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Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care
Provides an in-depth discussion regarding rural and urban adults under the age of 65 and their perceptions of the affordability of health insurance coverage and health services prior to the passage of the Affordable Care Act (ACA).
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Sponsoring organization: Maine Rural Health Research Center
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Rural Disabled Medicare Beneficiaries Spend More Out-of-Pocket Than Their Urban Counterparts
Analyzes differences in healthcare out-of-pocket spending, supplemental coverage, and spending by type of service between rural and urban Medicare beneficiaries. Also examines rural-urban differences for Medicare beneficiaries who qualify based on disability status.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Sponsoring organization: Maine Rural Health Research Center
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Which Rural and Urban Hospitals Have Received Readmission Penalties Over Time?
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Hospital and Physician Participation in Private Sector Quality Initiatives
Results of a study to analyze 12 quality reporting and quality improvement programs being used by dominant insurers in Alabama, Kansas, Michigan, New Hampshire, South Carolina, and Utah, between 2011 and 2013.
Author(s): Amanda Diehl, Michelle Casey, Alex Evenson
Date: 10/2015
Sponsoring organization: University of Minnesota Rural Health Research Center
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Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
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Challenges of Rural Cancer Care in the United States
Highlights the impact of rurality affecting the care of rural cancer patients and healthcare providers treating cancer patients. Discussion includes the availability of cancer specialists, limited transportation services, lower socioeconomic status, health insurance coverage, less access to clinical trials, and the shortage of palliative and end-of-life staff and services.
Author(s): Mary Charlton, Jennifer Schlichting, Catherine Chioreso, et al.
Citation: Oncology (Williston Park), 29(9), 633-640
Date: 09/2015
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Health Insurance Coverage in the United States: 2014
Provides statistics on health insurance coverage in 2014 and also focuses on changes between 2013 and 2014. Table 5 lists statistics for metropolitan and non-metropolitan areas. Based on data from the 2015 Current Population Survey Annual Social and Economic Supplement.
Author(s): Jessica C. Smith, Carla Medalia
Date: 09/2015
Sponsoring organization: U.S. Census Bureau
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Simulation and Analysis of an Alternative Medicare Home Health Payment System Not Based on Number of Therapy Visits
Outlines a possible approach to redesigning the Medicare home health payment system and describes the likely impacts of such a change. Includes statistics with breakdowns by number of therapy and non-therapy visits, payment-to-cost ratios, medical procedure or chronic illness, and type of health facility.
Author(s): Doug Wissoker, Bowen Garrett
Date: 08/2015
Sponsoring organization: Urban Institute
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