Rural Health
Resources by Type: Document
Medicaid: Efforts to Address Fraud in Nonemergency Medical Transportation
Describes state approaches to administering the non-emergency medical transportation (NEMT) Medicaid benefit. Highlights how Colorado uses different approaches to serve urban and rural counties. Discusses the outcomes and findings of related fraud investigations and program audits and strategies selected states used to address related fraud.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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Describes state approaches to administering the non-emergency medical transportation (NEMT) Medicaid benefit. Highlights how Colorado uses different approaches to serve urban and rural counties. Discusses the outcomes and findings of related fraud investigations and program audits and strategies selected states used to address related fraud.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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The State of the Rural Economy in Indiana
Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Provides an overview of the rural economy in Indiana and includes data on issues such as population, employment and income, education, housing, agriculture, transportation, broadband, immigration, quality of life, and more. Provides county-level economic and demographic data as well as rural versus urban comparisons. Features information on the impact of the COVID-19 pandemic.
Author(s): Srikant Devaraj, Dagney Faulk, Michael Hicks, et al.
Date: 09/2022
Sponsoring organizations: Ball State University, Center for Business and Economic Research
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Opioid-Related Outcomes among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights 3 essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights 3 essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Rural Health Equity and Quality Summit Report
Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Sponsoring organization: National Rural Health Resource Center
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Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Sponsoring organization: National Rural Health Resource Center
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Medicare Telehealth: Actions Needed to Strengthen Oversight and Help Providers Educate Patients on Privacy and Security Risks
Analyzes 2019 and 2020 Medicare claims data to explore the utilization of telehealth services before and after the implementation of regulatory flexibilities and waivers in March 2020 in response to the COVID-19 pandemic. Describes efforts taken by the Centers for Medicare & Medicaid Services (CMS) to identify and monitor risks posed by Medicare telehealth waivers, as well as a change made to the enforcement of regulations governing patients' protected health information during the COVID-19 public health emergency. Offers three recommendations to CMS to strengthen oversight and assess the quality of telehealth services and one recommendation regarding assistance to providers to explain the privacy and security risks of telehealth to patients.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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Analyzes 2019 and 2020 Medicare claims data to explore the utilization of telehealth services before and after the implementation of regulatory flexibilities and waivers in March 2020 in response to the COVID-19 pandemic. Describes efforts taken by the Centers for Medicare & Medicaid Services (CMS) to identify and monitor risks posed by Medicare telehealth waivers, as well as a change made to the enforcement of regulations governing patients' protected health information during the COVID-19 public health emergency. Offers three recommendations to CMS to strengthen oversight and assess the quality of telehealth services and one recommendation regarding assistance to providers to explain the privacy and security risks of telehealth to patients.
Additional links: Full Report
Date: 09/2022
Sponsoring organization: Government Accountability Office
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Landscape of Area-Level Deprivation Measures and Other Approaches to Account for Social Risk and Social Determinants of Health in Health Care Payments
Examines social determinants of health (SDOH) at the community level and their impact on health-related social needs (HRSNs) of the individual. Discusses how policies related to federal payment systems can incentivize screening for HRSNs as well as referrals to appropriate social and behavioral services. Provides an environmental scan of what measures can be used to provide accountability for funding and policy efforts targeted at SDOH. Includes an appendix that defines and describes indices of social risk, such as the social vulnerability index (SVI) and area deprivation index (ADI), as well as payment models that include measures of social risk.
Author(s): Joshua Breslau, Laurie Martin, Justin Timbie, Nabeel Qureshi, Deborah Zajdman
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines social determinants of health (SDOH) at the community level and their impact on health-related social needs (HRSNs) of the individual. Discusses how policies related to federal payment systems can incentivize screening for HRSNs as well as referrals to appropriate social and behavioral services. Provides an environmental scan of what measures can be used to provide accountability for funding and policy efforts targeted at SDOH. Includes an appendix that defines and describes indices of social risk, such as the social vulnerability index (SVI) and area deprivation index (ADI), as well as payment models that include measures of social risk.
Author(s): Joshua Breslau, Laurie Martin, Justin Timbie, Nabeel Qureshi, Deborah Zajdman
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Partnership to Develop and Deliver Curriculum Supporting Student-Led Air Quality Research in Rural Washington State
Highlights a partnership between an urban and rural university and a tribal high school in Washington's Yakima Valley to conduct air-quality research. Discusses the design of the project, the roles and responsibilities of each party, and evaluates the success of the partnership.
Author(s): Orly Stampfer, Omar Torres Cassio, Jason A. Grajales, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 16(3), 411-420
Date: 09/2022
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Highlights a partnership between an urban and rural university and a tribal high school in Washington's Yakima Valley to conduct air-quality research. Discusses the design of the project, the roles and responsibilities of each party, and evaluates the success of the partnership.
Author(s): Orly Stampfer, Omar Torres Cassio, Jason A. Grajales, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 16(3), 411-420
Date: 09/2022
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Promotoras de Salud in a Father-Focused Nutrition and Physical Activity Program for Border Communities: Approaches and Lessons Learned from Collaboration
Explores the role community health workers, or promotoras de salud, played in the design, implementation, and evaluation of a father-focused health program for rural communities on the U.S.-Mexico border. Highlights some of the health and wellness issues for children and adults in the poor and under-resourced colonias along the U.S.-Mexico border.
Author(s): Cassandra M. Johnson, Marlyn A. Allicock, Joseph R. Sharkey, et al.
Citation: International Journal of Environmental Research and Public Health, 19(18), 11660
Date: 09/2022
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Explores the role community health workers, or promotoras de salud, played in the design, implementation, and evaluation of a father-focused health program for rural communities on the U.S.-Mexico border. Highlights some of the health and wellness issues for children and adults in the poor and under-resourced colonias along the U.S.-Mexico border.
Author(s): Cassandra M. Johnson, Marlyn A. Allicock, Joseph R. Sharkey, et al.
Citation: International Journal of Environmental Research and Public Health, 19(18), 11660
Date: 09/2022
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Examining the Burden of Public Stigma Associated with Mental Illness in the Rural United States
Policy brief documenting the burden of public stigma associated with mental illness in rural communities compared with nonrural areas. Features demographics and statistics on stigmatizing attitudes and beliefs with breakdowns by rurality, sex, and age.
Author(s): Michael Meit, Kate Beatty, Stephanie Mathis, Justin Kearley, Amy Wahlquist
Date: 09/2022
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Policy brief documenting the burden of public stigma associated with mental illness in rural communities compared with nonrural areas. Features demographics and statistics on stigmatizing attitudes and beliefs with breakdowns by rurality, sex, and age.
Author(s): Michael Meit, Kate Beatty, Stephanie Mathis, Justin Kearley, Amy Wahlquist
Date: 09/2022
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Measure Applications Partnership 2022 Considerations for Measure Set Review in Federal Programs: Clinician, Hospital, and Post-Acute Care/Long-Term Care
Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Sponsoring organization: National Quality Forum
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