristics, and evaluates factors associated with a high travel burden for medical and dental care among rural residents. Features statistics with breakdowns by time and distance traveled, age, sex, race/ethnicity, household income, and rural or urban residence.
Additional links: Executive Summary
Author(s): Marvellous Akinlotan, Kristin Primm, Nima Khodakarami, Jane Bolin, Alva O. Ferdinand
Date: 07/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Understanding the Value of the Medicaid Non-Emergency Medical Transportation Benefit
Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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National RTAP/FTA Webinar: Rural Transportation Planning and the COVID-19 Response
Webinar recording discusses how the COVID-19 pandemic has affected rural and tribal transit, their communities, and the providers responding to the pandemic. Features speakers from the Federal Transit Administration, the National Rural Transit Assistance Program, the Confederated Tribes of the Umatilla Indian Reservation, the Crawford Area Transit Authority, and Nevada County Transit Services.
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: National Rural Transit Assistance Program
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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An Analysis of the Costs and Benefits of Providing Increased Mobility to Reduce Social Isolation Among America's Aging Population
Quantifies the cost of providing greater mobility to aging adults through public transportation in small urban and rural communities, using data from 10 states representing different regions of the country with large rural populations or a large percentage of rural residents. Features statistics on population with breakdowns by percentage of rural residents, and operating costs compared with increased Medicare costs due to isolation, with breakdowns by state.
Additional links: Executive Summary
Author(s): Del Peterson, Antonio Molina
Date: 05/2021
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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RideSheet: A Transportation Technology Solution for Rural America
Explores how two non-emergency medical transportation providers in a rural county in Oregon used the open-sourced software, RideSheet, to improve scheduling and data collection. Discusses how scheduling software can make non-emergency transportation more efficient and effective.
Author(s): Jana Lynott
Date: 05/2021
Type: Document
Sponsoring organization: AARP
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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