Rural Health
Resources by Type: Document
Confronting Rural America's Health Care Crisis
Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Sponsoring organization: National Academy for State Health Policy
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Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Sponsoring organization: National Academy for State Health Policy
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Health Care Provisions in the Families First Coronavirus Response Act, P.L. 116-127
Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Sponsoring organization: Congressional Research Service
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Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Sponsoring organization: Congressional Research Service
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Patterns of Hospital Bypass and Inpatient Care‐Seeking by Rural Residents
Analyzes state inpatient data from 2014-2016 across 16 states to determine how inpatient hospital bypass behavior – rural residents utilizing a hospital other than their local hospital – is motivated by patient and hospital characteristics. Compares hospital characteristics, including Critical Access Hospitals (CAHs), by rural bypass level and compares patient demographics by rural bypass status.
Author(s): Tyler Malone, Mark Holmes
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes state inpatient data from 2014-2016 across 16 states to determine how inpatient hospital bypass behavior – rural residents utilizing a hospital other than their local hospital – is motivated by patient and hospital characteristics. Compares hospital characteristics, including Critical Access Hospitals (CAHs), by rural bypass level and compares patient demographics by rural bypass status.
Author(s): Tyler Malone, Mark Holmes
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Community Health Centers in a Time of Change: Results from an Annual Survey
Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Sponsoring organization: KFF
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Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Sponsoring organization: KFF
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Human Papillomavirus Vaccination Estimates Among Adolescents in the Mississippi Delta Region: National Immunization Survey‑Teen, 2015–2017
Examines HPV vaccination data for adolescents aged 13 to 17 years from the National Immunization Survey-Teen, 2015-2017. Compares HPV vaccination coverage estimates in rural and urban areas of the Delta Regional Authority (DRA) region with estimates in areas of the Delta states outside the DRA region and non-Delta states. Discusses reasons why parents do not intend to vaccinate adolescents.
Author(s): David Yankey, Laurie D. Elam-Evans, Connie L. Bish, Shannon K. Stokley
Citation: Preventing Chronic Disease, 17
Date: 04/2020
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Examines HPV vaccination data for adolescents aged 13 to 17 years from the National Immunization Survey-Teen, 2015-2017. Compares HPV vaccination coverage estimates in rural and urban areas of the Delta Regional Authority (DRA) region with estimates in areas of the Delta states outside the DRA region and non-Delta states. Discusses reasons why parents do not intend to vaccinate adolescents.
Author(s): David Yankey, Laurie D. Elam-Evans, Connie L. Bish, Shannon K. Stokley
Citation: Preventing Chronic Disease, 17
Date: 04/2020
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators
Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Implications of an Aging Primary Care Physician Workforce in Kansas
Discusses issues related to an aging population and primary care physician (PCP) workforce as well as strategies to reduce physician workforce shortages, increase the number of statewide training opportunities, and implement recruitment and retention strategies. Provides data on the age and geographic distribution of PCPs in Kansas.
Author(s): Hina B. Shah, Sydney McClendon, Madison Hoover
Date: 04/2020
Sponsoring organization: Kansas Health Institute
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Discusses issues related to an aging population and primary care physician (PCP) workforce as well as strategies to reduce physician workforce shortages, increase the number of statewide training opportunities, and implement recruitment and retention strategies. Provides data on the age and geographic distribution of PCPs in Kansas.
Author(s): Hina B. Shah, Sydney McClendon, Madison Hoover
Date: 04/2020
Sponsoring organization: Kansas Health Institute
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Geographic Variation in the 2018 Profitability of Urban and Rural Hospitals
Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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