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Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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A Portrait of American Indian and Alaska Native Children and Families
Describes the population characteristics of American Indian and Alaska Native (AI/AN) children and their families, and estimates the need for early care, education attendance, and healthcare coverage. Features statistics on rates and types of health insurance coverage for young AI/AN children and for their parents.
Author(s): Meryl Yoches Barofsky, Nina Chien, Lizabeth Malone, Sara Bernstein, Kaitlyn Mumma
Date: 07/2018
Sponsoring organization: Administration for Children and Families
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5 Ways to Conduct Outreach in Rural Communities
Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Health Insurance Exchanges: HHS Should Enhance Its Management of Open Enrollment Performance
Reports on outreach and enrollment for the health insurance exchanges using Healthcare.gov. Examines 2018 open enrollment outcomes and related factors, U.S. Department of Health and Human Services (HHS) outreach efforts for 2018, and HHS's 2018 enrollment goals. Includes discussion of how changes in funding impacted outreach in rural areas. Provides data on Healthcare.gov enrollees in rural and urban areas.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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Insuring Rural America: Health Insurance Challenges and Opportunities
Details a study focusing on the challenges of designing an insurance market that works in rural America. Looks at the needs of rural people and current health insurance policy.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Medicaid Fee-for-Service Provider Payment Process
Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Drug Discount Program: Improvements Needed in Federal Oversight of Compliance at 340B Contract Pharmacies
Details an evaluation of HRSA's oversight of contract pharmacies participating in the 340B Drug Pricing Program. Discusses rates of compliance by contract pharmacies and HRSA's enforcement efforts.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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MedPAC Comment on CMS's Interim Final Rule on Durable Medical Equipment Fee Schedule Adjustments
Describes Medicare's method of setting payment rates for durable medical equipment, prosthetics, orthotics, and supplies, and explains the reinstitution of 50/50 blended payment rates for rural and non-contiguous areas from June 1, 2018 to December 31, 2018.
Author(s): Francis J. Crosson
Date: 07/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Small and Rural Practices' Experiences in Previous Programs and Expected Performance in the Merit-Based Incentive Payment System
Examines how small and rural physician practices fared in legacy Medicare programs and reviews the projected effect of Merit-Based Incentive Payment System (MIPS). Discusses Medicare legacy program challenges small and rural physician practices experience including technology, financial and staff resources, and legacy program requirements. Covers efforts to assist small and rural physician practices participate in MIPS. Includes 2014 and 2015 data on Medicare legacy payment incentive programs by rural and urban status.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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