Rural Health Policy – Resources
Selected recent or important resources focusing on Rural Health Policy.
National Advisory Committee on Rural Health and Human Services Meeting Summary, Santa Fe and Las Vegas, New Mexico, September 4-6, 2024
Summarizes the 95th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Santa Fe and Las Vegas, New Mexico. Presents an overview of national, state, and community perspectives on the rural opioid and substance use crisis.
Date: 09/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 95th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Santa Fe and Las Vegas, New Mexico. Presents an overview of national, state, and community perspectives on the rural opioid and substance use crisis.
Date: 09/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Disability and Independence in Rural America: White Paper
Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: 2018-2022 - Fourth Evaluation Report
Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Evaluates the first five performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes analyses of Medicare ACO subgroups and Medicaid spending, utilization, and quality of care trends. Outlines challenges and lessons learned.
Additional links: Findings at a Glance, Technical Appendices
Date: 06/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Report to Congress on Medicaid and CHIP, June 2024
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations for increased transparency in Medicaid and CHIP financing, tools for optimizing state Medicaid agency contracts (SMACs), enrollment trends in Medicare Savings Programs (MSPs), and demographic data collection in Medicaid. Includes rural references throughout.
Date: 06/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations for increased transparency in Medicaid and CHIP financing, tools for optimizing state Medicaid agency contracts (SMACs), enrollment trends in Medicare Savings Programs (MSPs), and demographic data collection in Medicaid. Includes rural references throughout.
Date: 06/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Sources of Federal Funding for Health Care Facilities: Frequently Asked Questions
Provides an overview of how the federal government supports healthcare facilities, with a focus on hospitals. Discusses how Medicare and Medicaid pay acute care hospitals and for services rendered to beneficiaries and enrollees, as well as other payments these programs make. Identifies federal grants, loans, and technical assistance programs that can support health facilities. Describes how federal agencies, including the Health Resources and Services Administration (HRSA) and the U.S. Department of Agriculture (USDA), have supported healthcare facilities during emergencies.
Date: 06/2024
Sponsoring organization: Congressional Research Service
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Provides an overview of how the federal government supports healthcare facilities, with a focus on hospitals. Discusses how Medicare and Medicaid pay acute care hospitals and for services rendered to beneficiaries and enrollees, as well as other payments these programs make. Identifies federal grants, loans, and technical assistance programs that can support health facilities. Describes how federal agencies, including the Health Resources and Services Administration (HRSA) and the U.S. Department of Agriculture (USDA), have supported healthcare facilities during emergencies.
Date: 06/2024
Sponsoring organization: Congressional Research Service
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Senate Finance Committee Bipartisan Medicare GME Working Group Draft Proposal Outline and Questions for Consideration
Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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Outlines draft policy proposals regarding the Medicare Graduate Medical Education (GME) program aimed at addressing healthcare workforce shortages. Proposals cover the distribution of Medicare GME slots to rural areas and key specialties, encouraging hospitals to train physicians in rural areas, the establishment of a Medicare GME Policy Council, GME data collection and transparency, and more. Includes questions for consideration on policies under consideration.
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Austin, Texas, April 9-11, 2024
Summarizes the 94th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Austin, Texas. Presents an overview of the meeting's two areas of focus: 1) innovation and technology in rural health and human services and 2) expanding quality reporting and benchmarking in Rural Health Clinics (RHCs).
Date: 04/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 94th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Austin, Texas. Presents an overview of the meeting's two areas of focus: 1) innovation and technology in rural health and human services and 2) expanding quality reporting and benchmarking in Rural Health Clinics (RHCs).
Date: 04/2024
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Report on Prevention of Out-Of-Network Ground Ambulance Emergency Service Balance Billing
Recommendations from the Ground Ambulance and Patient Billing Advisory Committee, convened between May and November, 2023, to protect consumers from balance billing and protect their access to emergency services. Features sections on rural ambulance services and community paramedicine.
Date: 03/2024
Sponsoring organization: Ground Ambulance and Patient Billing Advisory Committee
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Recommendations from the Ground Ambulance and Patient Billing Advisory Committee, convened between May and November, 2023, to protect consumers from balance billing and protect their access to emergency services. Features sections on rural ambulance services and community paramedicine.
Date: 03/2024
Sponsoring organization: Ground Ambulance and Patient Billing Advisory Committee
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Early Impacts of the Pennsylvania Rural Health Model on Potentially Avoidable Utilization
Assesses the impact of the Pennsylvania Rural Health Model (PARHM) on potentially avoidable utilization rates between 2016 and 2022 by comparing participating and non-participating hospitals. Discusses the potential impact of COVID-19 on results.
Author(s): Donald S. Bourne, Eric T. Roberts, Lindsay M. Sabik
Citation: Health Affairs Scholar, 2(2)
Date: 02/2024
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Assesses the impact of the Pennsylvania Rural Health Model (PARHM) on potentially avoidable utilization rates between 2016 and 2022 by comparing participating and non-participating hospitals. Discusses the potential impact of COVID-19 on results.
Author(s): Donald S. Bourne, Eric T. Roberts, Lindsay M. Sabik
Citation: Health Affairs Scholar, 2(2)
Date: 02/2024
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities (Webinar)
Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to tribal communities.
Date: 01/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Recording of a January 2024 webinar providing an overview of the Centers for Medicare & Medicaid Services (CMS) Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities. Discusses rural health resources, including resources on Coverage to Care, the Tribal Roadmap to Better Care, community engagement efforts, and forthcoming initiatives. Focuses on resources tailored to tribal communities.
Date: 01/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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