Rural Health
Resources by Topic: Health insurance
Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Sponsoring organization: Center for Health Care Strategies
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Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Sponsoring organization: Center for Health Care Strategies
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines 6 states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Examines 6 states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Differences in Community Characteristics of Sole Community Hospitals
Findings brief presenting a snapshot of Sole Community Hospitals (SCHs) and their communities in 2015, and identifying trends in characteristics of selected SCHs and their communities from 2006 through 2015. Features statistics including breakdowns by large rural, small rural, and isolated rural location.
Author(s): Sharita R. Thomas, Mark Holmes, George H. Pink
Date: 11/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief presenting a snapshot of Sole Community Hospitals (SCHs) and their communities in 2015, and identifying trends in characteristics of selected SCHs and their communities from 2006 through 2015. Features statistics including breakdowns by large rural, small rural, and isolated rural location.
Author(s): Sharita R. Thomas, Mark Holmes, George H. Pink
Date: 11/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Trends in Primary Care Provision to Medicare Beneficiaries by Physicians, Nurse Practitioners, or Physician Assistants: 2008-2014
Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
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Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
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Building Complex Care Programs: A Road Map for States
Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Sponsoring organization: National Governors Association
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Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Sponsoring organization: National Governors Association
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Disparities in Preventive Dental Care Among Children in Georgia
Examines access to preventive dental care between low-income children eligible for public dental insurance compared to children with private dental insurance and/or a high family income in Georgia. Assesses the effects of policies toward increasing access to dental care for low-income children. Includes a map illustrating the percent of children with financial access to preventive dental care for each county.
Author(s): Shanshan Cao, Monica Gentili, Paul M. Griffin, Susan O. Griffin, Nicoleta Serban
Citation: Preventing Chronic Disease, 14
Date: 10/2017
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Examines access to preventive dental care between low-income children eligible for public dental insurance compared to children with private dental insurance and/or a high family income in Georgia. Assesses the effects of policies toward increasing access to dental care for low-income children. Includes a map illustrating the percent of children with financial access to preventive dental care for each county.
Author(s): Shanshan Cao, Monica Gentili, Paul M. Griffin, Susan O. Griffin, Nicoleta Serban
Citation: Preventing Chronic Disease, 14
Date: 10/2017
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Ambulance Services for Medicare Beneficiaries: State Differences in Usage, 2012-2014
Policy brief analyzing how ambulance use varies among U.S. communities. Features state-level statistics including number of Medicare patients transported by ambulance, miles transported, and number of days ambulance transport was used per patient. Compares mean characteristics of states by census division, including percentage of population living in rural areas.
Author(s): SuZanne Troske, Alison Davis
Date: 10/2017
Sponsoring organization: Rural and Underserved Health Research Center
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Policy brief analyzing how ambulance use varies among U.S. communities. Features state-level statistics including number of Medicare patients transported by ambulance, miles transported, and number of days ambulance transport was used per patient. Compares mean characteristics of states by census division, including percentage of population living in rural areas.
Author(s): SuZanne Troske, Alison Davis
Date: 10/2017
Sponsoring organization: Rural and Underserved Health Research Center
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Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Sponsoring organization: U.S. Department of Health and Human Services
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Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Sponsoring organization: U.S. Department of Health and Human Services
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What is the Quality Payment Program?
Provides an overview of the Quality Payment Program (QPP) and its two associated payment tracks: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). Describes how the QPP may affect rural practices and includes links to additional resources.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Provides an overview of the Quality Payment Program (QPP) and its two associated payment tracks: the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs). Describes how the QPP may affect rural practices and includes links to additional resources.
Date: 09/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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