Grassley’s REACH Act would increase access to Emergency Care in Rural Areas

April 13, 2016--The Medicare Payment Advisory Commission (MedPAC), an independent congressional agency that advises Congress on issues affecting the Medicare program, has begun to discuss an issue important to Sen. Chuck Grassley: new methods of “improving efficiency and preserving access to emergency care in rural areas.”  

The commissioners discussed a possible new payment option for critical access hospitals in which the hospitals would shift to outpatient services only with emergency room services.  

Grassley is the sponsor of the Rural Emergency Acute Care Hospital (REACH) Act that would allow such hospitals to shift from offering inpatient care to outpatient care with emergency room services.

 Grassley’s bill is meant to recognize that inpatient beds are hard to fill in many small communities but emergency room care is critical.  Grassley made the following comment on MedPAC’s discussion.

“It’s good news to hear a discussion about hospital needs in rural communities.  MedPAC notes that rural hospitals have closed, and more are in danger of closing, so a discussion of whether to shift away from inpatient beds to outpatient care and emergency services is timely and necessary.  

"I look forward to more discussions among policy experts and the enactment of policies that keep rural hospitals open and serving their communities in a flexible, updated way.”
 

Rural Residents Seek Farmers Markets, UF/IFAS study shows

Newswise, April 5, 2016--People who buy their produce from farmers markets love the freshness and nutritional value of the product. Not only that, rural residents seek out such markets more than urban residents, a University of Florida Institute of Food and Agricultural Sciences researcher says.

The latter finding surprised the researchers, led by Alan Hodges, an Extension scientist in the UF/IFAS food and resource economics department.

“We interpret this effect as due to greater awareness of farming and farm-fresh foods in rural areas,” Hodges said. 

“The finding also suggests that rural households may be seeking out farmers’ markets as a travel destination rather than as part of a multi-stop shopping trip, as would often be the case with urban consumers. In addition, there is greater competition among food retailers in urban areas, simply due to the larger number of venues available.”

If you establish farmers markets within about three miles of someone’s home, it will increase the chances urban residents will go to the market, but only by about 3.7 percent, the UF/IFAS study showed.

The findings are published in the journal Renewable Agriculture and Food Systems and come from the master’s thesis of former UF/IFAS graduate student Ruoding Shi, now a doctoral student at Virginia Tech.

Hodges and Shi surveyed 7,500 randomly selected households in Florida and obtained 1,599 valid responses from the primary food shopper in the residence. They asked consumers about shopping frequency and value of foods purchased through multiple local food distribution channels – in this case, farmers markets, U-pick operations and roadside stands.

Several questions asked consumers their perceptions of local food attributes, such as freshness, nutrition, food safety, food security, organic certification and more. Questions also asked about limiting factors such as unavailability, seasonality, not knowing if the produce was truly local, high price and more.

Of those surveyed, 62 percent said they had bought locally grown foods at a farmers’ market, roadside stand or U-pick operation. Of those respondents, 90 percent rated freshness as very important; 78 percent mentioned food safety and 67 percent noted the produce’s nutrition as very important.

“The main takeaway from this study for local economic development is that consumer perceptions about local food attributes affect the likelihood of shopping at farmers’ markets,” Hodges said.

 “These favorable attributes, such as freshness and nutrition, can be emphasized by market managers to increase business volume. In addition, accessibility of farmers’ markets to consumers in terms of distance from home is just one factor among others that should be considered for locating markets.”