Rural Health
Resources by Topic: Health insurance
Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
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Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: Journal of Rural Health, 35(3), 287-297
Date: 10/2018
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on 5 states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Sponsoring organization: Government Accountability Office
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Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Sponsoring organization: Government Accountability Office
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Healthy Farmers, Prosperous Farms Video
Presents a video discussing the importance of health insurance in maintaining access to healthcare for farmers and their families. Details the rates of injuries for farmers and the risks that operating a farm without health insurance can pose to both the farmers themselves and their business.
Date: 09/2018
Sponsoring organization: Rural Maryland Council
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Presents a video discussing the importance of health insurance in maintaining access to healthcare for farmers and their families. Details the rates of injuries for farmers and the risks that operating a farm without health insurance can pose to both the farmers themselves and their business.
Date: 09/2018
Sponsoring organization: Rural Maryland Council
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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