Rural Health
Resources by Topic: Health insurance
February 2025 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Ohio Medicaid Basics 2025: Ohio Medicaid Enrollment by County
Provides county-level data on Medicaid enrollment according to Medicaid expansion groups along with data for all Medicaid enrollees and total county population estimates.
Date: 02/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides county-level data on Medicaid enrollment according to Medicaid expansion groups along with data for all Medicaid enrollees and total county population estimates.
Date: 02/2025
Sponsoring organization: Health Policy Institute of Ohio
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2024-2025 Pre-Rulemaking Measure Review (PRMR): Recommendations Report
Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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The Growing Impact of Medicare Advantage on Rural Hospitals Across America
Examines the impact of Medicare Advantage (MA) on rural hospitals. Discusses payment and reimbursement, healthcare access, hospital finance and patient data, hospital case examples, and more.
Date: 02/2025
Sponsoring organization: American Hospital Association
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Examines the impact of Medicare Advantage (MA) on rural hospitals. Discusses payment and reimbursement, healthcare access, hospital finance and patient data, hospital case examples, and more.
Date: 02/2025
Sponsoring organization: American Hospital Association
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Key Facts About Hospitals
Presents information and data on hospitals and hospital spending. Covers national hospital spending, the hospital industry, use of hospital care, out-of-pocket spending and medical debt, hospital finances, and more. Includes a section on rural hospitals, which describes the prevalence of rural hospitals, rural hospital characteristics, discharges by payer, profit margins, and openings and closings of rural hospitals.
Author(s): Zachary Levinson, Scott Hulver, Jamie Godwin, Tricia Neuman
Date: 02/2025
Sponsoring organization: KFF
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Presents information and data on hospitals and hospital spending. Covers national hospital spending, the hospital industry, use of hospital care, out-of-pocket spending and medical debt, hospital finances, and more. Includes a section on rural hospitals, which describes the prevalence of rural hospitals, rural hospital characteristics, discharges by payer, profit margins, and openings and closings of rural hospitals.
Author(s): Zachary Levinson, Scott Hulver, Jamie Godwin, Tricia Neuman
Date: 02/2025
Sponsoring organization: KFF
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Medicaid-Covered Health Care Visits During the Postpartum Year: Variation by Enrollee Characteristics and State
Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Examines 2018 Medicaid claims data in 46 states to evaluate the impact of extending postpartum coverage from 60 days to 1 year. Offers comparisons by state Affordable Care Act Medicaid expansion status and rural or urban residence, among other variables. Discusses access to healthcare disparities.
Author(s): Laura Barrie Smith, Claire O'Brien, Keqin Wei, Timothy A. Waidmann, Genevieve M. Kenney
Citation: Health Affairs Scholar, 3(2)
Date: 02/2025
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Medicare Advantage Penetration and the Financial Distress of Rural Hospitals
Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Chartis Center for Rural Health Research & Resources for the 2025 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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