Rural Health
Resources by Topic: Transportation
Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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The State of Poverty in Ohio: Vulnerable to Disruption 2023 Report
Describes poverty in Ohio with sections on COVID-19 pandemic learning losses, mental health, and transportation. Features statistics showing variation between counties.
Date: 07/2023
Type: Document
Sponsoring organization: Ohio Association of Community Action Agencies
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Describes poverty in Ohio with sections on COVID-19 pandemic learning losses, mental health, and transportation. Features statistics showing variation between counties.
Date: 07/2023
Type: Document
Sponsoring organization: Ohio Association of Community Action Agencies
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Accommodation and Acceptability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status
Provides an overview of the "5 A's of Access" in healthcare: availability, accessibility, affordability, accommodation, and acceptability. Uses data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) to explore differences in accommodation and acceptability in rural and urban areas of eight states. Presents data on non-financial reasons for delaying care and satisfaction with the care received by urban/rural status and among rural respondents by race and ethnicity.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Provides an overview of the "5 A's of Access" in healthcare: availability, accessibility, affordability, accommodation, and acceptability. Uses data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) to explore differences in accommodation and acceptability in rural and urban areas of eight states. Presents data on non-financial reasons for delaying care and satisfaction with the care received by urban/rural status and among rural respondents by race and ethnicity.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Development and Evaluation of the Delivery-Based HEALED Produce Rx Program for Uninsured Patients With Diabetes in Rural Eastern North Carolina
A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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A program evaluation brief that provides an overview of the Healthy Eating and Active Lifestyle to Enhance Diabetes management (HEALED) program that surveyed patients in 2019 and then delivered plant-based foods to 40 participants as a part of a produce prescription (PRx) program in 2021. Reports on how PRx programs and related resources such as cooking instructions can positively impact diabetes patients. Discusses the importance of performing a needs assessment, pilot programming, and a formative evaluation in rural and underserved programs to remove food access barriers such as lack of transportation and involve participants in their own wellness journeys.
Author(s): Lauren R. Sastre, Brandon Stroud, Elisa Smith, Khadijah Hendrix, Olivia McBride
Citation: Preventing Chronic Disease, 20
Date: 06/2023
Type: Document
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Characterizing Social Insecurity in a Rural North Carolina Emergency Department
Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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Results of a study exploring, characterizing, and quantifying the social insecurity profile of emergency department patients at a rural teaching hospital in southeastern North Carolina with a large Native American population. Uses data from a survey questionnaire administered in May and June 2018, focusing on food insecurity, transportation insecurity, and exposure to violence.
Author(s): Elizabeth Gignac, Godwin Y. Dogbey, Aleksandr Pevtsov, et al.
Citation: Western Journal of Emergency Medicine, 24(3), 538–546
Date: 05/2023
Type: Document
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Comparing Public Transportation Services for Rural States in the Upper Midwest and Great Plains Region
Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the availability of public transportation in North Dakota, South Dakota, Montana, Wyoming, Nebraska, and Minnesota by comparing the availability of rural transit and urban transit services in these states. Includes county-level maps showing level of transportation services by days and hours available, rural trips per capita, and rural vehicle revenue miles (VRM) per capita. Provides a list of rural, tribal, and urban transit agencies by state, including those servicing medical trips.
Author(s): Jeremy Mattson, Bright Quayson, Zhila Dehdari Ebrahimi
Date: 05/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief focused on Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features rural stakeholder perspectives on the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Policy brief focused on Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features rural stakeholder perspectives on the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Addressing Food Insecurity in Rural Tennessee
A podcast that discusses local hospitals in rural Hardeman County, Tennessee that collaborated to improve access to healthy food for citizens who were experiencing food insecurity and a lack of transportation to grocery stores. Includes information on a community health needs assessment, data exploration, obesity rates, use of grant funds to address health and wellness, and more.
Author(s): Tom Haederle, John Supplitt, Ruby Kirby
Date: 05/2023
Type: Audio
Sponsoring organization: American Hospital Association
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A podcast that discusses local hospitals in rural Hardeman County, Tennessee that collaborated to improve access to healthy food for citizens who were experiencing food insecurity and a lack of transportation to grocery stores. Includes information on a community health needs assessment, data exploration, obesity rates, use of grant funds to address health and wellness, and more.
Author(s): Tom Haederle, John Supplitt, Ruby Kirby
Date: 05/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Improving Health Care Access in Rural Communities: Obstacles and Opportunities
Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide
Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Development Organizations
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Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Development Organizations
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