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Rural Health
Resources by Topic: Health insurance

Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates
Reports the Inspector General's findings from a study of swing bed services and reimbursement at Critical Access Hospitals (CAHs). Addresses changes in swing bed usage over time and examines the potential impact to Medicare of reimbursing swing bed services at skilled nursing facility (SNF) prospective payment system (PPS) rates.
Date: 03/2015
Sponsoring organization: Office of Inspector General (HHS)
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Distribution of Cardiovascular Disease and Associated Risk Factors by County Type and Health Insurance Status: Results from the 2008 Ohio Family Health Survey
Analyzes the health status of Ohio residents living in Appalachia with other rural and non-rural populations in Ohio. Uses 2008 Ohio Family Health Survey data to identify links among county demographics, health insurance coverage, and health outcomes in low-income adult populations.
Author(s): Mbabazi Kariisa, Eric Seiber
Citation: Public Health Reports, 130(1), 87-95
Date: 01/2015
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International Classification of Disease: CMS's Efforts to Prepare for the New Version of the Disease and Procedure Codes
Review of the efforts undertaken by the Centers for Medicare and Medicaid Services (CMS) to prepare for the transition to the 10th revision of the International Classification of Diseases (ICD-10) codes. Evaluates the materials developed and activities undertaken by CMS to help providers' transition and describes concerns of stakeholder organizations, including rural-specific considerations.
Additional links: Full Report
Date: 01/2015
Sponsoring organization: Government Accountability Office
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The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Critical Access Hospitals' Receipt of Medicare and Medicaid Electronic Health Record Incentive Payments
Describes Critical Access Hospital (CAH) participation in Medicare and Medicaid electronic health record (EHR) incentive programs and compares participation rates between states and by facility characteristics.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 01/2015
Sponsoring organization: Flex Monitoring Team
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Coverage Rates Stabilize for Children's Health Insurance
Estimates children's health insurance coverage rates in the United States from 2008-2013 by geography and type of coverage. Provides graphs and statistics on rates of insurance coverage among children by rural, suburban, and central city location by state for states with sufficient data.
Author(s): Michael J. Staley
Date: 2015
Sponsoring organization: Carsey School of Public Policy
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2013 Small Area Health Insurance Estimates (SAHIE): An Overview
Selected data and maps of health insurance coverage based on the 2013 Small Area Health Insurance Estimates. Maps show county-level data on uninsured adults, children, and uninsured by income level. Includes maps showing changes in uninsured rates from 2008 to 2013.
Date: 2015
Sponsoring organization: U.S. Census Bureau
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Innovators' Guide to Navigating Medicare
Discusses processes used to determine coverage, coding, and payment for new technologies under the Medicare fee-for-service program. Guide is intended as a general summary.
Date: 2015
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults
Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report
Evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Provides information on whether and how each project addressed the needs of underserved areas, including rural areas. One rural-focused project used telehealth to deliver services. Other projects provided transportation to help meet rural needs.
Date: 12/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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