Rural Health
Resources by Type: Document
State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Medicare Switching: Patterns Of Enrollment Growth In Medicare Advantage, 2006–22
Analyzes enrollment in Medicare Advantage (MA) and traditional Medicare between 2006 and 2022 to identify trends in switching services. Discusses demographic and geographic characteristics of those who switched including rurality.
Author(s): Lanlan Xu, W. Pete Welch, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Citation: Health Affairs, 42(9)
Date: 09/2023
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Analyzes enrollment in Medicare Advantage (MA) and traditional Medicare between 2006 and 2022 to identify trends in switching services. Discusses demographic and geographic characteristics of those who switched including rurality.
Author(s): Lanlan Xu, W. Pete Welch, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Citation: Health Affairs, 42(9)
Date: 09/2023
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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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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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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SARS-CoV-2 Infection and Long COVID among California Farmworkers
Examines the prevalence of long COVID among farmworkers in a rural agricultural region of California. Utilizes 2022 California Farmworker Health Study (CFHS) data to analyze 297 farmworkers for COVID-19 health issues according to sex, age, education, household characteristics, and health characteristics.
Author(s): Ana M. Mora, Katherine Kogut, Nimrat K. Sandhu, et al.
Citation: Journal of Rural Health, 40(2), 292-302
Date: 09/2023
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Examines the prevalence of long COVID among farmworkers in a rural agricultural region of California. Utilizes 2022 California Farmworker Health Study (CFHS) data to analyze 297 farmworkers for COVID-19 health issues according to sex, age, education, household characteristics, and health characteristics.
Author(s): Ana M. Mora, Katherine Kogut, Nimrat K. Sandhu, et al.
Citation: Journal of Rural Health, 40(2), 292-302
Date: 09/2023
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Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
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Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
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 & 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 & 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 & 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 & Medicaid Services, L&M Policy Research
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