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Rural Health
Resources by Type: Document

30 Years Of 340B: Preserving The Health Care Safety Net
Discusses the development and purpose of the 340B Drug Pricing Program, and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 38 States and DC
Presents data from 38 states on the number of all-cause hospitalizations and in-hospital deaths between April-December 2020 compared to the same period in 2019. Includes data by location of patient residence for large metro, medium and small metro, and rural areas.
Author(s): Marc Roemer, Jennifer Welch
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Preserve Telehealth Access Act of 2021: Telehealth Recommendations
Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Sponsoring organization: Maryland Health Care Commission
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Financial Impact of Telehealth: Rural Chief Financial Officer Perspectives
Explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs. Discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Author(s): Lori Uscher-Pines, Jessica L. Sousa, Kori S. Zachrison, Lee Schwamm, Ateev Mehrotra
Citation: The American Journal of Managed Care, 28(12), e436-e443
Date: 12/2022
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America's Health Rankings Annual Report 2022
Provides a national and state-by-state overview of population health by analyzing 51 measures to describe health outcomes in the U.S. and 32 additional measures used to track current and emerging health issues at state and national levels. Examines the effects of the COVID-19 pandemic in 2020 and 2021. Presents findings from the October 2022 COVID-Era Disparities Survey. Explores racial and ethnic disparities throughout, including data on American Indian/Alaska Native populations.
Additional links: Executive Brief
Date: 12/2022
Sponsoring organization: United Health Foundation
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Recent Data Suggest Rural America Is Growing Again After a Decade of Population Loss
Offers a snapshot of rural population changes, highlighting metro and nonmetro changes between 2010 and 2021 based on Census Bureau Population Estimates Program and Decennial Census data. Discusses trends and investments in rural areas that may impact population growth or decline.
Author(s): Kenneth M. Johnson
Date: 12/2022
Sponsoring organization: Carsey School of Public Policy
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Exploring Health Insurance Coverage in the North Central Region at the Intersection of Location, Employment, Gender, Race, and Ethnicity
Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type and demographic variables.
Date: 12/2022
Sponsoring organization: North Central Regional Center for Rural Development
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Evaluation of the Primary Care First Model: First Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the first performance year of the PCF model for Cohort 1 practices. Explores advanced primary care attributes that Cohort 1 practices report they possessed at the start of PCF and the approaches these practices have taken or plan to take to change how they deliver advanced primary care. Presents findings on the 13 payers that are partnering with the Centers for Medicare & Medicaid Services (CMS) as payer partners, including why they chose to partner with CMS and efforts made to align their payments with CMS in the PCF model.
Additional links: Findings at a Glance
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic
Presents a study of telehealth expansion during the COVID-19 pandemic and program integrity risks, including fraud, waste, and abuse. Offers a range of data on telehealth usage and programs
Date: 12/2022
Sponsoring organizations: Office of Inspector General (HHS), Pandemic Response Accountability Committee
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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