Rural Health
Resources by Type: Document
Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trajectory of COVID-19 Vaccine Hesitancy Over Time and Association of Initial Vaccine Hesitancy With Subsequent Vaccination
Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Assesses the association between baseline vaccine hesitancy and vaccine receipt at study follow-up, using data from 3,439 participants surveyed between August-December 2020 and again between March-April 2021. Also explores the validity of vaccine self-report. Features demographic statistics with breakdowns by metropolitan or nonmetropolitan location.
Author(s): Aaron J. Siegler, Nicole Luisi, Eric W. Hall, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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NADTC Best Practices Compendium
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
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Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Trends in Death Rates in Urban and Rural Areas: United States, 1999-2019
Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Sponsoring organization: National Center for Health Statistics
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Examines national trends for age-adjusted death rates in urban and rural areas by sex. Includes data for the 10 leading causes of death in 2019 by urban and rural status.
Author(s): Sally C. Curtin, Merianne Rose Spencer
Date: 09/2021
Sponsoring organization: National Center for Health Statistics
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Creating New Rural Residency Programs: Three Grantees Share Their Stories
Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Highlights three rural residency programs in Pennsylvania, Mississippi, and California. Discusses program accomplishments made possible through funding from the Federal Office of Rural Health Policy's Rural Residency Planning and Development Program.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Quality of Care Before and After Mergers and Acquisitions of Rural Hospitals
Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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