Rural Health
Resources by Type: Document
Rural–Urban Disparities in State-Level Diabetes Prevalence Among US Adults, 2021
Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Analyzes diabetes disparities among rural and urban populations in 41 states in the U.S. Utilizes 2021 Behavioral Risk Factor Surveillance System data to examine rural versus urban disparities and odds ratios (OR) for diabetes in different states.
Author(s): Olga Khavjou, Zohra Tayebali, Pyone Cho, Kristopher Myers, Ping Zhang
Citation: Preventing Chronic Disease, 21
Date: 01/2025
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Rural Roads to Cognitive Resilience (RRR): A Prospective Cohort Study Protocol
Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Study protocol to investigate the influence of smoke-related fine particulate matter exposures and social and built environments on social isolation and cognitive function among rural Floridians in areas affected by seasonal agricultural burning. Discusses the significance of health disparities associated with agriculture in predominantly Black and Hispanic communities.
Author(s): Lilah M. Besser, Lisa Wiese, Diane J. Cook, et al.
Citation: PloS ONE, 20(1), e0312660
Date: 01/2025
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
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Projecting the Impact of the $2,000 Part D Out-Of-Pocket Cap for Medicare Part D Enrollees with High Prescription Drug Spending
Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Lessons for Human Services: Perspectives of Program Participants on Extreme Weather and Environmental Hazards
Examines how human services programs mitigate issues caused by environmental hazards and extreme weather for low-income and underserved communities. Utilizes qualitative data from 41 participants, with a focus on impacts of trash and garbage, flooding, air and water quality, extreme heat, and other environmental conditions. Includes commentary about hazards specific to rural areas.
Author(s): Anne Junod, Pamela Winston, Maretta McDonald, Mikaela Tajo, Rebecca Marx
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines how human services programs mitigate issues caused by environmental hazards and extreme weather for low-income and underserved communities. Utilizes qualitative data from 41 participants, with a focus on impacts of trash and garbage, flooding, air and water quality, extreme heat, and other environmental conditions. Includes commentary about hazards specific to rural areas.
Author(s): Anne Junod, Pamela Winston, Maretta McDonald, Mikaela Tajo, Rebecca Marx
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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HealthHIV State of Aging with HIV: Fourth Annual National Survey
Reports on the demographics, health, quality of life, and barriers to care of people aging with HIV (PAWH), utilizing data from a 2024 survey of 907 PAWH. Includes data on the geography of PAWH and HIV workforce participants, and discusses geographic barriers to care.
Date: 01/2025
Sponsoring organization: Health HIV
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Reports on the demographics, health, quality of life, and barriers to care of people aging with HIV (PAWH), utilizing data from a 2024 survey of 907 PAWH. Includes data on the geography of PAWH and HIV workforce participants, and discusses geographic barriers to care.
Date: 01/2025
Sponsoring organization: Health HIV
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Behavioral Health Crisis Services Billed to Commercial Insurance, Medicaid, and Medicare
Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Northern Border Region Outreach Program 2024 Grantee Directory
Provides an overview of the Rural Northern Border Region (RNBR) Outreach Program cohort funded for the 2024-2027 project period. Includes profiles of the 13 initiatives addressing project focus areas, partners, populations served, evidence-based and promising practice models, project strategies, and expected project outcomes.
Date: 01/2025
Sponsoring organization: Federal Office of Rural Health Policy
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Provides an overview of the Rural Northern Border Region (RNBR) Outreach Program cohort funded for the 2024-2027 project period. Includes profiles of the 13 initiatives addressing project focus areas, partners, populations served, evidence-based and promising practice models, project strategies, and expected project outcomes.
Date: 01/2025
Sponsoring organization: Federal Office of Rural Health Policy
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