Rural Health
Resources by Type: Document
Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year
Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on the CY 2019 Home Health PPS Update and 2020 Case Mix Refinements
Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 12, 2018, Federal Register proposed rule revising payments for home health services. Includes a section addressing a proposed rural add-on payment policy.
Date: 08/2018
Sponsoring organization: Medicare Payment Advisory Commission
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First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation
Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition, 2016
Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2016, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): M.L. Barrett, M.K. Bailey, P.L. Owens
Date: 08/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2016, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): M.L. Barrett, M.K. Bailey, P.L. Owens
Date: 08/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Characteristics of School Districts Offering Free School Meals to All Students Through the Community Eligibility Provision of the National School Lunch Program
Examines characteristics of school districts that elected to implement the Community Eligibility Provision during the 2015-2016 school year. Features statistics with breakdowns by rural, urban, suburban, or town locations.
Author(s): Stephanie Rogus, Joanne Guthrie, Katherine Ralston
Date: 08/2018
Sponsoring organization: USDA Economic Research Service
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Examines characteristics of school districts that elected to implement the Community Eligibility Provision during the 2015-2016 school year. Features statistics with breakdowns by rural, urban, suburban, or town locations.
Author(s): Stephanie Rogus, Joanne Guthrie, Katherine Ralston
Date: 08/2018
Sponsoring organization: USDA Economic Research Service
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Summary Report to the Field Number 1: Rural Group Recommendations for National Funders
Blog post discussing the results of questionnaire responses from 22 people representing national rural groups in areas including education, broadband, transit, housing, and healthcare workforce development. Offers recommendations for ways in which national funders can most effectively promote the work of rural groups.
Date: 08/2018
Sponsoring organization: Campbell University
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Blog post discussing the results of questionnaire responses from 22 people representing national rural groups in areas including education, broadband, transit, housing, and healthcare workforce development. Offers recommendations for ways in which national funders can most effectively promote the work of rural groups.
Date: 08/2018
Sponsoring organization: Campbell University
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Resources for Caregiving in Rural Communities
Policy brief describing national and state-level resources being used to support unpaid caregivers in rural areas. Information was gleaned from journal articles, websites, and interviews with 41 informants representing providers, academics, advocacy groups, and others.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 08/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing national and state-level resources being used to support unpaid caregivers in rural areas. Information was gleaned from journal articles, websites, and interviews with 41 informants representing providers, academics, advocacy groups, and others.
Author(s): Megan Lahr, Carrie Henning-Smith
Date: 08/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Perspectives on Rural Caregiving Challenges and Interventions
Policy brief describing challenges and opportunities to support unpaid caregivers in rural areas, based on 34 interviews with 41 key informants, from October 2017 through February 2018. Highlights work that informal caregivers are doing and identifies policy levers that have been used to support them.
Author(s): Carrie Henning-Smith, Megan Lahr
Date: 08/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing challenges and opportunities to support unpaid caregivers in rural areas, based on 34 interviews with 41 key informants, from October 2017 through February 2018. Highlights work that informal caregivers are doing and identifies policy levers that have been used to support them.
Author(s): Carrie Henning-Smith, Megan Lahr
Date: 08/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
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Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
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Medicare Fee-for-Service: Information on the First Year of Nationwide Reduced Payment Rates for Durable Medical Equipment
Examines the effects of reduced payment rates for certain durable medical equipment (DME) in non-bid areas. Reports on changes in the number of suppliers, utilization of rate-adjusted items, and beneficiaries' access to rate-adjusted items. Includes information on changes in rural and non-rural non-bid areas.
Additional links: Full Report
Date: 08/2018
Sponsoring organization: Government Accountability Office
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Examines the effects of reduced payment rates for certain durable medical equipment (DME) in non-bid areas. Reports on changes in the number of suppliers, utilization of rate-adjusted items, and beneficiaries' access to rate-adjusted items. Includes information on changes in rural and non-rural non-bid areas.
Additional links: Full Report
Date: 08/2018
Sponsoring organization: Government Accountability Office
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