Rural Health
Resources by Topic: Health insurance
Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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2023 MIPS Eligibility Decision Tree
Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2023 Performance Year. Includes information on the low-volume threshold criteria.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2023 Performance Year. Includes information on the low-volume threshold criteria.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHC Billing 101 Webinar
Recording of a May 22, 2023, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a May 22, 2023, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Medicaid Coverage in Metro and Small Town/Rural Counties, 2020-2021
Presents county-level data for children and non-elderly adults insured by Medicaid in 2020-2021.
Date: 05/2023
Type: Map/Mapping System
Sponsoring organization: Georgetown University Health Policy Institute
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Presents county-level data for children and non-elderly adults insured by Medicaid in 2020-2021.
Date: 05/2023
Type: Map/Mapping System
Sponsoring organization: Georgetown University Health Policy Institute
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State Medicaid and Private Telemedicine Coverage Requirements and Telemedicine Use, 2013–2019
Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
Type: Document
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Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
Type: Document
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Health Inclusive Poverty Measure Estimates in the United States: 2014 to 2021
Reports on the Health Inclusive Poverty Measure (HIPM), which expands the Supplemental Poverty Measure (SPM) by including health insurance values. Tables 3 and 6 include data on poverty rates for the HIPM and SPM for those inside and outside metro areas in 2021.
Author(s): John Creamer
Date: 05/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Reports on the Health Inclusive Poverty Measure (HIPM), which expands the Supplemental Poverty Measure (SPM) by including health insurance values. Tables 3 and 6 include data on poverty rates for the HIPM and SPM for those inside and outside metro areas in 2021.
Author(s): John Creamer
Date: 05/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief reporting the findings of Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features statistics including the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Policy brief reporting the findings of Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features statistics including the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Accountable Health Communities (AHC) Model Evaluation: Second Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores the context in which the AHC Model was implemented and the model's impacts on Medicaid, FFS Medicare, and Medicare Advantage beneficiaries. Presents information on participating organizations that had rural areas within their geographic target areas (GTAs) and compares outcomes among urban and rural participants.
Additional links: Findings at a Glance
Date: 05/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Health Care Capsule: Accessing Health Care in Rural America
Discusses challenges rural communities face related to healthcare access, such as limited healthcare providers, travel distance and transportation issues, insurance coverage, and access to broadband. Provides policy recommendations from the U.S. Government Accountability Office (GAO) to address rural healthcare disparities.
Additional links: Full Report
Date: 05/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses challenges rural communities face related to healthcare access, such as limited healthcare providers, travel distance and transportation issues, insurance coverage, and access to broadband. Provides policy recommendations from the U.S. Government Accountability Office (GAO) to address rural healthcare disparities.
Additional links: Full Report
Date: 05/2023
Type: Document
Sponsoring organization: Government Accountability Office
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State Telehealth Laws and Reimbursement Policies Report, Spring 2023
Bi-annual summary report on telehealth policies as of March 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 05/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Bi-annual summary report on telehealth policies as of March 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 05/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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