Rural Health
Resources by Type: Document
Five Things to Know About Medicare Site-Neutral Payment Reforms
Discusses site-neutral payment reforms that seek to align Medicare payments with outpatient services in different settings. Examines benefits and drawbacks of the policy and discusses how the policy would impact rural hospitals.
Author(s): Zachary Levinson, Tricia Neuman, Scott Hulver
Date: 06/2024
Sponsoring organization: KFF
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Discusses site-neutral payment reforms that seek to align Medicare payments with outpatient services in different settings. Examines benefits and drawbacks of the policy and discusses how the policy would impact rural hospitals.
Author(s): Zachary Levinson, Tricia Neuman, Scott Hulver
Date: 06/2024
Sponsoring organization: KFF
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Updated Analysis: Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021.
Author(s): Tanvi Rao, Angshuman Gooptu, Karin Johnson, Guido Cataife, Steven Susana-Castillo
Date: 06/2024
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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Explores the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2018 and 2019 to the second half of 2022 by the level of telehealth utilization in Hospital Service Areas (HSAs). Describes the effects of telehealth for urban and rural beneficiaries and differentiates between telehealth utilization for behavioral and non-behavioral health services. Updates a June 2023 report that analyzed data from 2021.
Author(s): Tanvi Rao, Angshuman Gooptu, Karin Johnson, Guido Cataife, Steven Susana-Castillo
Date: 06/2024
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2024
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers approaches for updating fee-for-service (FFS) Medicare's physician fee schedule (PFS) payments and incentivizing participation in alternative payment models; provider networks and prior authorization in Medicare Advantage (MA) plans; an assessment of the relative completeness of MA encounter data and other data sources; Medicare coverage and payments for medical software; alternate approaches to lower Medicare payment rates for select conditions in inpatient rehabilitation facilities; and Medicare's Acute Hospital Care at Home program. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers approaches for updating fee-for-service (FFS) Medicare's physician fee schedule (PFS) payments and incentivizing participation in alternative payment models; provider networks and prior authorization in Medicare Advantage (MA) plans; an assessment of the relative completeness of MA encounter data and other data sources; Medicare coverage and payments for medical software; alternate approaches to lower Medicare payment rates for select conditions in inpatient rehabilitation facilities; and Medicare's Acute Hospital Care at Home program. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Diagnosed Dementia in Adults Age 65 and Older: United States, 2022
Examines the prevalence of diagnosed dementia in the U.S. population in adults aged 65 or older. Utilizes 2022 National Health Interview Survey data to observe dementia prevalence in noninstitutionalized adults, with breakdowns according to demographics, veteran status, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan location.
Author(s): Ellen A. Kramarow
Date: 06/2024
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of diagnosed dementia in the U.S. population in adults aged 65 or older. Utilizes 2022 National Health Interview Survey data to observe dementia prevalence in noninstitutionalized adults, with breakdowns according to demographics, veteran status, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan location.
Author(s): Ellen A. Kramarow
Date: 06/2024
Sponsoring organization: National Center for Health Statistics
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Loneliness and Social Isolation Are Common in Rural America. Is "Social Infrastructure" the Solution?
Discusses structural factors that contribute to social isolation in rural areas. Features programs in Minnesota, Nebraska, and Alaska that are finding ways to build connection into rural communities.
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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Discusses structural factors that contribute to social isolation in rural areas. Features programs in Minnesota, Nebraska, and Alaska that are finding ways to build connection into rural communities.
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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Playbook for Enhancing Indiana's Mental and Behavioral Health Workforce
Provides an overview of strategies to improve the mental and behavioral health workforce in Indiana, with a focus on the health workforce pipeline, school-based behavioral health workforce, clinical training, and the alignment of education, policy, and practice. Includes county-level maps that depict workforce strength, location of behavioral health training programs, and Area Health Education Center (AHEC) regions. Includes data on behavioral health issues in Indiana as well as references to successful programs in other U.S. states.
Author(s): H.L. Maxey, M.M. Tobin
Date: 06/2024
Sponsoring organizations: Bowen Center for Health Workforce Research and Policy, Indiana University School of Medicine
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Provides an overview of strategies to improve the mental and behavioral health workforce in Indiana, with a focus on the health workforce pipeline, school-based behavioral health workforce, clinical training, and the alignment of education, policy, and practice. Includes county-level maps that depict workforce strength, location of behavioral health training programs, and Area Health Education Center (AHEC) regions. Includes data on behavioral health issues in Indiana as well as references to successful programs in other U.S. states.
Author(s): H.L. Maxey, M.M. Tobin
Date: 06/2024
Sponsoring organizations: Bowen Center for Health Workforce Research and Policy, Indiana University School of Medicine
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Effort Required and Lessons Learned from Recruiting Health Plans and Rural Primary Care Practices for a Cancer Screening Outreach Study
Explores factors influencing recruitment and enrollment of primary care practices for SMARTER CRC, a rural colorectal cancer (CRC) screening trial in Oregon. Discusses outreach strategies, relationship-building, messaging, reasons for participation among clinical practices and Medicare health plans, and more. Highlights rural-specific factors throughout.
Author(s): Brittany Badicke, Jennifer Coury, Emily Myers, et al.
Citation: Journal of Primary Care & Community Health, 15
Date: 06/2024
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Explores factors influencing recruitment and enrollment of primary care practices for SMARTER CRC, a rural colorectal cancer (CRC) screening trial in Oregon. Discusses outreach strategies, relationship-building, messaging, reasons for participation among clinical practices and Medicare health plans, and more. Highlights rural-specific factors throughout.
Author(s): Brittany Badicke, Jennifer Coury, Emily Myers, et al.
Citation: Journal of Primary Care & Community Health, 15
Date: 06/2024
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Racial and Ethnic Disparities in Cancer Occurrence and Outcomes in Rural United States: A Scoping Review
Literature review on racial and ethnic disparities in cancer burden, including discussion of cancer incidence, mortality, screening, access, and knowledge among underrepresented racial and ethnic groups in rural areas. Analyzes 30 studies from 2004-2023.
Author(s): Anuli Njoku, Wendemi Sawadogo, Princess Frimpong
Citation: Cancer Control, 31
Date: 06/2024
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Literature review on racial and ethnic disparities in cancer burden, including discussion of cancer incidence, mortality, screening, access, and knowledge among underrepresented racial and ethnic groups in rural areas. Analyzes 30 studies from 2004-2023.
Author(s): Anuli Njoku, Wendemi Sawadogo, Princess Frimpong
Citation: Cancer Control, 31
Date: 06/2024
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Report to Congress on Medicaid and CHIP, June 2024
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations for increased transparency in Medicaid and CHIP financing, tools for optimizing state Medicaid agency contracts (SMACs), enrollment trends in Medicare Savings Programs (MSPs), and demographic data collection in Medicaid. Includes rural references throughout.
Date: 06/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations for increased transparency in Medicaid and CHIP financing, tools for optimizing state Medicaid agency contracts (SMACs), enrollment trends in Medicare Savings Programs (MSPs), and demographic data collection in Medicaid. Includes rural references throughout.
Date: 06/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Road Safety Funding at the US Department of Transportation: Example Projects from 2022
Compiles a selection of projects from certain U.S. Department of Transportation (USDOT) discretionary and non-discretionary grant programs intended to address rural road safety. Helps prospective rural applicants understand how USDOT grants have previously been used to improve rural road safety, and showcases the importance of safety across USDOT grant programs.
Date: 06/2024
Sponsoring organization: U.S. Department of Transportation
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Compiles a selection of projects from certain U.S. Department of Transportation (USDOT) discretionary and non-discretionary grant programs intended to address rural road safety. Helps prospective rural applicants understand how USDOT grants have previously been used to improve rural road safety, and showcases the importance of safety across USDOT grant programs.
Date: 06/2024
Sponsoring organization: U.S. Department of Transportation
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