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Resources by Topic: Health insurance

FY 2026 Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Quality Reporting (IPFQR) Updates Final Rule (CMS-1831-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2026 inpatient psychiatric facility (IPF) prospective payment system (PPS) final rule. Covers annual updates to the prospective payment rates, outlier threshold, and wage index. Also describes changes to facility-level adjustment factors for teaching status and rural location.
Date: 08/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Access to OB-GYNs: Evaluating Workforce Supply and ACA Marketplace Networks
Examines the workforce supply of OB-GYNs employed in the United States and part of insurance marketplace networks. Provides interactive county-level data on number of practicing OB-GYNs per 100,000 women aged 15-64. Presents the share of counties with no OB-GYNs and the share of women living in them according to rural, small metro, or urban county classification.
Author(s): Michelle Long, Matthew Rae, Aubrey Winger, and Kaye Pestaina
Date: 07/2025
Sponsoring organization: KFF
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The Uncertain Future of Medicare's Stand-Alone Prescription Drug Plan Market and Why It Matters
Discusses the Medicare Part D stand-alone prescription drug plan (PDP) market and the Part D premium stabilization demonstration. Describes the impact of PDP market stability on rural Medicare beneficiaries. Explores the potential effects of the continuation of, or changes to, the premium stabilization program.
Author(s): Juliette Cubanski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Rural Hospitals and the Rural Health Transformation Program: What Comes Next
Blog post discussing the rural health transformation program established in the July 2025 budget reconciliation law. Describes potential priorities for states' use of the rural health transformation program funding. Outlines additional steps Congress could take to help rural hospitals serve their communities.
Author(s): Emma Sheffert, Maya Sandalow
Date: 07/2025
Sponsoring organization: Bipartisan Policy Center
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The Rapid Growth Of Medicare Advantage Poses Challenges To Rural Hospitals
Commentary describing key features of Medicare Advantage (MA) and how they may interact with the unique limitations of rural hospitals. Offers policy recommendations to align MA expansion with rural hospital sustainability.
Author(s): James D. Lee, Cody L. Mullens, Adam A. Markovitz, Janice Probst
Citation: Health Affairs Forefront
Date: 07/2025
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Partners in Progress: Pursuing Medical-Dental Integration in Ohio
Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural area, shortage areas, among Medicaid recipients, and details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Use of Telebehavioral Health Services by Critical Access Hospitals in the United States: A Qualitative Study of the Impacts of Medicare Flexibilities and Future Opportunities
Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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2025 County-Level Health Insurance Marketplace Enrollment in Kansas
Provides information on health insurance marketplace enrollment in Kansas from November 1, 2024 to January 15, 2025. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2025 Health Insurance Marketplace Enrollment by Congressional District, 2025 Health Insurance Marketplace Enrollment by County, 2025 Health Insurance Marketplace Enrollment by Zip Code, 2025 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Kaci Cink, Cynthia Snyder
Date: 07/2025
Sponsoring organization: Kansas Health Institute
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Most Medicare Advantage Markets are Dominated by One or Two Insurers
Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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The 2025 State of Poverty in Ohio Report
Provides information on poverty in Ohio, with a focus on pharmacy, food, and additional healthcare/human services deserts. Includes county-level information on individual and family poverty rates, food insecurity, insurance status, housing, and more.
Date: 07/2025
Sponsoring organization: Ohio Association of Community Action Agencies
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