Rural Health
Resources by Topic: Transportation
Veterans Affairs: Actions Needed to Improve Access to Care in the U.S. Territories and Freely Associated States
Examines how the U.S. Department of Veterans Affairs (VA) estimates the population of veterans in the U.S. territories and freely associated states (FAS) to inform resource allocation and outreach needs. Describes how the Veterans Health Administration (VHA) monitors veterans' use of and access to healthcare services at VHA facilities in the U.S. territories. Discusses challenges veterans face in accessing VHA services in the U.S. territories and FAS and VA efforts to address these challenges. Offers recommendations to the VA and Department of Defense to assess the data sources in its model for estimating the veteran population and its travel benefits policies for territory veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Examines how the U.S. Department of Veterans Affairs (VA) estimates the population of veterans in the U.S. territories and freely associated states (FAS) to inform resource allocation and outreach needs. Describes how the Veterans Health Administration (VHA) monitors veterans' use of and access to healthcare services at VHA facilities in the U.S. territories. Discusses challenges veterans face in accessing VHA services in the U.S. territories and FAS and VA efforts to address these challenges. Offers recommendations to the VA and Department of Defense to assess the data sources in its model for estimating the veteran population and its travel benefits policies for territory veterans.
Additional links: Full Report
Date: 05/2024
Sponsoring organization: Government Accountability Office
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Frontier Health Care: Ensuring Veterans' Access No Matter Where They Live
Recording of a May 15, 2024, U.S. Senate Committee on Veterans' Affairs hearing regarding rural veterans' access to healthcare and efforts to address challenges to care. Covers rural staffing and recruitment, limited access to broadband, distance to healthcare providers, and more. Features testimony from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration's Office of Rural Health, the Great Plains Veterans Services Center, the Government Accountability Office, and Disabled American Veterans.
Additional links: Alyssa M. Hundrup, Government Accountability Office - Testimony, Chauncey Parker, Great Plains Veterans Services Center - Testimony, Jon Retzer, Disabled American Veterans - Testimony, Peter Kaboli, U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health - Testimony
Date: 05/2024
Sponsoring organizations: Committee on Veterans' Affairs, U.S. Senate
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Recording of a May 15, 2024, U.S. Senate Committee on Veterans' Affairs hearing regarding rural veterans' access to healthcare and efforts to address challenges to care. Covers rural staffing and recruitment, limited access to broadband, distance to healthcare providers, and more. Features testimony from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration's Office of Rural Health, the Great Plains Veterans Services Center, the Government Accountability Office, and Disabled American Veterans.
Additional links: Alyssa M. Hundrup, Government Accountability Office - Testimony, Chauncey Parker, Great Plains Veterans Services Center - Testimony, Jon Retzer, Disabled American Veterans - Testimony, Peter Kaboli, U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health - Testimony
Date: 05/2024
Sponsoring organizations: Committee on Veterans' Affairs, U.S. Senate
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Health Wanted: Finding Care in Rural America
Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and cultural farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and cultural farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Transportation Provider Survey
Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Surveyed 445 transportation providers for people with disabilities and older adults in Fall 2023 to describe provider experiences and perspectives. Includes findings related to accessibility of vehicles, Section 5310 funding, fares, workforce challenges, technology, coordination activities, and equity. Discusses rural throughout.
Additional links: Transportation Provider Survey: Highlights
Date: 04/2024
Sponsoring organizations: National Aging and Disability Transportation Center, Southpaw Insights
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Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit
Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Ground Ambulance Industry Trends, 2017–2022: Analysis of Medicare Fee-for-Service Claims
Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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"Economic Development is Population Health": A New Vision for Rural Hospital Leadership
Describes the role that rural hospital investments can play in contributing to community health. Features a Wisconsin Critical Access Hospital making infrastructure investments in their downtown and a New Hampshire medical center investing in public transit and affordable housing.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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Describes the role that rural hospital investments can play in contributing to community health. Features a Wisconsin Critical Access Hospital making infrastructure investments in their downtown and a New Hampshire medical center investing in public transit and affordable housing.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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U.S. Department of Veterans Affairs and Indian Health Service Memorandum of Understanding - Annual Report, Fiscal Year 2023
Annual report details the accomplishments of the U.S. Department of Veterans Affairs (VA) and the Indian Health Service (IHS) via their memorandum of understanding. Highlights the ways the VA and IHS have worked together to deliver healthcare to American Indian and Alaska Native veterans and discusses future collaborations.
Date: 04/2024
Sponsoring organizations: Indian Health Service, U.S. Department of Veterans Affairs
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Annual report details the accomplishments of the U.S. Department of Veterans Affairs (VA) and the Indian Health Service (IHS) via their memorandum of understanding. Highlights the ways the VA and IHS have worked together to deliver healthcare to American Indian and Alaska Native veterans and discusses future collaborations.
Date: 04/2024
Sponsoring organizations: Indian Health Service, U.S. Department of Veterans Affairs
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Tribal Transportation Program Delivery Guide: A Guide for Tribes with an FHWA Tribal Transportation Program Agreement
A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA) to improve tribal road infrastructure.
Date: 04/2024
Sponsoring organizations: Federal Highway Administration, United States Department of Transportation
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A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA) to improve tribal road infrastructure.
Date: 04/2024
Sponsoring organizations: Federal Highway Administration, United States Department of Transportation
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Utilizing Public Transportation to End Food Insecurity in Rural and Small Urban Areas by Providing Better Access: A Case Study of Rural Counties in North Dakota
Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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