Rural Health
Resources by Topic: Health insurance
Health Insurance in Rural America
A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Date: 04/2019
Sponsoring organization: U.S. Census Bureau
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A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Date: 04/2019
Sponsoring organization: U.S. Census Bureau
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Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients
Focuses on differences between community-admitted and post-acute care Medicare home health patients over time in order to identify reasons for the increase in community-admitted patients. Addresses differences in rural/urban residency in Tables B.1. and E.1., as well as whether the county of residence is a primary care shortage area.
Author(s): Andrea Wysocki, Valerie Cheh
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Focuses on differences between community-admitted and post-acute care Medicare home health patients over time in order to identify reasons for the increase in community-admitted patients. Addresses differences in rural/urban residency in Tables B.1. and E.1., as well as whether the county of residence is a primary care shortage area.
Author(s): Andrea Wysocki, Valerie Cheh
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Is Duration of Hospital Participation in Meaningful Use Associated with Value in Medicare?
Analyzes hospital participation in Medicare's meaningful use (MU) of electronic health records (EHRs) to determine the extent of their use of value-based initiatives in order to evaluate whether the duration of participation was linked with lower Medicare inpatient spending and lower readmission rates. Data was extracted from CMS sources including the Hospital Compare Website. Hospital-level data for analysis included inpatient spending, accreditation status, hospital location (urban/rural), ownership status, and hospital size.
Author(s): Yanick N. Brice, Karen E. Joynt Maddox
Citation: Journal of the American Medical Informatics Association (JAMIA) Open, 2(2), 238-245
Date: 03/2019
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Analyzes hospital participation in Medicare's meaningful use (MU) of electronic health records (EHRs) to determine the extent of their use of value-based initiatives in order to evaluate whether the duration of participation was linked with lower Medicare inpatient spending and lower readmission rates. Data was extracted from CMS sources including the Hospital Compare Website. Hospital-level data for analysis included inpatient spending, accreditation status, hospital location (urban/rural), ownership status, and hospital size.
Author(s): Yanick N. Brice, Karen E. Joynt Maddox
Citation: Journal of the American Medical Informatics Association (JAMIA) Open, 2(2), 238-245
Date: 03/2019
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Addressing Low Case-Volume in Healthcare Performance Measurement of Rural Providers: Recommendations from the MAP Rural Health Technical Expert Panel
Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Sponsoring organizations: MAP Rural Health Workgroup, National Quality Forum
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Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Sponsoring organizations: MAP Rural Health Workgroup, National Quality Forum
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Facility-Based Ambulatory Care Provided to Rural Medicare Beneficiaries in 2014
Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Relationship Between Adherence to Antihypertensive Medication Regimen and Out-of-Pocket Costs Among People Aged 35 to 64 With Employer-Sponsored Health Insurance
Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
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Assesses the proportion of people taking antihypertensive medicine, the rates of adherence to these regimens, and the costs. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Madeleine M. Baker-Goering, Kakoli Roy, David H. Howard
Citation: Preventing Chronic Disease, 16
Date: 03/2019
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Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Sponsoring organization: AHIP
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Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Sponsoring organization: AHIP
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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