Rural Health
Resources by Type: Document
Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
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Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
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MedPAC Report to the Congress: Medicare Payment Policy, 2021
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19 and Rural Communities: Protecting Rural Lives and Health
Report examining the impact of COVID-19 in rural America, presenting data on case rates and mortality, prevalence in rural communities, and health conditions contributing to severe cases of COVID-19. Discusses issues of socioeconomic vulnerability, healthcare access, and public health compliance. Offers actions to address disparities, including increasing access, supporting livelihoods, and considering social determinants of health in healthcare planning.
Author(s): Jesse Bradford, Erica Coe, Kana Enomoto, Matt White
Date: 03/2021
Sponsoring organization: McKinsey & Company
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Report examining the impact of COVID-19 in rural America, presenting data on case rates and mortality, prevalence in rural communities, and health conditions contributing to severe cases of COVID-19. Discusses issues of socioeconomic vulnerability, healthcare access, and public health compliance. Offers actions to address disparities, including increasing access, supporting livelihoods, and considering social determinants of health in healthcare planning.
Author(s): Jesse Bradford, Erica Coe, Kana Enomoto, Matt White
Date: 03/2021
Sponsoring organization: McKinsey & Company
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Report to Congress on Medicaid and CHIP, March 2021
Reports on five aspects of Medicaid: 1) improving Medicaid's responsiveness during economic downturns; 2) addressing concerns about high rates of maternal morbidity and mortality; 3) reexamining Medicaid's estate recovery policies; 4) integrating care for people who are dually eligible for Medicaid and Medicare; and 5) improving hospital payment policy for the nation's safety-net hospitals. Chapter 5 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 5-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on five aspects of Medicaid: 1) improving Medicaid's responsiveness during economic downturns; 2) addressing concerns about high rates of maternal morbidity and mortality; 3) reexamining Medicaid's estate recovery policies; 4) integrating care for people who are dually eligible for Medicaid and Medicare; and 5) improving hospital payment policy for the nation's safety-net hospitals. Chapter 5 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 5-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Innovations and Workforce Challenges for CAHs during COVID-19
Presents results from a survey of Critical Access Hospitals (CAHs) on hospital operation and workforce adaptations in response to the COVID-19 pandemic. Discusses innovative practices adopted by CAHs related to hospital processes and clinical care. Describes how CAHs overcame workforce challenges during COVID-19.
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Presents results from a survey of Critical Access Hospitals (CAHs) on hospital operation and workforce adaptations in response to the COVID-19 pandemic. Discusses innovative practices adopted by CAHs related to hospital processes and clinical care. Describes how CAHs overcame workforce challenges during COVID-19.
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Health Care Utilization and Outcomes Associated with Accidental Poisonous Mushroom Ingestions — United States, 2016–2018
Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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The Digital Divide: What Is It, Where Is It, and Federal Assistance Programs
Describes the availability of broadband internet access in the United States by state and across urban, rural, and tribal areas. Outlines federal programs to fund and support broadband infrastructure and deployment.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Describes the availability of broadband internet access in the United States by state and across urban, rural, and tribal areas. Outlines federal programs to fund and support broadband infrastructure and deployment.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Medicare Hospital Payments: Adjusting for Variation in Geographic Area Wages
Provides an overview of the use of the hospital wage index applied to the Medicare inpatient prospective payment system (IPPS) to account for geographic differences in hospitals' labor costs. Discusses the effect of the wage index on Medicare payments for inpatient hospital services, exceptions to wage index adjustments, and proposals for wage index reforms.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of the use of the hospital wage index applied to the Medicare inpatient prospective payment system (IPPS) to account for geographic differences in hospitals' labor costs. Discusses the effect of the wage index on Medicare payments for inpatient hospital services, exceptions to wage index adjustments, and proposals for wage index reforms.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Electricity Grid: Opportunities Exist for DOE to Better Support Utilities in Improving Resilience to Hurricanes
Examines the measures utilities selected states have adopted since 2012 to enhance grid resilience following major hurricanes, and the challenges utilities face in funding these measures. Describes federal efforts to enhance grid resilience to hurricanes, and challenges unique to rural utilities.
Date: 03/2021
Sponsoring organization: Government Accountability Office
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Examines the measures utilities selected states have adopted since 2012 to enhance grid resilience following major hurricanes, and the challenges utilities face in funding these measures. Describes federal efforts to enhance grid resilience to hurricanes, and challenges unique to rural utilities.
Date: 03/2021
Sponsoring organization: Government Accountability Office
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The Distribution of the General Surgery Workforce in Rural and Urban America in 2019
Explores regional, rural-urban, and intra-rural differences in the supply of general surgeons, using 2019 data. Compares the 2019 findings to results of a similar analysis using 2001 data. Intended to give policymakers, workforce analysts, and medical educators an up-to-date picture of current and long-term trends in supply and distribution of the rural and urban general surgeon workforce. Features statistics with breakdowns by urban, rural, large rural, and small rural locations.
Author(s): Eric H. Larson, C. Holly A. Andrilla, John Kearney, Lisa A. Garberson, Davis G. Patterson
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Explores regional, rural-urban, and intra-rural differences in the supply of general surgeons, using 2019 data. Compares the 2019 findings to results of a similar analysis using 2001 data. Intended to give policymakers, workforce analysts, and medical educators an up-to-date picture of current and long-term trends in supply and distribution of the rural and urban general surgeon workforce. Features statistics with breakdowns by urban, rural, large rural, and small rural locations.
Author(s): Eric H. Larson, C. Holly A. Andrilla, John Kearney, Lisa A. Garberson, Davis G. Patterson
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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