Rural Health
Resources by Type: Document
Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Third Annual Report
Reports on the first three program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first three program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Sponsoring organization: Rural Health Value
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Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Sponsoring organization: Rural Health Value
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Eat Healthy, Be Active Community Workshops Implemented with Rural Hispanic Women
Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
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Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
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CMS Pandemic Plan
Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Transformation Toolkit
Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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One in Three Adults Used Telehealth during the First Six Months of the Pandemic, but Unmet Needs for Care Persisted
Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Diagnosing and Managing Mild TBI in Rural Kids
Discusses the challenges of diagnosing and treating pediatric mild traumatic brain injury (mTBI) in rural areas. Covers recommendations and rules for computerized tomography (CT) scans and symptom assessment, recovery and support for patients, educational resources for patients and families, and telemedicine as an option that increases access to follow-up care for mTBI.
Author(s): Kelly Sarmiento
Date: 01/2021
Sponsoring organization: National Rural Health Association
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Discusses the challenges of diagnosing and treating pediatric mild traumatic brain injury (mTBI) in rural areas. Covers recommendations and rules for computerized tomography (CT) scans and symptom assessment, recovery and support for patients, educational resources for patients and families, and telemedicine as an option that increases access to follow-up care for mTBI.
Author(s): Kelly Sarmiento
Date: 01/2021
Sponsoring organization: National Rural Health Association
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