Rural Health
Resources by Topic: Health insurance
An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia
Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
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Describes a community health worker-based chronic care management model implemented in rural counties in 3 central Appalachian states. Demonstrates how to engage health insurance companies to support and sustain this model.
Author(s): Richard Crespo, Matthew Christiansen, Kim Tieman, Richard Wittberg
Citation: Preventing Chronic Disease, 17
Date: 02/2020
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Variation in Use of Home Health Care among Fee-for-Service Medicare Beneficiaries by Rural-Urban Status and Geographic Region: Assessing the Potential for Unmet Need
County-level analysis of home healthcare use by Medicare beneficiaries in 2013. Explores characteristics of beneficiaries and their communities. Features statistics with breakdowns by geographic region and 5 levels of population density.
Author(s): Tracy M. Mroz, Lisa A. Garberson, Jennifer L. Wong, et al.
Date: 02/2020
Sponsoring organization: WWAMI Rural Health Research Center
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County-level analysis of home healthcare use by Medicare beneficiaries in 2013. Explores characteristics of beneficiaries and their communities. Features statistics with breakdowns by geographic region and 5 levels of population density.
Author(s): Tracy M. Mroz, Lisa A. Garberson, Jennifer L. Wong, et al.
Date: 02/2020
Sponsoring organization: WWAMI Rural Health Research Center
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Three Large Scale Surveys Highlight the Complexity of Cervical Cancer Under-Screening Among Women 45-65 Years of Age in the United States
Examines cervical cancer screening rates based on data from the Behavioral Risk Factor Surveillance System, the Health Center Patient Survey, and the Health Information National Trends Survey. Discusses demographics, including rural and urban location, and screening rates by age, location, education level, race and ethnicity, and insurance coverage.
Author(s): Diane M. Harper, Melissa Plegue, Kathryn M. Harmes, Masahito Jimbo, Sherri SheinfeldGorin
Citation: Preventative Medicine, 130, 105880
Date: 01/2020
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Examines cervical cancer screening rates based on data from the Behavioral Risk Factor Surveillance System, the Health Center Patient Survey, and the Health Information National Trends Survey. Discusses demographics, including rural and urban location, and screening rates by age, location, education level, race and ethnicity, and insurance coverage.
Author(s): Diane M. Harper, Melissa Plegue, Kathryn M. Harmes, Masahito Jimbo, Sherri SheinfeldGorin
Citation: Preventative Medicine, 130, 105880
Date: 01/2020
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Infants Without Health Insurance: Racial/Ethnic and Rural/Urban Disparities in Infant Households' Insurance Coverage
Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R. Sanders, Michael R. Cope, Paige N. Park, Wesley Jeffery, Jorden E. Jackson
Citation: PLoS ONE, 15(1), e0222387
Date: 01/2020
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Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R. Sanders, Michael R. Cope, Paige N. Park, Wesley Jeffery, Jorden E. Jackson
Citation: PLoS ONE, 15(1), e0222387
Date: 01/2020
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Health Care Use and Access among Rural and Urban Nonelderly Adult Medicare Beneficiaries
Highlights healthcare access and utilization by disabled adults under 65 who are enrolled in Medicare. Compares rural and urban participants by demographics and geographic region, among other measures.
Author(s): Erika Ziller, Amanda Burgess, Deborah Thayer
Date: 01/2020
Sponsoring organization: Maine Rural Health Research Center
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Highlights healthcare access and utilization by disabled adults under 65 who are enrolled in Medicare. Compares rural and urban participants by demographics and geographic region, among other measures.
Author(s): Erika Ziller, Amanda Burgess, Deborah Thayer
Date: 01/2020
Sponsoring organization: Maine Rural Health Research Center
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Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare & Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare & Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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