Taking Stock: Policy Opportunities for Advancing Rural Health

This paper examines the progress of health system transformation and the gaps that remain as they affect rural people, places, and providers. The health system transformation activities examined here are not limited to the Patient Protection and Affordable Care Act of 2010 (PPACA), but also touch upon activities undertaken by states, insurance plans, and public […]

Health Panel Comment Letter – FCC Promoting Telehealth in Rural America – January 2018

Promoting Telehealth in Rural America 47 CFR Part 54 The Panel is pleased to offer comments in response to the proposed rule for Promoting Telehealth in Rural America, specifically the Federal Communications Commission (FCC) Rural Healthcare (RHC) Program. View Comment Letter

Rural Cultural Wealth Lab Digital Exchange Webinar

January 23, 2018 The RUPRI Rural Cultural Wealth Lab is one of four inaugural National Endowment for the Arts Research Labs named last year, following a national competition. This national effort unites the knowledge and lived experiences of a diverse array of scholars and practitioners to explore the intersection of rural arts and culture, entrepreneurship and innovation, […]

Dr Keith Mueller, RUPRI Health Panel Chair presents at Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States

January 17, 2018 Wednesday, January 17, 2018 9:30 a.m. to 11:00 a.m. ETBipartisan Policy Center, 1225 Eye St NW, Suite 1000, Washington, DC, 20005 To better understand the challenges and opportunities rural communities face with health care delivery and infrastructure, the Bipartisan Policy Center led an effort over the past 6 months to learn from […]

Webinar: RHIhub – Understanding Health Disparities in Rural America – Insights from the CDC MMWR Rural Health Series

December 18, 2017 Did you know rural racial and ethnic minorities are less likely to have a usual source of care? These and other unique health challenges experienced by rural racial and ethnic populations are often overlooked in conversations on rural health. The recent MMWR report, Racial/Ethnic Health Disparities Among Rural Adults – United States, […]

RUPRI Partner, Rural Health Information Hub, Celebrates 15th Anniversary

The Rural Health Information Hub (RHIhub), a RUPRI partner, celebrates it’s 15th Anniversary this month.  RUPRI co-founded RHIhub with Dr. Mary Wakefield and the Center for Rural Health at the University of North Dakota in 2002 with funding from the Federal Office of Rural Health Policy at the Department of Health and Human Services.  Since it’s […]

Primer on Rural Long-Term Services and Support

 Rural Long-Term Services and Supports: A Primer provides policymakers and other interested stakeholders a primer on rural long-term services and supports (LTSS): (1) the fundamentals of the rural LTSS system, (2) rural access to and use of LTSS, and (3) discussion of the opportunities within and limitations of current Federal and State LTSS policy for advancing […]

Accessing Behavioral Health Services in Rural Communities

This presentation explains the concepts of affordability and availability as well as broadening network of participating local organizations to include social services. It also discusses the future of health homes and behavioral health services. Presented by Keith J. Mueller, PhD (College of Public Health, University of Iowa) at the National Academies on November 14, 2017. […]

Rural Health and the Law: Emerging Issues and Trends

This presentation discusses the transformation underway as a result of payer policies designed to improve the value and outcomes of health care while attempting to slow cost growth. It also touches on gaps affecting rural people, places, and providers. Presented by Jennifer P. Lundblad, PhD (President and CEO, Stratis Health; Member RUPRI Health Panel) on […]

Digital Exchange Webinar: Integrating Community Health, Arts, and Culture

June 28, 2017  Join us for this Next Generation Digital Exchange Webinar discussing focused on integrating community health with arts and culture in rural regions. Across the country, new health systems approaches are leveraging multi-sector programs and policies to foster a culture of health in rural communities. Webinar participants will learn from Arkansas, California, Kentucky, […]

After Hospital Closure: Pursuing High Performance Rural Health System without Inpatient Care

The RUPRI Health Panel describes opportunities for rural communities to develop a high-performance rural health system after hospital closure, including three case studies that describe real-world transitions from a hospital-based locus of care to new models of care delivery in rural places. After Hospital Closure: Pursuing High Performance Rural Health System without Inpatient Care This paper describes […]

RUPRI Leader – Interview with Mario Gutierrez on the future of healthcare

We sat down to talk about the future of healthcare with Mario Gutierrez, who serves as the Executive Director of the Center for Connected Health Policy (CCHP). Last year, Gutierrez participated in a panel with TSC Director Pamela Villacorta at the Governor’s Conference on Aging and Disabilities. We asked him about his perspective on the state of […]

RUPRI Health Panel Member, Jennifer Lundblad, Discusses Antibiotic Stewardship for Rural Hospitals

In a recent Rural Monitor article for the Rural Health Information Hub, Jennifer Lundblad, CEO of Stratis Health and a member of the RUPRI Health Panel, discusses the economic impact of antibiotic stewardship (AS) programs for rural hospitals.  She also referenced a RUPRI Health Panel public comment letter on a proposed rule from the Centers on Medicare and Medicaid that would require […]

National Advisory Committee on Rural Health and Human Services Social Determinants of Health Webinar

The HHS National Advisory Committee on Rural Health and Human Services (NACRHHS) presented a webinar on March 14 to highlight their findings on social determinants of health from the most recent committee meeting in Albuquerque, New Mexico.  RUPRI Human Service Panel member and NACRHHS Committee member, Kathleen Belanger, participated in the webinar and presented the Committee’s recommendations […]

RHIHub Hosts Webinar on CDC Series on Rural Mortality and Preventable Deaths

A recent CDC study demonstrates that Americans living in rural areas are more likely to die from five leading causes than their urban counterparts. In 2014, many deaths among rural Americans were potentially preventable, including 25,000 from heart disease, 19,000 from cancer, 12,000 from unintentional injuries, 11,000 from chronic lower respiratory disease, and 4,000 from stroke. […]

RUPRI Health Center releases report on the Changing Rural and Urban Enrollment in State Medicaid Programs

The RUPRI Center for Rural Health Policy Analysis has analyzed Medicaid enrollment in a new brief, Changing Rural and Urban Enrollment in State Medicaid Programs and found that growth was happened in most states, but was largest in expansion states and metropolitan areas generally had higher growth than micropolitan and rural areas. County-level data on Medicaid enrollment […]

RUPRI Health Center Releases Report on Rural Enrollment in Health Insurance Marketplaces

The RUPRI Center for Rural Health Policy Analysis has released a brief, 2016 Rural Enrollment in Health Insurance Marketplaces, by State. The data shows that about half of all states had higher enrollment growth in non-metropolitan areas than metropolitan areas. In this brief, cumulative county-level enrollment in Health Insurance Marketplaces (HIMs) through March 2016 is presented […]

NACRHHS Webinar: Policy Briefs on Emergency Care Models and Rural Opioid Misuse Implications

September 29, 2016 @ 2:00 pm – 3:00 pm The National Advisory Committee on Rural Health and Human Services (NACRHHS) has released two new policy briefs with recommendations to the Secretary of U.S. Department of Health & Human Services (HHS) on ways to address pressing issues. The first, Alternative Models to Preserving Access to Emergency Care, examines […]

RUPRI Health Center Webinar on Geographic Variation in Health Insurance Marketplaces, Hosted by Rural Health Research Gateway

August 9, 2016 @ 12:00 pm – 1:00 pm Geographic Variation in Health Insurance Marketplaces: Rural and Urban Trends in Enrollment, Firm Participation, Premiums, and Cost Sharing in 2016 Timothy McBride, PhD, Professor, Health Policy and Management at Washington University in Saint Louis, along with Abigail Barker, PhD at the RUPRI Center for Rural Health Policy Analysis […]

Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications

In this policy brief, we assess variation in Medicare’s star quality ratings of Medicare Advantage (MA) plans that are available to rural beneficiaries. Evidence from the recent Centers for Medicare & Medicaid Services (CMS) quality demonstration suggests that market dynamics, i.e., firms entering and exiting the MA marketplace, play a role in quality improvement. Therefore, […]

RUPRI Health Panel member, Jennifer Lundblad, discusses rural hospital innovation

In Health & Hospitals Networks latest publication, Jennifer Lundblad, RUPRI Health Panel Member and president and CEO of Stratis Health, discusses how rural hospitals and rural communities are well-positioned to create innovative population health and wellness programs. “A rural environment lends itself to population health and wellness,” she says. “Providers probably know the patient and their family, they […]

RUPRI Health Center Examines Rural Premium Trends in Health Insurance Marketplace

Health Insurance Marketplaces: Premium Trends in Rural Areas Since 2014, when the Health Insurance Marketplaces (HIMs) authorized by the Patient Protection and Affordable Care Act (ACA) were implemented, considerable premium changes have been observed in the marketplaces. This policy brief from the RUPRI Center for Rural Health Policy Analysis assesses the changes in average HIM […]

RUPRI Health Center Examines Beneficiary Assignment Updates in Medicare ACOs

Medicare Accountable Care Organizations: Beneficiary Assignment Update  This brief updates Brief No. 2014-3 and explains changes in the Centers for Medicare & Medicaid Services (CMS) Accountable Care Organization (ACO) regulations issued in June 2015 pertaining to beneficiary assignment for Medicare Shared Savings Program ACOs. Overall, the regulatory changes are intended to (1) encourage ACOs to […]

Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems

Medicaid has grown significantly in its importance to rural health systems and communities; a higher proportion (22 percent) of rural residents was enrolled in Medicaid than Medicare (20 percent) in 2014. At the same time, the use of payment and delivery innovations has grown significantly, but varies across the U.S. As a result of expansions […]

RUPRI Leader Keith Mueller Receives Regents Award for Faculty Excellence from the University of Iowa

Keith Mueller, Director of the RUPRI Center for Rural Health Policy Analysis, Gerhard Hartman Professor and head of the Department of Health Management and Policy, was chosen by the selection committee of the Faculty Senate as one of six members of the University of Iowa faculty to receive a 2016 Regents Award for Faculty Excellence. […]

RHIhub Integrating Health & Human Services in Rural Communities Webinar

April 14, 2016 @ 2:00 pm – 3:00 pm The Rural Health Information Hub and the NORC Walsh Center for Rural Health Analysis will introduce a new Rural Services Integration Toolkit designed to help rural communities improve access to health and human services. Developed by NORC on behalf of the Federal Office of Rural Health Policy (FORHP), […]

Rural “Adjacent Possible” Innovation: Systems Thinking for Collective Impact, Beyond the Health Sector

This presentation discusses the four rural considerations which includes our ‘disruptive milieu’, systems thinking: rural advantage, regional rural innovation, and new rural opportunities. Presented by Charles W. Fluharty (President and CEO, Rural Policy Research Institute) to the Iowa Center for Rural Health and Primary Care Advisory Committee on March 7, 2016 in Iowa City, Iowa. […]

RUPRI Center for Rural Health Policy Analysis reviews Rural Medicare Advantage Plan Payment in 2015

Payment to Medicare Advantage (MA) plans was fundamentally altered by the Patient Protection and Affordable Care Act of 2010 (ACA).  This brief finds that while plans operating in both rural and urban areas have experienced a reduction in MA payment, the reduction in rural payment overall has been less significant.  In addition, MA plans have […]

Policy Brief: Medicare Value-Based Payment Reform

Medicare Value-Based Payment Reform: Priorities for Transforming Rural Health Systems View Policy Brief | Related: View Full Report In January 2015, Department of Health and Human Services (HHS) Secretary Burwell announced new goals and timelines for moving Medicare reimbursement from fee-for-service to value-based payment. These payment changes are driving delivery system reforms by making healthcare […]

Medicare Value-based Payment Reform: Priorities for Transforming Rural Health Systems

View Report | Related: View Policy Brief In recognition of unsustainable healthcare cost growth and sub-optimal delivery system performance, the Patient Protection and Affordable Care Act of 2010 (ACA) contains provisions that redesign healthcare payment and delivery. ACA payment change provisions are driving delivery system reform by making healthcare organizations more accountable for patients’ health […]

National Rural Health Day- Live Webcast: Featuring Dr Keith Mueller – Rural Health Delivery System Reform

November 19, 2015 November 19th, 2015 is the 5th Annual National Rural Health Day! The Rural Assistance Center is pleased to partner with the National Organization of State Offices of Rural Health for a series of live National Rural Health Day events that celebrate the power of rural. Join Dr. Keith Mueller, Director of the Department of […]

Dr. Tim McBride, RUPRI Health Panel Member, to lead Center for Health Economics and Policy – Washington University 

View Full Article Washington University in St. Louis has announced the launch of the Center for Health Economics and Policy (CHEP), to be housed in the Institute for Public Health. The goal of the new center is to improve population health in America by encouraging health policy and economics research and dissemination. The center will […]

Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, CA – 2015

This joint paper was authored by members of both the Health and Human Services Panel in June 2015. The paper presents a case for the viability of Accountable Care Community (ACC) models in rural communities, including in rural Humboldt County, California. Accountable Care Communities reflect a unified approach to improving the health and reducing the […]

SOAR as a Collective Impact Model: Lessons for Rural Health and Human Services

This presentation discusses the SOAR Program of work and the goals with each step. It also touches base on prioritizing and the framework for regional rural innovation. Presented by Charles W. Fluharty (President and CEO, Rural Policy Research Institute) to National Advisory Committee on Rural Health and Human Services on May 27, 2015 at Natural […]

Transitioning to a High Performance Rural Health System

This presentation discusses how hospitals should respond and why response should be other than incremental adjustment. It will touch base on change and how it creates opportunities as well as threats. Presented by Keith J. Mueller, PhD (Director, RUPRI Center for Rural Health Policy Analysis) and Charles W. Fluharty, M. Div. (President, Rural Policy Research […]

Thinking Bigger About Smaller Places: “Adjacent Possible” Design Thinking and Collective Impact Investing for Healthier Rural People and Communities

This presentation recalibrate the rural/urban paradigm and dialogue as well as challenging the hegemony of the urban metaphor in a disruptive milieu. Presented by Charles W. Fluharty (President and CEO, Rural Policy Research Institute) to the Transforming Safety and Health in the Heartland Conference in Ankeny, Iowa on November 19, 2014. View Presentation

Advancing the Transition to a High-Performance Rural Health System. RUPRI Health Panel. November 2014.

In Advancing the Transition to a High-Performance Rural Health System, the RUPRI Health Panel discusses strategies and options for creating a pathway to a transformed, high-performing rural health system. This paper builds on the RUPRI Health Panel’s earlier paper that conceptually defined the core elements of a high-performance rural health system. We have also incorporated […]

Access to Rural Health Care – Literature Review and New Synthesis

This report reviews important access definitions and frameworks from the literature. The review serves as a concept map to create a unique synthesis of perspectives that may be used by researches and policy makers to design or clarify access to health care providers. Prepared in August 2014 by the RUPRI Health Panel: A. Clinton MacKinney, […]

Rural Health Strategies for a Value-Based Future

This presentation touches on rural health context as well as transfer of financial risk. It will also discuss redefine, redesign and a toolbox for value. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) at the ASHNHA Conference in Anchorage, Alaska on April 22, 2014. View Presentation

The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: 2010 First and 2014 Second Look

These two policy documents from 2010 and 2014 take a first and second look at the implementation of the Patient Protection and Affordable Care Act of 2010 and how it contributes to reshaping the health care delivery landscape, particularly in rural areas. Prepared in September 2010 and April 2014 by the RUPRI Health Panel: Andrew […]

Transitioning to a Value-Based Health Care Future

This presentation discusses the climate of change in health care, payment policies and price reduction threats. It will also touch base on the Affordable Care Act. Presented by A. Clinton MacKinney (Deputy Director and Assistant Professor, RUPRI Center for Rural Health Policy Analysis) at the Improving Health in a Climate of Change NACo in San […]

The Impact of Payment Reform on Rural Medicare Advantage Enrollment and Quality

This project examines the implications of changes in Medicare Advantage (MA) payment implemented in the Patient Protection and Affordable Care Act of 2010 (ACA) and in the current Centers for Medicare and Medicaid (CMS) demonstration of quality-based bonus payments. This research also focuses on key issues including: how the changes to MA payment, including bonus […]

How to Succeed by Trying: Adapting to Change

This presentation discusses important ways rural hospitals need to think about adapting to the changing policy and demographic landscape. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the Rural Hospital Conference Colorado Hospital Association in Colorado Springs, CO on May 8, 2013. View Presentation

ACOs and Much More: Health Reform Comes to Rural America

This presentation explores the utility of Accountable Care Organizations in a rural context. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) to the Colorado Rural Hospital Conference in Colorado Springs, CO on May 8, 2013. View Presentation

Impact on Health System Market Changes on Rural Health: ACO, PCMH, VBP Consolidation

This presentation discusses how the rural healthcare landscape is changing and explores emerging implications for rural healthcare providers. Presented by Keith Mueller (Director, RUPRI Center for Rural Health Policy Analysis) for the State Offices of Rural Health – Region D meeting in San Diego, California on May 1, 2013. View Presentation