Chronic Disease in Rural America – Resources

Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, and Principal Care Management.
Type: Website
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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U.S. Diabetes Surveillance System
Provides access to national, state, and county-level data and trends for diabetes and diabetes-related concerns. Select "indicators" to view additional data options, including burden of diabetes, preventive care, health status and disability, risk factors, and diabetes-related end-stage renal disease. Also includes data on social determinants of health that have the potential to impact diabetes health disparities.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Quick Maps of Heart Disease, Stroke, and Socio-economic Conditions
A collection of maps showing county-level data on heart disease and stroke hospitalization and mortality by race/ethnicity, as well as Medicare cost of care per capita, and selected social determinants of health.
Type: Map/Mapping System
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Tobacco Control and Prevention Toolkit
Resources and best practices to help rural communities develop tobacco control and prevention programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural HIV/AIDS Prevention and Treatment Toolkit
Provides information, strategies, and resources to help rural communities implement HIV/AIDS prevention and treatment programs. Identifies program models and examples that span the HIV/AIDS care continuum. Discusses program implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural Diabetes Prevention and Management Toolkit
Resources and best practices to help rural communities develop and implement diabetes prevention and management programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Mapping Medicare Disparities
Provides access to county-level data and comparisons on chronic disease prevalence, Medicare spending, hospital and emergency department utilization, preventive services, and preventable hospitalizations, readmissions, and mortality rates for Medicare beneficiaries. Also offers 2018 Medicare Advantage encounter data. Includes hospital-level quality of care and cost of care data and comparisons as well as social determinants of health data for both the Medicare and non-Medicare population down to the census tract level.
Type: Map/Mapping System
Sponsoring organization: Centers for Medicare and Medicaid Services
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Exploring Rural and Urban Mortality Differences
Offers a variety of data tables and online tools that display indicators of mortality rates by age, rurality, region, and sex to help researchers examine the impact of rurality on mortality.
Type: Website
Sponsoring organization: Rural Health Reform Policy Research Center
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CDC WONDER
Provides access to wide range of public health data, including mortality data for metropolitan and nonmetropolitan areas. Also offers access to birth and fertility rates by county.
Type: Database
Sponsoring organization: Centers for Disease Control and Prevention
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U.S. Health Map
Interactive map that provides county-level data by gender on life expectancy, mortality rates, and risk factors, including diabetes, hypertension, obesity, physical activity, cancer, alcohol use, and smoking.
Type: Map/Mapping System
Sponsoring organization: Institute for Health Metrics and Evaluation
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