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Rural Health Policy – Resources

Selected recent or important resources focusing on Rural Health Policy.

Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Heartland Forward
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USDA's ReConnect Program: Expanding Rural Broadband
Provides an overview of the U.S. Department of Agriculture's ReConnect program, which provides loans, grants, and loan/grant combinations to build and enhance broadband infrastructure in eligible rural service areas. Summarizes program details, funding allocations, the three rounds of awards, and funding awards by state. Compares the ReConnect program with other USDA broadband programs. Identifies issues that may impact the program's effectiveness, related legislation introduced in the 117th Congress, and potential policy options.
Date: 12/2022
Type: Document
Sponsoring organization: Congressional Research Service
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Access to Emergency Medical Services in Rural Communities: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Rural Health Day Webinar: CMS Framework for Advancing Health Care
Recording of a November 15, 2022, webinar providing an overview of the Centers for Medicare & Medicaid (CMS) Framework for Advancing Health Care in Rural, Tribal and Geographically Isolated Communities. Discusses the CMS Framework for Health Equity and identifies other rural health resources, including other recent CMS rural health reports.
Additional links: Presentation Slides, Transcript
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities
Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Landscape of Area-Level Deprivation Measures and Other Approaches to Account for Social Risk and Social Determinants of Health in Health Care Payments
Examines social determinants of health (SDOH) at the community level and their impact on health-related social needs (HRSNs) of the individual. Discusses how policies related to federal payment systems can incentivize screening for HRSNs as well as referrals to appropriate social and behavioral services. Provides an environmental scan of what measures can be used to provide accountability for funding and policy efforts targeted at SDOH. Includes an appendix that defines and describes indices of social risk, such as the social vulnerability index (SVI) and area deprivation index (ADI), as well as payment models that include measures of social risk.
Author(s): Joshua Breslau, Laurie Martin, Justin Timbie, Nabeel Qureshi, Deborah Zajdman
Date: 09/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Behavioral Health Equity for All Communities: Policy Solutions to Advance Equity Across the Crisis Continuum
Identifies overarching strategies to enhance cultural responsiveness and promote equity in behavioral health services across the crisis continuum of care. Discusses how inadequate access to high-quality and culturally responsive behavioral health care has a direct effect on both the frequency and the outcomes of behavioral health emergencies. Describes levers states can use to advance culturally responsive care, including how rural partnerships can ensure that equity strategies will serve the community effectively.
Date: 08/2022
Type: Document
Sponsoring organization: National Governors Association
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How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
Provides an overview of health and healthcare disparities experienced by American Indian and Alaska Native (AI/AN) populations. Describes the role of the federal government in financing and providing healthcare services to these populations. Discusses how enhanced funding could help further the Indian Health Service's mission to ensure that tribal communities have access to high-quality healthcare services.
Date: 07/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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ARPA Impact Report: An Analysis of How Counties are Addressing National Issues with Local Investments
Describes how counties are investing American Rescue Plan Act (ARPA) funds to strengthen the workforce, address behavioral health needs, reinforce public health preparedness, improve housing access, ensure access to clean water, and build prosperous communities. Includes examples from rural counties throughout.
Date: 07/2022
Type: Document
Sponsoring organization: National Association of Counties
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Last Updated: 2/16/2024