Forefront: Advancing health equity and integrated care for rural dual eligibles
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Monday, October 24, 2022 | The Latest Research, Commentary, And News From Health Affairs
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PCA Shortages in Rural Areas
Personal care aides, primarily funded by Medicaid, play a major role in assisting people with disabilities with their everyday activities.

Susan Chapman and coauthors examine geographic differences in disability and the supply of personal care aides (PCAs) across the US.

The authors determine that fewer personal care aides are available in more rural areas. Within states, there were fewer PCAs per 1,000 adults with self-care disabilities in areas classified as “more rural” and “most rural” than in the least rural areas.

Additionally, their findings indicate that the gap between the potential need for PCA services and the aide supply is greatest in southern states.

“Access to care is a persistent problem documented in rural areas,” writes Sarah Kolk in a recent Forefront article examining themes from the Disability & Health issue.

To read more about rural health trends, revisit our 2019 theme issue on the topic.

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Elsewhere At Health Affairs
In Forefront, Tamarie Macon proposes a reframing of health equity advocacy that centers community-established benchmarks and experiences.

Ellen Breslin and coauthors assert that the national agenda for rural health equity must carefully account for dually eligible individuals’ needs in rural areas.

This article is the latest in a Forefront series on Medicare and Medicaid Integration, produced with the support of Arnold Ventures.

A new report from America’s Health Rankings revealed increasing mental health needs among young people. To help better address these mental health needs, we are partnering with Active Minds to launch a new program in 50 school districts across Minnesota, North Carolina and Florida. Learn more.

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