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Rural Health
Resources by Topic: Health insurance

Community Health Centers in a Time of Change: Results from an Annual Survey
Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Sponsoring organization: KFF
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States
Examines the change in median Medicaid payer mix among Critical Access Hospitals between 2013 and 2018 and compares the change across states that adopted Medicaid expansion and those that did not.
Author(s): Savannah Stallings, George Pink, Kristin Reiter
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Small Area Health Insurance Estimates: 2018
Reports on health insurance coverage in the U.S. in 2018 and changes between 2017 and 2018, as well as changes between 2013 and 2018. Includes maps showing county-level uninsured rates.
Additional links: Visualizations and Reference Maps
Author(s): Thomas W. Walton, Katherine Ann Willyard
Date: 04/2020
Sponsoring organization: U.S. Census Bureau
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in American Samoa
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in Guam
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Comment on CMS's Proposed Rule on Contract Year 2021 and 2022 Policy and Technical Changes to Medicare Advantage and Part D
Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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CARES Act: Provisions to Help Rural Hospitals
Provides an overview of aspects of the Coronavirus Aid, Relief, and Economic Security (CARES) Act designed to support rural hospitals. Highlights provisions related to access to capital, Medicare payments, and telehealth, among others.
Date: 04/2020
Sponsoring organization: American Hospital Association
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