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Rural Health
Resources by Topic: Health insurance

State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report
First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report
Evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Includes 2 rural-focused projects and 9 projects that included services to rural areas.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at 11 small rural hospitals in 9 states. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examining the Potential of Information Technology to Improve Public Insurance Application Processes: Enrollee Assessments from a Concurrent Mixed Method Analysis
Reports on Medicaid and Children's Health Insurance Program (CHIP) beneficiaries' readiness to use technology as part of the application process. Also discusses enrollees' preferences for technology versus face-to-face interaction for different aspects of the application process. Compares responses for rural, small metropolitan, and major metropolitan area enrollees.
Author(s): Abhay Nath Mishra, Patricia Ketsche, James Marton, Angela Snyder, Susan McLaren
Citation: JAMIA, 21(6), 1045-52
Date: 11/2014
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Includes 2 projects focused on rural areas. One offers medication management services to patients with multiple chronic conditions and the other provides hospital pharmacist to community pharmacist care coordination.
Date: 10/2014
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Date: 10/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
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Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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The 2014 Update of the Rural-Urban Chartbook
Updates information presented in Health, United States, 2001: With Urban and Rural Health Chartbook. Highlights current trends and disparities across different levels of metro and nonmetropolitan counties, including population characteristics; health-related behaviors and risk factors; mortality rates; healthcare access and use; mental health measures; and other health measures such as teen birth rates, tooth loss, and activity limitations due to chronic disease. Individual data tables are available in an Excel file.
Author(s): Michael Meit, Alana Knudson, Tess Gilbert, et al.
Date: 10/2014
Sponsoring organization: Rural Health Reform Policy Research Center
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