Rural Health
Resources by Type: Document
Accessing Clean Water Infrastructure Assistance: Small, Rural, Disadvantaged, and Underserved Communities
Recording of a November 8, 2023, hearing exploring how the Clean Water State Revolving Fund can help address wastewater infrastructure challenges faced by small, rural, and underserved communities. Features testimony from the Rural Community Assistance Partnership; Nueces River Authority; and the Oklahoma Department of Environmental Quality, Water Quality Division.
Additional links: John Byrum, Nueces River Authority - Testimony, Olga Morales-Pate, Rural Community Assistance Partnership - Testimony, Shellie R. Chard, Oklahoma Department of Environmental Quality - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Environment and Public Works
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Recording of a November 8, 2023, hearing exploring how the Clean Water State Revolving Fund can help address wastewater infrastructure challenges faced by small, rural, and underserved communities. Features testimony from the Rural Community Assistance Partnership; Nueces River Authority; and the Oklahoma Department of Environmental Quality, Water Quality Division.
Additional links: John Byrum, Nueces River Authority - Testimony, Olga Morales-Pate, Rural Community Assistance Partnership - Testimony, Shellie R. Chard, Oklahoma Department of Environmental Quality - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Environment and Public Works
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HHS is Taking Action to Strengthen Primary Care
Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Sponsoring organization: U.S. Department of Health and Human Services
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Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Sponsoring organization: U.S. Department of Health and Human Services
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Indian Health Service: Many Federal Facilities Are in Fair or Poor Condition and Better Data Are Needed on Medical Equipment
Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Examines the state of the Indian Health Service's (IHS) federally-operated medical facilities and equipment between January 2022 and November 2023. Describes IHS efforts to mitigate the negative effects aging facilities and equipment may have on patient care. Offers policy recommendations to the Director of IHS regarding equipment planning, acquisition, and management.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Public Health Preparedness: Building and Maintaining Infrastructure beyond the COVID-19 Pandemic
Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Sponsoring organization: Government Accountability Office
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Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection
Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Beliefs about Dementia and Risk Reducing Behavior: An Empirical Analysis of Adults Age 40 and Above in the Midwest, Metro versus Nonmetro
Examines beliefs and perceptions of Midwesterners regarding dementia and related disease-mitigating behaviors. Utilizes 2021 AARP data to analyze perception of memory problems, use of medication, mental sharpness, beliefs about dementia, and risk reduction, broken down by metro or nonmetro location.
Author(s): Adee Athiyaman
Date: 11/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines beliefs and perceptions of Midwesterners regarding dementia and related disease-mitigating behaviors. Utilizes 2021 AARP data to analyze perception of memory problems, use of medication, mental sharpness, beliefs about dementia, and risk reduction, broken down by metro or nonmetro location.
Author(s): Adee Athiyaman
Date: 11/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Medicare Advantage Enrollment Update 2023
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2023.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 11/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2023.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 11/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Matchmaking for Community Benefit: The Rural Partners Network Connects Rural Leaders With Federal Resources
Provides an overview of the U.S. Department of Agriculture (USDA) Rural Partners Network (RPN), which aims to coordinate rural-targeted capacity-building efforts across different federal agencies. Uses place-based economic development, capacity building, and coordination principles to evaluate the program's purpose, program design, and first 15 months of implementation. Describes rural economic development challenges and historical federal capacity-building efforts in rural areas. Offers recommendations for continued assessment and reporting and expanding the geographic reach of RPN.
Author(s): Jenny Tran, Mark Haggerty
Date: 11/2023
Sponsoring organization: Center for American Progress
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Provides an overview of the U.S. Department of Agriculture (USDA) Rural Partners Network (RPN), which aims to coordinate rural-targeted capacity-building efforts across different federal agencies. Uses place-based economic development, capacity building, and coordination principles to evaluate the program's purpose, program design, and first 15 months of implementation. Describes rural economic development challenges and historical federal capacity-building efforts in rural areas. Offers recommendations for continued assessment and reporting and expanding the geographic reach of RPN.
Author(s): Jenny Tran, Mark Haggerty
Date: 11/2023
Sponsoring organization: Center for American Progress
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Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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