In April 2024, CMS issued the Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting final rule which established new minimum nurse staffing requirements for nursing homes by nurse type.
Rural Communities
Reports
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Generic Drug Utilization and Spending Among Medicare Part D Enrollees in 2022
In 2022, 43.3 million Medicare Part D enrollees (82 percent) filled 1.1 billion prescriptions for generic prescription drugs. While most enrollees filled at least one prescription for $2 or less, most (54 percent) paid more than $2 for at least one generic drug. Over 6 million enrollees filled at least one prescription for over $20.
ASPE Issue Brief
National and State Estimates of Children Living with Parents Using Substances, 2015–2019
This brief presents estimates of the number and percentage of children whose parents engage in problematic substance use, including past-year substance use and SUD by substance type and child demographics. Key findings include:
Research Summary
The Affordable Care Act and Its Accomplishments
The Affordable Care Act (ACA) was signed into law on March 23, 2010. Since then, the law has led to an historic expansion of health insurance coverage across all states and all demographic groups within the U.S. This Briefing Book features key findings from two dozen reports published in 2021-2022.
Report
Access to Affordable Care in Rural America: Current Trends and Key Challenges
Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.
Strategies Rural Communities Use to Address Substance Misuse among Families in the Child Welfare System
This research summary and brief describe nine programs and highlight ways they have addressed challenges to serving child welfare-involved parents with substance use issues, with a particular focus on their applicability to rural communities.
Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
This brief summarizes the challenges involved in serving rural child welfare-involved families with substance use issues. We highlight differences between rural and non-rural areas and discuss strategies that could help alleviate difficulties in addressing child welfare cases in rural communities. Key findings include:
Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
The objectives of this research effort were to collect feedback through interviews with physicians in small rural practices on the initial implementation of Medicare’s Quality Payment Program in 2017, a new value-based purchasing program for Medicare physicians.
Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Access to services, particularly behavioral health and substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas.
Planning and Implementation of the Rural IMPACT Demonstration
This report summarizes findings from an ASPE study of the first year of the White House Rural Council/HHS Rural IMPACT demonstration, which aims to reduce poverty through coordinated services for both children and parents.