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News about Health Services Research

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  • NASHP and States Develop National Care Coordination Standards for Children with Special Health Care Needs - (National Academy for State Health Policy (NASHP)) - Aug 23, 2019 Details

    The National Academy for State Health Policy (NASHP), with support from the Lucile Packard Foundation for Children’s Health, is developing National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN). These voluntary standards are designed to help states develop robust, high-quality care coordination programs for children with chronic and complex conditions.

  • Fiscal Mapping for Early Childhood Services: How-To Guide and Data Collection Tool - (Center for Health Care Strategies (CHCS)) - Aug 23, 2019 Details

    A fiscal map — an inventory of funds directed toward a particular population, service array, or intervention — is one way to tackle the challenges associated with multiple funding streams. This how-to guide provides a framework and steps to complete a fiscal mapping process, and is accompanied by a data collection tool that offers a template for gathering and documenting funding details through the fiscal mapping process.

  • Reforming Payment for Children's Long-Term Health - (United Hospital Fund (UHF)) - Aug 23, 2019 Details

    This case study discusses New York’s pursuit of child-centered value-based payment approaches in Medicaid, which could be a model for other states and stakeholders pursuing efforts to promote high-quality health care for children, and especially for those states participating in the federal Integrated Care for Kids demonstration project.

  • HHS 42 CFR Part 2 Proposed Rule Fact Sheet - (U.S. Department of Health and Human Services (HHS)) - Aug 23, 2019 Details

    The 42 CFR part 2 regulations serve to protect patient records created by federally funded programs for the treatment of substance use disorder (SUD). SAMHSA is currently proposing to revise part 2, to facilitate better coordination of care for substance use disorders which will also enhance care for opioid use disorder (OUD). These provisions will be an important part of the Federal response to the opioid epidemic, while maintaining part 2 confidentiality protections.

  • KHN’s ‘What The Health?’: All About Medicare - (Kaiser Health News (KHN)) - Aug 22, 2019 Details

    This week KHN’s “What the Health?” podcast takes a deep dive into Medicare. First, host Julie Rovner talks with Tricia Neuman, a senior vice president in charge of Medicare Policy at the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.) Then, panelists Paige Winfield Cunningham of The Washington Post, Joanne Kenen of Politico and Kimberly Leonard of the Washington Examiner join Rovner for a discussion of some of the Medicare issues on the front burner in Washington in 2019.

  • Rural Access to Health Care Services Request for Information - (Health Resources and Services Administration (HRSA), HHS) - Aug 22, 2019 Details

    The Health Resources and Services Administration (HRSA) seeks information about measuring access to health care in rural communities. Responses to this RFI must be provided via email to and must reference “Rural Access to Health Care Services RFI” in the title. Submissions are due no later than 11:59 p.m. Eastern Time on October 9, 2019.

  • Health in All Policies (HiAP) - (Bipartisan Policy Center) - Aug 22, 2019 Details

    Report explores how three executive branch departments—the U.S. Department of Education (ED), U.S. Department of Treasury (Treasury), and U.S. Department of Labor (DOL)—currently implement a HiAP approach and how these departments can build on these efforts.

  • Comments Requested: Bipartisan Policy Center Rural Health Task Force - (Bipartisan Policy Center) - Aug 22, 2019 Details

    The Bipartisan Policy Center (BPC) has launched a Rural Health Task Force of leaders to develop and promote a rural health agenda. The task force will develop policy recommendations to: 1. Shore up the current rural health care system, including transforming critical access hospitals, small rural clinics, and rural hospitals to meet community needs; 2. Address barriers and opportunities for rural participation in new delivery models; and 3. Build on successful rural workforce and graduate medical education proposals. The BPC is encouraging public comments for solutions in these three areas, as well as other ideas that support reforming America’s rural healthcare system. Commentators may email policy ideas to

  • The Effect of the Affordable Care Act on Medicare Enrollees’ Access to Physician Services - (Urban Institute) - Aug 22, 2019 Details

    This study first analyzes trends in physicians’ acceptance of patients over time by Medicaid expansion status, state, and county and estimates the impact of the ACA’s Medicaid expansion on physician acceptance of Medicare, Medicaid, and privately-insured patients by using a difference-in-differences approach to compare acceptance rates in Medicaid expansion rates with those in nonexpansion states.

  • Changes at Community Health Centers, and How Patients Are Benefiting - (Commonwealth Fund) - Aug 21, 2019 Details

    Based on information from the Commonwealth Fund National Survey of Federally Qualified Health Centers, 2013–2018, this new report looks at the improvements made by community health centers since the enactment of the ACA, as well as the challenges they face with the reduction in numbers of primary care providers and cuts to Medicaid.

  • Population Health: Top 10 Promising Approaches - (Association of State and Territorial Health Officials (ASTHO)) - Aug 21, 2019 Details

    This infographic highlights 10 approaches that state and territorial health officials can explore with partners in the community, healthcare sector, and other governmental agencies to achieve optimal health for all.

  • The Evolution of the Opioid Crisis: 2000-2017 - (National Institute for Health Care Management Foundation) - Aug 21, 2019 Details

    The crisis caused by opioid abuse and overdose deaths has not only grown in magnitude since 2000, but has also changed in character. This series of infographics explores these changes.

  • Health Professions Training Programs - (Bureau of Health Professions, HRSA, HHS) - Aug 21, 2019 Details

    Find information about the numbers of training programs, including locations, participants and their locations and disciplines, types of programs, types of courses.

  • Improving the Quality of Mental Health Care for Veterans - (RAND Corporation) - Aug 20, 2019 Details

    This brief summarizes the main lessons from studies of the quality of mental health care received by veterans across the systems that deliver this care and shares recommendations for policies and further research.

  • The Synthetic Opioid Surge in the United States: Insights from Mortality and Seizure Data - (RAND Corporation) - Aug 20, 2019 Details

    Report examines mortality data at the state level across several drug classes to better understand the evolution and concentration of overdose fatalities in the United States and analyzes drug seizures of fentanyl and fentanyl analogs across states and over time to determine the overlap between supply-side indicators and state-level mortality data.

  • What America's Users Spend on Illegal Drugs, 2006–2016 - (RAND Corporation) - Aug 20, 2019 Details

    This report updates and extends estimates of the number of users, retail expenditures, and amount consumed from 2006 to 2016 for cocaine (including crack), heroin, marijuana, and methamphetamine in the United States, based on a methodology developed by the RAND Corporation for the Office of National Drug Control Policy.

  • Coming Soon – NASHP’s Center for State Health Care System Costs - (National Academy for State Health Policy (NASHP)) - Aug 20, 2019 Details

    With support from Arnold Ventures, the National Academy for State Health Policy (NASHP) is expanding its capacity to help states address health care costs by establishing a Health Care Cost Hub with two divisions. One division continues the work of the Center for State Rx Drug Pricing, and the new division – the Center for State Health Care System Costs – will launch late this fall.

  • CMS Announces Upcoming Enhancement of Overall Hospital Quality Star Ratings - (Centers for Medicare & Medicaid Services (CMS), HHS) - Aug 19, 2019 Details

    CMS is announcing plans to update the quality measurement methodology of the Overall Hospital Quality Star Ratings located on CMS’ popular Hospital Compare website in 2021. In the interim, CMS will next refresh the Star Ratings using the current methodology in early 2020, ensuring patients have timely access to the most up-to-date hospital quality information while a new methodology is being finalized.

  • Rural America Has a Maternal Mortality Problem. Midwives Might Help Solve It. - (Pew Charitable Trusts) - Aug 16, 2019 Details

    Hospitals and obstetrics units are shutting down across rural America, creating a shortage of care that may be contributing to the country’s rising maternal mortality rate. Certified professional midwives who can provide maternal and newborn care in homes or other out-of-hospital settings, may be one solution to the problem. Research shows that midwife care improves maternal and newborn health, reduces rates of unnecessary interventions and saves money.

  • Health Insurance Exchange Quality Ratings System 101 - (Centers for Medicare & Medicaid Services (CMS), HHS) - Aug 16, 2019 Details

    Consistent with section 1311(c)(3) of the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) established a rating system for plans offered through an Exchange on the basis of quality and price. The purpose of the Quality Rating System (or star ratings) is to: (1) help consumers make informed healthcare decisions, (2) facilitate oversight of health plans, and (3) provide actionable information to health plans to improve the quality of services they provide.

  • The Rural Maternity Care Crisis - (Commonwealth Fund) - Aug 15, 2019 Details

    With hospitals closing and a shortage of health professionals, pregnant women living in rural areas of America face barriers getting needed health care.

  • Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease - (Preventing Chronic Disease, CDC) - Aug 15, 2019 Details

    Recognizing AI/AN communities have their own cultural strategies for chronic disease prevention and control, the Centers for Disease Control and Prevention (CDC) created the Good Health and Wellness in Indian Country (GHWIC) program to integrate the knowledge those communities possess into a coordinated approach to healthy living and chronic disease prevention. The program also sought to reinforce efforts in Indian Country to advance policy, systems, and environmental (PSE) improvements to make healthy choices easier for all community members.

  • PubMed Milestone - 30 Millionth Journal Citation Added - (National Library of Medicine (NLM), NIH) - Aug 15, 2019 Details

    PubMed, the National Library of Medicine (NLM) free online database of the world's biomedical literature, recently attained a major milestone when the 30 millionth journal citation was added to the database on August 8, 2019.

  • PubMed Labs Update: Using Filters - (National Library of Medicine (NLM), NIH) - Aug 13, 2019 Details

    Users can now use filters to narrow search results in PubMed Labs by article type, text availability, publication date, species, language, sex, subject, journal category, and age. The most popular filters are included on the sidebar by default.

  • Trends in Subsidized and Unsubsidized Enrollment (August 2019) - (Centers for Medicare & Medicaid Services (CMS), HHS) - Aug 12, 2019 Details

    This report provides data on enrollment trends for people who purchase on- and off-Exchange individual market health insurance plans, both with and without federal advanced payments of the premium tax credit (APTC) subsidies.

  • Early 2019 Effectuated Enrollment Snapshot - (Centers for Medicare & Medicaid Services (CMS), HHS) - Aug 12, 2019 Details

    This report provides effectuated enrollment, premium, and advance payments of the premium tax credit (APTC) data, for the Federally-facilitated and State-based Exchanges (“the Exchanges”) for February 2019 and for the 2018 plan year.

  • Data Note: Prescription Drugs and Older Adults - (Kaiser Family Foundation (KFF)) - Aug 12, 2019 Details

    Older adults’ experiences with prescription medications can vary significantly based on their health status, how many prescription drugs they are currently taking, and other demographic variables like household income. This data note explores the varied experiences of older adults across such different demographic groups.

  • HHS Awards Nearly $400 Million to Combat the Opioid Crisis - (U.S. Department of Health and Human Services (HHS)) - Aug 12, 2019 Details

    The U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA) has awarded nearly $400 million to combat the nation’s opioid crisis. The investments will enable HRSA-funded community health centers, rural organizations and academic institutions to establish and expand access to integrated substance use disorder and mental health services.

  • Tribal Practices for Wellness in Indian Country - (Preventing Chronic Disease, CDC) - Aug 12, 2019 Details

    Brief discusses a series of meetings of cultural advisors to increase understanding of the role of tribal practices to support physical, emotional, and spiritual well-being.

  • A Guide for Rural Health Care Collaboration and Coordination (August 2019) - (Health Resources and Services Administration (HRSA), HHS) - Aug 12, 2019 Details

    Guide discusses how rural providers can work together to identify the health needs in their communities, create partnerships to address those needs, and develop a “community-minded” approach to health care. It illustrates through case studies how providers in two communities created networks and partnerships to improve the efficiency of care, optimize resources, and improve the lives of their residents. Finally, it includes links throughout and resources in the Appendix for readers to access up-to-date information on relevant policies and regulations not otherwise covered in the Guide.

  • Implementation effectiveness of health interventions for indigenous communities: a systematic review - (BioMed Central) - Aug 09, 2019 Details

    He Pikinga Waiora (HPW) is a recent implementation framework that provides a strong foundation for designing and implementing health interventions in Indigenous communities for non-communicable diseases around community engagement, culture-centred approach, systems thinking and integrated knowledge translation. This study addresses the following research question: How are the elements of the HPW Implementation Framework reflected in studies involving the implementation of a non-communicable disease health intervention in an Indigenous community?

  • Tribal Practices for Wellness in Indian Country (July 2019) - (Preventing Chronic Disease, CDC) - Aug 09, 2019 Details

    The Centers for Disease Control and Prevention (CDC), in response to recommendations from their Tribal Advisory Committee (TAC), held a series of convenings in 2015 and 2016 with a group of cultural advisors to expand the understanding of Tribal practices and how they promote physical, emotional, and spiritual well-being. This brief summarizes those convenings.

  • Who Is Vulnerable to Substance Use — Risk and Protection throughout the Life Span - (Prevention Technology Transfer Center Network (PTTC)) - Aug 09, 2019 Details

    As prevention practitioners working in the 21st century, we have many prevention tools that were developed over the past 40 years to assess the vulnerabilities of populations to substance use. For that, we need to credit the epidemiologic research in the 1970s, which paved the way for understanding the determinants of the initiation of substance use and progression to deeper involvement with substances.

  • Valuing a Cure: Draft Methods Adaptations - (Institute for Clinical and Economic Review) - Aug 08, 2019 Details

    This draft set of methods adaptations is intended to assess therapies that qualify as "sing or short-term transformative therapies". It includes a technical brief and a value assessment framework. Public comments are welcome through September 17, 2019 at 8:30am (ET).

  • Bringing Together Young And Old To Ease The Isolation Of Rural Life - (National Public Radio (NPR)) - Aug 08, 2019 Details

    A group in northeastern Minnesota is tackling the problem of rural social isolation in a novel way: They're trying to reconnect a fragmented social fabric by bringing together generations to support each other — kids and the elderly. McGregor is one of 18 rural communities running the program, called AGE to age. It connects more than 4,000 youth with almost 2,500 older adults annually.

  • School Success: An Opportunity for Population Health: Proceedings of a Workshop (2019) - (National Academies of Science, Engineering, and Medicine (NASEM)) - Aug 07, 2019 Details

    On June 14, 2018, the National Academies convened a workshop to discuss how efforts within the health sector can support children’s education from pre-kindergarten through 12th grade and to explore the barriers between these sectors. The committee also examined case examples of health-education collaboration and opportunities in policy. This publication summarizes the presentations and discussions from the workshop.

  • Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018 - (Centers for Disease Control and Prevention (CDC), HHS) - Aug 07, 2019 Details

    Naloxone dispensing from retail pharmacies increased from 2012 to 2018, with substantial increases in recent years. Despite increases, in 2018, only one naloxone prescription was dispensed for every 69 high-dose opioid prescriptions. The lowest rates of naloxone dispensing were observed in the most rural counties.

  • Department of Veterans Affairs (VA): A Primer on Telehealth - (Congressional Research Service, Library of Congress) - Aug 07, 2019 Details

    This report provides background information on VA telehealth, including veteran eligibility and enrollment criteria, VA telehealth copayment requirements, and VA providers’ authority to provide telehealth services anywhere.

  • Immigrant Doctors Can Help Lower Physician Shortages in Rural America - Aug 07, 2019 Details

    This report highlights physician shortages in rural communities, explores some of the main pathways through which immigrant doctors end up practicing there, and provides broad federal and state policy recommendations to better incorporate immigrant doctors into the effort to tackle the rural health care crisis.

  • Social Determinants of Health among Rural Asian and Pacific Islander (July 2019) - (University of South Carolina, Rural Health Research Center) - Aug 07, 2019 Details

    The AAPI population is highly diverse as its heritages include 50 different countries with distinct cultures and languages. Like other immigrant populations, AAPI residents new to the U.S. can face challenges and psychological stress from limited English fluency, acculturation, and social discrimination.

  • Housing Across the Life Span: Consumer knowledge, preferences, and barriers (June 2019) - (South Dakota State University (SDSU)) - Aug 07, 2019 Details

    Research indicates that individuals, families, and communities may benefit by increasing the implementation of design solutions to support successful aging in place. As a result, the Dakotas Housing Study was conducted to explore consumer knowledge, motivation, and barriers to the implementation of accessible and universal design.