Rural Health
Resources by Topic: Health insurance
5 Key Facts About Medicaid and Hospitals
Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Navigating Natural Disasters: Key Strategies for Medicaid Agencies to Support Members
Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Innovative Solutions to Address the Oral Health Care Workforce Shortage: Insights from Michigan
Discusses the impact of the oral healthcare workforce shortage on rural communities and other communities in need in Michigan. Provides examples, strategies, and collaborative efforts of State Medicaid agencies to address the shortage.
Author(s): Jade Kissi
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the impact of the oral healthcare workforce shortage on rural communities and other communities in need in Michigan. Provides examples, strategies, and collaborative efforts of State Medicaid agencies to address the shortage.
Author(s): Jade Kissi
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Medicare Advantage Reimbursement Remains Top Challenge for RHCs
Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Use of Medicaid Personal Care Services in 2019 and 2020
Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Wyoming Medicaid Annual Report SFY 2024
Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 03/2025
Sponsoring organization: Wyoming Department of Health
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Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 03/2025
Sponsoring organization: Wyoming Department of Health
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Merit-based Incentive Payment System (MIPS): Eligibility and Participation in the 2025 Performance Year
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 03/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 03/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Operating Status of Adult Day Services Centers in 2022
Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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2025 MIPS Eligibility Decision Tree
Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2025 Performance Year. Includes information on the low-volume threshold criteria.
Date: 03/2025
Sponsoring organization: Centers for Medicare & 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 2025 Performance Year. Includes information on the low-volume threshold criteria.
Date: 03/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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