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Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Rural Health Care in America: Challenges and Opportunities
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Sponsoring organization: Senate Committee on Finance
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Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Sponsoring organization: AARP Public Policy Institute
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Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 04/2018
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Changes in Hospital Utilization Three Years into Maryland's Global Budget Program for Rural Hospitals
Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
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Views from the Heartland: Prospects for Bipartisanship in Health Reform
Reports on the views and opinions of 27 state legislators serving on health, budget, or appropriations committees in Colorado and Kansas. Discusses Medicaid expansion in rural areas and highlights the importance of promoting quality healthcare and removing barriers to access in rural communities.
Author(s): David K. Jones
Date: 04/2018
Sponsoring organization: Milbank Memorial Fund
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Rural and Urban Provider Market Share of Inpatient Post-Acute Care Services Provided to Rural Medicare Beneficiaries
Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Sponsoring organization: House Committee on Energy and Commerce
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Use of the National Health Interview Survey Linked to Medicaid Analytic eXtract Data to Identify Children With Medicaid-covered Births
Explains a method for longitudinal follow-up of children who were enrolled in Medicaid at birth through linked National Health Interview Survey and Medicaid Analytic eXtract data files. Includes NHIS data on health insurance coverage, health status, and healthcare access for children with Medicaid-covered births, including data by urban-rural county of residence.
Author(s): Patricia C. Lloyd, Anne K. Driscoll, Alan E. Simon, Jennifer D. Parker
Date: 04/2018
Sponsoring organization: National Center for Health Statistics
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Bipartisan Budget Act of 2018 (P.L. 115-123): CHIP, Public Health, Home Visiting, and Medicaid Provisions in Division E
Highlights a report on the Bipartisan Budget Act of 2018. Details appropriations for Medicare, Medicaid, CHIP, public health, and other provisions in Division E. Provides some discussion of the effect of these appropriations on rural communities.
Date: 03/2018
Sponsoring organization: Congressional Research Service
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