Rural Health
Resources by Topic: Health insurance
Interim Evaluation of California's Public Hospital Redesign and Incentives in Medi‐Cal (PRIME) Program
Reports on California's Public Hospital Redesign and Incentives in Medi-Cal Program (PRIME), approved by the Centers for Medicare and Medicaid Services (CMS) to modify Medicaid programs and implement innovative delivery reforms. PRIME uses evidence-based quality improvement methods that require hospitals to establish performance baselines, institute targets for improvement, and evaluate the success of quality improvement interventions on an ongoing basis. The analysis of the program included 52 designated public hospitals and district/municipal hospitals, with 17 of the latter being Critical Access Hospitals (CAHs).
Author(s): Nadereh Pourat, Xiao Chen, Ana E. Martinez, et al.
Date: 03/2020
Sponsoring organizations: California Department of Health Care Services, UCLA Center for Health Policy Research
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Reports on California's Public Hospital Redesign and Incentives in Medi-Cal Program (PRIME), approved by the Centers for Medicare and Medicaid Services (CMS) to modify Medicaid programs and implement innovative delivery reforms. PRIME uses evidence-based quality improvement methods that require hospitals to establish performance baselines, institute targets for improvement, and evaluate the success of quality improvement interventions on an ongoing basis. The analysis of the program included 52 designated public hospitals and district/municipal hospitals, with 17 of the latter being Critical Access Hospitals (CAHs).
Author(s): Nadereh Pourat, Xiao Chen, Ana E. Martinez, et al.
Date: 03/2020
Sponsoring organizations: California Department of Health Care Services, UCLA Center for Health Policy Research
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MedPAC Report to the Congress: Medicare Payment Policy, 2020
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2020
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payments, state reporting on the quality of care for individuals covered by Medicaid or the State Children's Health Insurance Program (CHIP), and the timeliness and quality of Medicaid demonstration evaluations. Chapter 1 examines the relationship between DSH allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 1-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payments, state reporting on the quality of care for individuals covered by Medicaid or the State Children's Health Insurance Program (CHIP), and the timeliness and quality of Medicaid demonstration evaluations. Chapter 1 examines the relationship between DSH allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 1-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Libraries Help Communities Access Health Information
Features rural libraries in South Carolina, Vermont, and Washington that support population health in their communities by providing monthly programs and teaching patrons and staff how to access reliable health information online.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2020
Sponsoring organization: Rural Health Information Hub
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Features rural libraries in South Carolina, Vermont, and Washington that support population health in their communities by providing monthly programs and teaching patrons and staff how to access reliable health information online.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2020
Sponsoring organization: Rural Health Information Hub
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Coverage and Utilization of Telemedicine Services by Enrollees in Large Employer Plans
Reports on the offering and uptake of telemedicine services by large employer health plans. Includes data on access to telehealth for rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox, Gary Claxton
Date: 03/2020
Sponsoring organization: KFF
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Reports on the offering and uptake of telemedicine services by large employer health plans. Includes data on access to telehealth for rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox, Gary Claxton
Date: 03/2020
Sponsoring organization: KFF
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The Effects of Medicaid Expansion under the ACA: Studies from January 2014 to January 2020
Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Sponsoring organization: KFF
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Updates a literature review on the impact of state Medicaid expansions on insurance coverage, access to care, and economic measures. Addresses the impact of Medicaid expansion on rural insurance rates and hospital finances.
Author(s): Madeline Guth, Rachel Garfield, Robin Rudowitz
Date: 03/2020
Sponsoring organization: KFF
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Disparities in Access to Specialists Explain Higher Preventable Hospitalization and Mortality Rates for Rural Medicare Patients: Implications for Missouri
Examines influence of access to care on rural-urban disparities in preventable hospitalization and mortality among Medicare-enrolled Missourians using 2006-2013 Medicare Current Beneficiary Survey data. Discusses the role of primary care provider and specialist visits on clinical outcomes, and identifies policy implications.
Author(s): Kenton J. Johnston, Hefei Wen, Timothy L. Wiemken, Kristine Huang, Karen E. Joynt Maddox
Date: 02/2020
Sponsoring organizations: Center for Advancing Health Services, Policy & Economics Research, Saint Louis University College for Public Health and Social Justice
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Examines influence of access to care on rural-urban disparities in preventable hospitalization and mortality among Medicare-enrolled Missourians using 2006-2013 Medicare Current Beneficiary Survey data. Discusses the role of primary care provider and specialist visits on clinical outcomes, and identifies policy implications.
Author(s): Kenton J. Johnston, Hefei Wen, Timothy L. Wiemken, Kristine Huang, Karen E. Joynt Maddox
Date: 02/2020
Sponsoring organizations: Center for Advancing Health Services, Policy & Economics Research, Saint Louis University College for Public Health and Social Justice
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Predictors of Substance Use Treatment Initiation and Engagement Among Adult and Adolescent Medicaid Recipients
Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by sex and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Presents a study on the indicators of substance use treatment among Medicaid recipients in rural and urban areas. Breaks down data by sex and co-occurring conditions, among other measures.
Author(s): Bonnie K. Lind, Dennis McCarty, Yifan Gu, et al.
Citation: Substance Abuse, 40(3), 285-291
Date: 02/2020
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Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Telemedicine and Pregnancy Care
Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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Explores the role telemedicine can play in providing prenatal and postpartum care to women in rural areas. Highlights the types of specialized care that can be delivered via telemedicine to support maternal care in rural areas. Discusses some of the barriers to telemedicine implementation, including state-level Medicaid reimbursement policy.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji
Date: 02/2020
Sponsoring organization: KFF
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