Rural Health
Resources by Topic: Health insurance
Medicare Advantage Penetration and the Financial Distress of Rural Hospitals
Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care and Deteriorating Population Health Status
Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Examines factors contributing to the instability of the rural healthcare safety net, including policy-related reimbursement cuts and changes to payer mixes. Presents data on rural hospitals that have stopped offering obstetrics and chemotherapy services. Explores aspects of rural population health and social drivers of health as they relate to rural healthcare delivery challenges.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2025 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Ohio Medicaid Basics 2025: Ohio Medicaid Enrollment by County
Provides county-level data on Medicaid enrollment according to Medicaid expansion groups along with data for all Medicaid enrollees and total county population estimates.
Date: 02/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides county-level data on Medicaid enrollment according to Medicaid expansion groups along with data for all Medicaid enrollees and total county population estimates.
Date: 02/2025
Sponsoring organization: Health Policy Institute of Ohio
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2024-2025 Pre-Rulemaking Measure Review (PRMR): Recommendations Report
Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Consensus-Based Entity 2024 Annual Report to Congress and the Secretary of Health and Human Services
Summarizes the work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality in 2024. Includes discussions on exploring the unique challenges experienced in rural and low-volume settings and prioritizing effective measures for rural communities.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Summarizes the work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality in 2024. Includes discussions on exploring the unique challenges experienced in rural and low-volume settings and prioritizing effective measures for rural communities.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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February 2025 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Alzheimer's Disease and Related Dementias among Medicare Beneficiaries Aged ≥ 65 Years in Rural America, by Census Region and Select Demographic Characteristics: 2020
Examines Alzheimer's disease and related dementias (ADRD) diagnosis rates among rural Medicare beneficiaries age 65 years and older, using 2020 Medicare administrative data. Breaks down data by Census region, age, sex, and race and ethnicity.
Author(s): Kevin A. Matthews, Christian T. Murray, Brenda L. Nguyen, et al.
Citation: Journal of Rural Health, 41(1), e12902
Date: 01/2025
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Examines Alzheimer's disease and related dementias (ADRD) diagnosis rates among rural Medicare beneficiaries age 65 years and older, using 2020 Medicare administrative data. Breaks down data by Census region, age, sex, and race and ethnicity.
Author(s): Kevin A. Matthews, Christian T. Murray, Brenda L. Nguyen, et al.
Citation: Journal of Rural Health, 41(1), e12902
Date: 01/2025
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Rural-Urban Differences and Trends in Children's Health Insurance Coverage
Examines differences in urban and rural children's insurance coverage from 2012-2019, and socioeconomic characteristics of uninsured children in 2016 and 2019. Features demographics and statistics by year, with breakdowns by urban and rural residence.
Author(s): Erica C. Ziller. Catherine Gelsinger, Brianna Holston
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines differences in urban and rural children's insurance coverage from 2012-2019, and socioeconomic characteristics of uninsured children in 2016 and 2019. Features demographics and statistics by year, with breakdowns by urban and rural residence.
Author(s): Erica C. Ziller. Catherine Gelsinger, Brianna Holston
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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