Rural Health
Resources by Topic: Health insurance
Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report
Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Health Care Access and Utilization Among Native Hawaiian and Pacific Islander Persons in the United States, 2014
Provides detailed statistics on healthcare access and utilization for the Native Hawaiian and Pacific Islander (NHPI) population as a whole, as well as multiple- and single-race NHPI populations, with comparisons to other groups and to the U.S. population. Topics addressed include health insurance coverage, usual place of care, emergency department visits, delayed care due to cost, dentist visits, influenza and pneumococcal vaccination, and HIV screening.
Author(s): Carla E. Zelaya, Adena M. Galinsky, Catherine Simile, Patricia M. Barnes
Citation: Vital and Health Statistics, 3(41)
Date: 08/2017
Sponsoring organization: National Center for Health Statistics
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Provides detailed statistics on healthcare access and utilization for the Native Hawaiian and Pacific Islander (NHPI) population as a whole, as well as multiple- and single-race NHPI populations, with comparisons to other groups and to the U.S. population. Topics addressed include health insurance coverage, usual place of care, emergency department visits, delayed care due to cost, dentist visits, influenza and pneumococcal vaccination, and HIV screening.
Author(s): Carla E. Zelaya, Adena M. Galinsky, Catherine Simile, Patricia M. Barnes
Citation: Vital and Health Statistics, 3(41)
Date: 08/2017
Sponsoring organization: National Center for Health Statistics
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Fee-For-Service Beneficiaries with Disabilities, by End Stage Renal Disease Status, 2014
Data highlight describing the characteristics of disabled Medicare beneficiaries by end stage renal disease (ESRD) status. Uses data from the Centers for Medicare and Medicaid Services' (CMS) Chronic Conditions Data Warehouse (CCW) and includes a breakdown of metropolitan, micropolitan, or rural residence of disabled Medicare beneficiaries with ESRD.
Author(s): Elsa Haile, Sonya Bowen, Kenneth Lindenfelser, Chris Haffer
Date: 07/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Data highlight describing the characteristics of disabled Medicare beneficiaries by end stage renal disease (ESRD) status. Uses data from the Centers for Medicare and Medicaid Services' (CMS) Chronic Conditions Data Warehouse (CCW) and includes a breakdown of metropolitan, micropolitan, or rural residence of disabled Medicare beneficiaries with ESRD.
Author(s): Elsa Haile, Sonya Bowen, Kenneth Lindenfelser, Chris Haffer
Date: 07/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Air Ambulance: Data Collection and Transparency Needed to Enhance DOT Oversight
Addresses various aspects of air transport for critically ill patients, including the amount charged for service, factors affecting the service, and actions the federal government could take to provide pricing oversight. Discusses the implications and importance of air transport for rural areas throughout.
Additional links: Full Report
Date: 07/2017
Sponsoring organization: Government Accountability Office
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Addresses various aspects of air transport for critically ill patients, including the amount charged for service, factors affecting the service, and actions the federal government could take to provide pricing oversight. Discusses the implications and importance of air transport for rural areas throughout.
Additional links: Full Report
Date: 07/2017
Sponsoring organization: Government Accountability Office
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The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Sponsoring organization: North Carolina Rural Health Research Program
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Sponsoring organization: Commonwealth Fund
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Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Sponsoring organization: Commonwealth Fund
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Knowledge of Health Insurance Concepts and the Affordable Care Act among Rural Residents
Examines urban and rural residents' knowledge and use of various aspects of the Affordable Care Act Marketplace and subsidies, and changes in this knowledge between the last quarters of 2013 and 2014. Features statistics including numbers of people seeking information and levels of knowledge on various insurance-related topics, with breakdowns by age group, sex, race, health status, education, marital status, income, and urban or rural residence.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Amanda R. Burgess
Date: 07/2017
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research & Policy Centers
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Examines urban and rural residents' knowledge and use of various aspects of the Affordable Care Act Marketplace and subsidies, and changes in this knowledge between the last quarters of 2013 and 2014. Features statistics including numbers of people seeking information and levels of knowledge on various insurance-related topics, with breakdowns by age group, sex, race, health status, education, marital status, income, and urban or rural residence.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Amanda R. Burgess
Date: 07/2017
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research & Policy Centers
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