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Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Salud America! Health Equity Report Cards
Provides county-level reports with data relevant to supporting the health of Latino children. Each county profile compares the county to the state and nation on topics that include housing, transportation, poverty, healthcare, mental health, environmental issues, and access to healthy food and active spaces.
Type: Website
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NIHB Affordable Care Act Toolkit for Native Youth
Provides a variety of resources, including downloadable materials, designed to educate Native youth about the opportunities and concepts included in the Affordable Care Act (ACA). Offers information and assistance in the areas of the ACA, Medicaid, health insurance enrollment, tribal outreach and education, and Native specific benefits.
Type: Website
Sponsoring organization: National Indian Health Board
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Medicare Physician Bonus Payment Eligibility Analyzer
Tool to determine if an address is in a Health Professional Shortage Area (HPSA) eligible for a Medicare Physician Bonus.
Type: Tool
Sponsoring organization: Health Resources and Services Administration
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Mapping Medicare Disparities
Provides access to county-level data and comparisons on chronic disease prevalence, Medicare spending, hospital and emergency department utilization, preventive services, and preventable hospitalizations, readmissions, and mortality rates for Medicare beneficiaries. Also offers 2018 Medicare Advantage encounter data. Includes hospital-level quality of care and cost of care data and comparisons as well as social determinants of health data for both the Medicare and non-Medicare population down to the census tract level.
Type: Map/Mapping System
Sponsoring organization: Centers for Medicare and Medicaid Services
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HealthCare.gov: Health Coverage for American Indians & Alaska Natives
Provides one-stop information for consumers on health insurance coverage, how to get covered, and requirements related to health insurance specific to American Indian/Alaska Native populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid and American Indians and Alaska Natives
Provides an overview of the relationship between Medicaid coverage and American Indian and Alaska Native (AI/AN) populations. Analyzes the impacts of Medicaid expansion and insurance coverage for AI/AN populations. Appendix shows state-specific changes in health insurance coverage for AI/AN populations between 2013 and 2015.
Type: Document
Sponsoring organization: KFF
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Medicare Part D Opioid Prescribing Mapping Tool
Interactive mapping tool identifies opioid prescription rates at the state, county, and zip code level for de-identified Medicare Part D claims in 2022. Also offers rural/urban opioid prescribing data, changes in prescribing rates in 1 year and 5 year increments, and hot spots and outliers in long-acting opioid prescribing.
Type: Map/Mapping System
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W) and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage
Establishes the conditions Rural Health Clinics and Federally Qualified Health Centers must meet to qualify for reimbursement under Medicare, as well as those that Rural Health Clinics must meet to qualify for reimbursement under Medicaid.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid Benefits: Rural Health Clinic Services
Provides state-by-state information on Medicaid coverage of Rural Health Clinic (RHC) services. Includes populations covered, copayments, limitations, and reimbursement methodology.
Type: Website
Sponsoring organization: KFF
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