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Rural Health
Resources by Type: Document

Understanding the Value of the Medicaid Non-Emergency Medical Transportation Benefit
Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Understanding VA's Use of and Relationships With Community Care Providers Under the MISSION Act
Highlights a study analyzing the VA Community Care Network (CCN) to better understand the needs of the program regionally and the challenges faced by community providers who work with the CCN. Draws data from a national survey of facility directors and breaks down facility data by percent rural, care specialty, and partnerships.
Author(s): Kristin M. Mattocks, Aimee Kroll-Desrosiers, Rebecca Kinney, et al.
Citation: Medical Care, 59, (6, Suppl3), 252-258
Date: 06/2021
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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COVID-19-Related Hospitalizations in 13 States, by Patient Location, 2020
Presents data on COVID-19-related hospitalizations in 13 states from April to September 2020. Examines the differences in monthly hospitalizations by the metropolitan status of the patient location. Includes statistics on the average length of stay for COVID-19-related hospitalizations on in-hospital mortality. Compares this data with hospitalization data from the same states during April-September 2019.
Author(s): Pamela L. Owens
Date: 06/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Faith in Recovery Coalition Offers Hope for Opioid Use Disorder in Fayette County, Ohio
Highlights the Pathways to Recovery program, which works to address opioid use disorder in rural Ohio. Efforts include educating providers and law enforcement, overdose prevention, harm reduction, and recovery support from Peer Support Specialists.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Demographic Factors Associated With Non-Guideline-Based Treatment of Kidney Cancer in the United States
Results of a study of 158,455 kidney patients, based on data from the National Cancer Database for the years 2010-2017. Examines whether demographic factors are associated with deviation from guideline-based treatment of kidney cancer. Features statistics with breakdowns by metropolitan, urban, and rural location of patients.
Author(s): Jeffrey M. Howard, Karabi Nandy, Solomon L. Woldu, Vitaly Margulis
Citation: JAMA Network Open, 4(6)
Date: 06/2021
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Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders
Evidence-based resource guide examining telehealth initiatives to treat serious mental illness (SMI) and substance use disorders (SUD) based on published research. Topics cover effectiveness of telehealth modalities, implementation of evidence-based practices, examples of telehealth treatment programs, and evaluation resources. Discusses rural-specific concerns throughout the guide.
Date: 06/2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care
Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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COVID-19 Vaccines: Audience Insights & Messaging Guidance for Rural Communities
Examines rural residents' perspectives and concerns about vaccines, so that business leaders can respond to employee questions and effectively share vaccine facts. Includes suggested messages and links for additional resources.
Additional links: A Checklist for Rural Employers: Making it Easier for Employees & Workers to get Vaccinated
Date: 06/2021
Sponsoring organization: Health Action Alliance
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