Rural Health
Resources by Topic: Health insurance
Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Maternal Morbidity among Women in Medicaid
Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of severe maternal morbidity and mortality (SMMM) among Medicaid beneficiaries. Presents data on SMMM rates by insurance payer, race/ethnicity, and geography, including differences among rural and urban residents. Presented by Dr. Katy Kozhimannil, director of the University of Minnesota Rural Health Research Center, at the January 2020 MACPAC meeting.
Author(s): Katy B. Kozhimannil
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Sponsoring organization: Center for Health Care Strategies
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Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Sponsoring organization: Center for Health Care Strategies
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Missouri Oral Health State Snapshot
Provides state and regional snapshots and trends related to oral health in Missouri for children, Medicaid recipients, people with disabilities, older adults, and more.
Additional links: Kansas City Metro Region Totals, Northeast Region Totals, Northwest Region Totals, Southeast Region Totals, Southwest Region Totals, St. Louis Metro Region Totals
Date: 2020
Sponsoring organization: Missouri Department of Health and Senior Services
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Provides state and regional snapshots and trends related to oral health in Missouri for children, Medicaid recipients, people with disabilities, older adults, and more.
Additional links: Kansas City Metro Region Totals, Northeast Region Totals, Northwest Region Totals, Southeast Region Totals, Southwest Region Totals, St. Louis Metro Region Totals
Date: 2020
Sponsoring organization: Missouri Department of Health and Senior Services
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Sponsoring organization: U.S. Department of Health and Human Services
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Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Sponsoring organization: U.S. Department of Health and Human Services
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