Rural Health
Resources by Type: Document
Optimizing Inpatient Bed Management in a Rural Community-Based Hospital: A Quality Improvement Initiative
Provides an overview of a project aimed at maintaining appropriate hospital bed capacity within a hub-and-spoke healthcare system in rural, southwest Minnesota. Discusses project phases of discovery, planning, and implementation, as well as the strategy to increase capacity at the tertiary/hub medical center by utilizing beds at partner/spoke hospitals for less complex or acute inpatient stays.
Author(s): Brian N. Bartlett, Nadine N. Vanhoudt, Hanyin Wang, et al.
Citation: BMC Health Services Research, 23, 1000
Date: 09/2023
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Provides an overview of a project aimed at maintaining appropriate hospital bed capacity within a hub-and-spoke healthcare system in rural, southwest Minnesota. Discusses project phases of discovery, planning, and implementation, as well as the strategy to increase capacity at the tertiary/hub medical center by utilizing beds at partner/spoke hospitals for less complex or acute inpatient stays.
Author(s): Brian N. Bartlett, Nadine N. Vanhoudt, Hanyin Wang, et al.
Citation: BMC Health Services Research, 23, 1000
Date: 09/2023
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US Pediatric Primary Care Physician Workforce in Rural Areas, 2010 to 2020
Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Research letter assessing the growth and distribution of the general pediatrician and family medicine physician workforce from 2010-2020 across U.S. counties, and identifying sociodemographic characteristics of counties lacking these physicians. Features statistics with breakdowns by partly rural, entirely rural, and total counties.
Author(s): Tarun Ramesh, Hao Yu
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Trends and Predictors of Glycemic Control Among Adults With Type 2 Diabetes Covered by Alabama Medicaid, 2011–2019
Analyzes trends and predictors related to achieving optimum targets for glycemic control in adults with type 2 diabetes. Analyzes 2011-2019 Medicaid data from 18,560 patients living in Alabama according to sex, race/ethnicity, reason for Medicaid eligibility, ambulatory/acute care use, comorbidities, and urban, small town, or rural residence.
Author(s): Caroline A. Presley, Yulia Khodneva, Lucia D. Juarez, et al.
Citation: Preventing Chronic Disease, 20
Date: 09/2023
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Analyzes trends and predictors related to achieving optimum targets for glycemic control in adults with type 2 diabetes. Analyzes 2011-2019 Medicaid data from 18,560 patients living in Alabama according to sex, race/ethnicity, reason for Medicaid eligibility, ambulatory/acute care use, comorbidities, and urban, small town, or rural residence.
Author(s): Caroline A. Presley, Yulia Khodneva, Lucia D. Juarez, et al.
Citation: Preventing Chronic Disease, 20
Date: 09/2023
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The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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Health Panel Comment Letter - 2024 Physician Fee Schedule and Medicare Part B Proposed Rule
Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 13, 2023, Federal Register proposed rule revising the Medicare Physician Fee Schedule. Includes discussions on telehealth services, services addressing health-related social needs, advancing access to behavioral health services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), and the Medicare Shared Savings Program.
Date: 09/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Young Adult Homelessness: Options to Improve Employment and Housing Security
Discusses issues related to youth homelessness, such as the criminal justice system, foster care, education, lack of resources, underemployment, and experiences specific to rural areas. Provides policy options and examples that address youth homelessness.
Author(s): Cameron Rifkin
Date: 09/2023
Sponsoring organization: National Conference of State Legislatures
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Discusses issues related to youth homelessness, such as the criminal justice system, foster care, education, lack of resources, underemployment, and experiences specific to rural areas. Provides policy options and examples that address youth homelessness.
Author(s): Cameron Rifkin
Date: 09/2023
Sponsoring organization: National Conference of State Legislatures
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Telehealth Use and Experiences Among California Adults
Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Sponsoring organization: California Health Care Foundation
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Brief outlining 2021 telehealth use and satisfaction by various California populations. Includes usage by insurance type, race and ethnicity, primary language, and more. Data breakdown includes rural residence.
Date: 09/2023
Sponsoring organization: California Health Care Foundation
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Income in the United States: 2022
Reports on income levels for 2021 and 2022, along with the percent change from 2021 to 2022. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Gloria Guzman, Melissa Kollar
Date: 09/2023
Sponsoring organization: U.S. Census Bureau
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Reports on income levels for 2021 and 2022, along with the percent change from 2021 to 2022. Includes statistics for metropolitan and nonmetropolitan areas. Based on data from the 2023 and earlier Current Population Survey Annual Social and Economic Supplements.
Author(s): Gloria Guzman, Melissa Kollar
Date: 09/2023
Sponsoring organization: U.S. Census Bureau
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