Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Medicaid Expansion and Premium Assistance: The Importance of Non-Emergency Medical Transportation (NEMT) to Coordinated Care for Chronically Ill Patients
Discusses the importance and benefits of Medicaid and non-emergency medical transportation (NEMT) for patients accessing life sustaining healthcare services. Covers patients impacted by limited transportation options prevalent in rural areas.
Date: 03/2014
Type: Document
Sponsoring organization: Community Transportation Association of America
view details
Rural/Urban Differences in Inpatient Related Costs and Use among Medicare Beneficiaries
Compares inpatient costs for Medicare beneficiaries admitted to rural versus urban hospitals. Also examines 30- and 60-day readmission rates by hospital location and beneficiary residence, adjusted for beneficiary rural status, health status, and sociodemographic characteristics.
Author(s): Matthew Toth, Mark Holmes, Victoria A. Freeman, George H. Pink
Date: 03/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Rural Implications of Medicaid Expansion under the Affordable Care Act
Report discusses how ACA Medicaid expansion will meet the distinctive needs of rural residents. Using 2007-2011 Medical Expenditure Panel Survey (MEPS) data and data from state Medicaid policies and primary care providers, this report examines rural-urban differences in patient populations, reviews previous public health insurance programs affecting rural populations, and considers the availability of healthcare access in rural areas.
Author(s): Erika Ziller, Jennifer Lenardson, Andrew Coburn
Date: 02/2014
Type: Document
Sponsoring organization: State Health Access Reform Evaluation
view details
Colorado's Primary Care Workforce: A Study of Regional Disparities
Analyzes the primary care workforce across Colorado in 2014, including rural and underserved urban areas. Covers solutions to address the healthcare workforce capacity. Provides statistics for 21 health regions in Colorado on practicing primary care physicians, population, average weekly patient care hours per physician, and more.
Author(s): Amy Downs, Rebecca Alderfer, Brian Clark, Rebecca Crepin, Deborah Goeken
Date: 02/2014
Type: Document
Sponsoring organization: Colorado Health Institute
view details
The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
view details
The Extender Policies: What Are They and How Should They Continue Under a Permanent SGR Repeal Landscape
Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
view details
Rural Implications of the Affordable Care Act Outreach, Education, and Enrollment
Outlines opportunities for rural communities to benefit from the Affordable Care Act and discusses the importance of efforts aimed at furthering outreach, education, and enrollment in health insurance in rural areas.
Date: 01/2014
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
2012 Rural Medicare Advantage Quality Ratings and Bonus Payments
Analyzes differences in rural Medicare Advantage (MA) quality ratings and payments and suggests reasons why quality ratings vary by geography. Compares the quality rating of MA plans in rural areas to urban areas and discusses differences in the composition of MA market enrollment and plan availability. Addresses the potential impact of quality bonus payments on MA plan quality.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 01/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Private Health Insurance: The Range of Base Premiums for Individuals Age 19 and 64 in the Individual Market by State in January 2013
Reports on the range of health insurance premiums offered to different categories of consumers in the individual market in the month of January 2013. As of 2014, insurers are no longer able to use gender or health status to set premiums and are restricted in the amount they can vary premiums based on age and tobacco use. Enclosure II, beginning on page 107, reports base premiums for an urban and rural zip code in four select states, one from each census region: Illinois, Nevada, Pennsylvania, and Texas.
Additional links: Full Report
Date: 01/2014
Type: Document
Sponsoring organization: Government Accountability Office
view details
Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Type: Document
Sponsoring organization: Congressional Research Service
view details