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Rural Health
Resources by Topic: Health insurance

Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder(SUD) in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Sponsoring organization: KFF
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More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Sponsoring organization: KFF
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Sponsoring organization: Government Accountability Office
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Healthy Farmers, Prosperous Farms Video
Presents a video discussing the importance of health insurance in maintaining access to healthcare for farmers and their families. Details the rates of injuries for farmers and the risks that operating a farm without health insurance can pose to both the farmers themselves and their business.
Date: 09/2018
Sponsoring organization: Rural Maryland Council
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion.
Additional links: Full Report, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Sponsoring organization: KFF
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Examining Barriers to Expanding Innovative, Value-Based Care in Medicare
Presents the September 2018 U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Health Insurance Coverage in the United States: 2017
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Sponsoring organization: U.S. Census Bureau
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Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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