Rural Health
Resources by Type: Document
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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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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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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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 healthcare 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 healthcare 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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Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Sponsoring organization: Rural Health Value
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Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Sponsoring organization: Rural Health Value
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Sustainability Spotlight: State Funding for Produce Prescriptions
Provides an overview of two successful models of produce prescriptions (PPR) programs that provide access to fruits and vegetables for low-income families experiencing diet-related illness. Discusses sustainability, collaboration, and strategic planning of the New Mexico Fruit and Vegetable Prescription Program (FVRx) that works with tribal, rural, and frontier communities.
Author(s): Audrey Immel
Date: 09/2023
Sponsoring organization: No Kid Hungry
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Provides an overview of two successful models of produce prescriptions (PPR) programs that provide access to fruits and vegetables for low-income families experiencing diet-related illness. Discusses sustainability, collaboration, and strategic planning of the New Mexico Fruit and Vegetable Prescription Program (FVRx) that works with tribal, rural, and frontier communities.
Author(s): Audrey Immel
Date: 09/2023
Sponsoring organization: No Kid Hungry
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MedPAC Comment on CMS's Proposed Rule on the Physician Prospective Payment System for FY 2024
Comment on the August 7, 2023, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes discussions on payment rates for Medicare telehealth services; the Medicare Shared Savings Program, including regional adjustments; incorporating Medicare Advantage data into public reporting; and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the August 7, 2023, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes discussions on payment rates for Medicare telehealth services; the Medicare Shared Savings Program, including regional adjustments; incorporating Medicare Advantage data into public reporting; and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Patient and Provider Perceptions of Telehealth Implemented During the COVID-19 Pandemic
Evaluates patient and provider perceptions of telehealth in a large, rural healthcare system as well as the sustainability of telehealth during and after the COVID-19 pandemic. Utilizes 2020-2021 survey data to analyze patient satisfaction with telehealth and its perceived value and efficiency according to providers. Considers the long-term effectiveness of telehealth by assessing differences in missed appointments when compared to in-person visits at a family practice clinic.
Author(s): David Klee, Derek Pyne, Joshua Kroll, William James, Kelly A. Hirko
Citation: BMC Health Services Research, 23, 981
Date: 09/2023
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Evaluates patient and provider perceptions of telehealth in a large, rural healthcare system as well as the sustainability of telehealth during and after the COVID-19 pandemic. Utilizes 2020-2021 survey data to analyze patient satisfaction with telehealth and its perceived value and efficiency according to providers. Considers the long-term effectiveness of telehealth by assessing differences in missed appointments when compared to in-person visits at a family practice clinic.
Author(s): David Klee, Derek Pyne, Joshua Kroll, William James, Kelly A. Hirko
Citation: BMC Health Services Research, 23, 981
Date: 09/2023
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Poverty in the United States: 2022
Reports on poverty rates for 2021 and 2022, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. 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): Emily A. Shrider, John Creamer
Date: 09/2023
Sponsoring organization: U.S. Census Bureau
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Reports on poverty rates for 2021 and 2022, including changes in official poverty and changes in the Supplemental Poverty Measure (SPM) rate. 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): Emily A. Shrider, John Creamer
Date: 09/2023
Sponsoring organization: U.S. Census Bureau
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