Rural Health
Resources by Type: Document
Area-Level Deprivation and Adverse Childhood Experiences among High School Students in Maryland
Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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Examines the frequency of adverse childhood experiences (ACEs) in adolescents in Maryland such as food insecurity and parental addiction, mental illness, violence, or incarceration. Reports on the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey data of 41,091 adolescents to examine the connection between ACEs and area-level deprivation. Includes data breakdowns by rural/not rural county.
Author(s): Shaheen Kurani, Lindsey Webb, Kechna Cadet, et al.
Citation: BMC Public Health, 22, 811
Date: 04/2022
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Cancer Screening among Rural People Who Use Drugs: Colliding Risks and Barriers
Examines cancer screening trends related to people who use drugs (PWUD) from 37 participant surveys and 8 follow-up interviews conducted between July 2020 and July 2021. Discusses issues of healthcare access and stigma for PWUD and how these issues impact cancer disparities in rural areas.
Author(s): Wiley D. Jenkins, Jennifer Rose, Yamile Molina, et al.
Citation: International Journal of Environmental Research and Public Health, 19(8)
Date: 04/2022
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Examines cancer screening trends related to people who use drugs (PWUD) from 37 participant surveys and 8 follow-up interviews conducted between July 2020 and July 2021. Discusses issues of healthcare access and stigma for PWUD and how these issues impact cancer disparities in rural areas.
Author(s): Wiley D. Jenkins, Jennifer Rose, Yamile Molina, et al.
Citation: International Journal of Environmental Research and Public Health, 19(8)
Date: 04/2022
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Structural and Community Changes During Covid-19 and Their Effects on Overdose Precursors among Rural People Who Use Drugs: A Mixed-Methods Analysis
Discusses the impact COVID-19 had on structural interventions to prevent drug overdose from August 2020 to May 2021 in rural Illinois. Reports on quantitative survey data such as drug use history and COVID-19 impacts of 50 participants and includes interview responses related to themes such as employment, housing, stigma, mental health, and drug market disruptions from 17 participants.
Author(s): Suzan M. Walters, Rebecca S. Bolinski, Ellen Almirol, et al.
Citation: Addiction Science & Clinical Practice, 17, 24
Date: 04/2022
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Discusses the impact COVID-19 had on structural interventions to prevent drug overdose from August 2020 to May 2021 in rural Illinois. Reports on quantitative survey data such as drug use history and COVID-19 impacts of 50 participants and includes interview responses related to themes such as employment, housing, stigma, mental health, and drug market disruptions from 17 participants.
Author(s): Suzan M. Walters, Rebecca S. Bolinski, Ellen Almirol, et al.
Citation: Addiction Science & Clinical Practice, 17, 24
Date: 04/2022
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Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Evaluation of the Medicare Care Choices Model: Annual Report 4
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. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Sponsoring organizations: Centers for Medicare and 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. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Identification of Cancer Related Risk and Protective Factors for American Indian Youth: A Mixed Studies Review
Analyzes 75 journal articles to identify cancer related themes impacting the health of American Indian youth. Discusses risk and protective factors at the individual, non-family relationship, family relationship, community, institutional, and cultural level. Highlights the need for better data collection tools and describes potential interventions on the part of tribal communities.
Author(s): Melanie Nadeau, Kathryn Wise, Vianca Farfan Cuela, Devon Olson, Karan Saravana
Citation: Frontiers in Public Health, 10
Date: 04/2022
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Analyzes 75 journal articles to identify cancer related themes impacting the health of American Indian youth. Discusses risk and protective factors at the individual, non-family relationship, family relationship, community, institutional, and cultural level. Highlights the need for better data collection tools and describes potential interventions on the part of tribal communities.
Author(s): Melanie Nadeau, Kathryn Wise, Vianca Farfan Cuela, Devon Olson, Karan Saravana
Citation: Frontiers in Public Health, 10
Date: 04/2022
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual 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. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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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. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Individual and Neighborhood Influences on the Relationship Between Waist Circumference and Coronary Heart Disease in the REasons for Geographic and Racial Differences in Stroke Study
Explores a study correlating the waist circumference with incidence of coronary heart disease and discusses the influence of geography and socioeconomic factors, such as race, poverty, and rurality, among others. Breaks down data by individual and ecological characteristics.
Author(s): Anne H. Gaglioti, Desiree Rivers, Joanna Bryan Ringel, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
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Explores a study correlating the waist circumference with incidence of coronary heart disease and discusses the influence of geography and socioeconomic factors, such as race, poverty, and rurality, among others. Breaks down data by individual and ecological characteristics.
Author(s): Anne H. Gaglioti, Desiree Rivers, Joanna Bryan Ringel, et al.
Citation: Preventing Chronic Disease, 19
Date: 04/2022
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MACPAC Response to CMS Request for Information on Access and Coverage in Medicaid and CHIP
Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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