Rural Health
Resources by Topic: Health insurance
Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
view details
Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
view details
Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
view details
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
view details
Quality Payment Program (QPP) 2023: Participation and Payment Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2023 performance year. Highlights the percentages of small and rural providers receiving negative, neutral, and positive payment adjustments for 2025.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Provides an overview of the results of the Quality Payment Program (QPP) for the 2023 performance year. Highlights the percentages of small and rural providers receiving negative, neutral, and positive payment adjustments for 2025.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
view details
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
view details
Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Care Management Billing Strategies
Webinar recording featuring speakers from Eide Bailly and the NORC Walsh Center for Rural Health Analysis discussing new 2025 Medicare care management billing codes and how they can be used to support care coordination to improve care quality for Medicare beneficiaries
Additional links: Audio Recording, Webinar Slides
Date: 05/2025
Sponsoring organization: Rural Health Information Hub
view details
Webinar recording featuring speakers from Eide Bailly and the NORC Walsh Center for Rural Health Analysis discussing new 2025 Medicare care management billing codes and how they can be used to support care coordination to improve care quality for Medicare beneficiaries
Additional links: Audio Recording, Webinar Slides
Date: 05/2025
Sponsoring organization: Rural Health Information Hub
view details
Annual Insurance Update 2025: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
view details
Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
view details
Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Arkansas All-Payer Claims Database Analysis of Hepatitis B
Reports on Hepatitis B diagnosis, treatment, screening, and other clinical and population-based data in Arkansas in 2021, utilizing Arkansas All-Payer Claims Database (APCD) and Arkansas Department of Health data. See Table 1 and Appendix B for demographic data on individuals with health insurance diagnosed with Hepatitis B broken down by level of rurality.
Date: 05/2025
Sponsoring organization: Arkansas Center for Health Improvement
view details
Reports on Hepatitis B diagnosis, treatment, screening, and other clinical and population-based data in Arkansas in 2021, utilizing Arkansas All-Payer Claims Database (APCD) and Arkansas Department of Health data. See Table 1 and Appendix B for demographic data on individuals with health insurance diagnosed with Hepatitis B broken down by level of rurality.
Date: 05/2025
Sponsoring organization: Arkansas Center for Health Improvement
view details
Arkansas All-Payer Claims Database Analysis of Hepatitis C
Reports on Hepatitis C diagnosis, treatment, screening, and other clinical and population-based data in Arkansas in 2021, utilizing Arkansas All-Payer Claims Database (APCD) and Arkansas Department of Health data. See Table 1 and Appendix B for demographic data on individuals with health insurance diagnosed with Hepatitis C broken down by level of rurality.
Date: 05/2025
Sponsoring organization: Arkansas Center for Health Improvement
view details
Reports on Hepatitis C diagnosis, treatment, screening, and other clinical and population-based data in Arkansas in 2021, utilizing Arkansas All-Payer Claims Database (APCD) and Arkansas Department of Health data. See Table 1 and Appendix B for demographic data on individuals with health insurance diagnosed with Hepatitis C broken down by level of rurality.
Date: 05/2025
Sponsoring organization: Arkansas Center for Health Improvement
view details