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Rural Health
Resources by Topic: Health insurance

Urban Hospitals with a High Percentage of Inpatient Days for Rural Patients
Results of a study evaluating differences in urban hospitals with high and low percentages of rural inpatient days. Features a map showing locations of urban hospitals with greater than 40% rural inpatient days and statistics on urban hospitals with breakdowns by rural inpatient day percentage categories and Medicare payment classifications.
Author(s): Randall John, Kathleen Knocke, George H. Pink
Date: 09/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Evaluation of the Accountable Care Organization Investment Model: Final Report
Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Uninsured Rates Across Kansas Counties, September 2020
Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Type: Website
Sponsoring organization: Kansas Health Institute
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2021
Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Quality Payment Program - COVID-19 Response
Provides an overview of Quality Payment Program flexibilities for healthcare providers in response to the COVID-19 pandemic. Includes links to each relief program.
Date: 09/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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States Use Appendix K Waivers to Support Home- and Community-Based Services in Response to COVID-19
Provides an overview of how states are utilizing Appendix K waivers to promote flexibility and modify their home- and community-based services for older adults and their family caregivers during the COVID-19 pandemic. Includes an interactive map and chart outlining each state's modifications.
Date: 09/2020
Type: Website
Sponsoring organization: National Academy for State Health Policy
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CMS Coronavirus Waivers & Flexibilities
Lists Centers for Medicare and Medicaid Services (CMS) waivers and flexibilities available to healthcare providers to ensure healthcare access during the COVID-19 pandemic. Includes blanket waivers and fact sheets for specific types of providers, as well as approved states' other coronavirus 1135 waivers.
Date: 09/2020
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Open Door Forum Podcast and Transcripts
Provides audio recordings and transcripts of Centers for Medicare and Medicaid Services (CMS) Open Door Forum calls since October 2016, including the Rural Health Open Door Forums and COVID-19 stakeholder calls.
Date: 09/2020
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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National Academy for State Health Policy: COVID-19 State Action Center
Examples of how states are responding to COVID-19 with initiatives addressing capacity, health services delivery, health insurance coverage, data collection, and other issues.
Date: 09/2020
Type: Website
Sponsoring organization: National Academy for State Health Policy
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