Rural Health
Resources by Topic: Health insurance
Understanding and Navigating Commingling - RHC Edition
Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)
Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that expired at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 07/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that expired at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 07/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Examines the likelihood of veterans enrolled in Medicare Advantage (MA) plans to shift payments for inpatient surgical care from MA to the Veterans Health Administration (VHA). Analyzes 54,754 inpatient surgeries of VHA enrollees to observe payment trends, with data broken down by demographics, insurance characteristics, region, and rurality.
Author(s): Winta T. Mehtsun, Yanlei Ma, Ellen Latsko, et al.
Citation: JAMA Health Forum, 6(6)
Date: 06/2025
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Navigating Natural Disasters: Lessons from North Carolina's Medicaid Response to Hurricane Recovery
Discusses disaster relief in North Carolina with North Carolina's Medicaid Chief Medical Officer, Janelle White. Focuses on preparedness, protecting various populations, problem solving, coordinating relationships, rural providers and agencies, and more.
Author(s): Emily Eelman
Date: 06/2025
Sponsoring organizations: Center for Health Care Strategies, Juniper Peak Consulting
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Discusses disaster relief in North Carolina with North Carolina's Medicaid Chief Medical Officer, Janelle White. Focuses on preparedness, protecting various populations, problem solving, coordinating relationships, rural providers and agencies, and more.
Author(s): Emily Eelman
Date: 06/2025
Sponsoring organizations: Center for Health Care Strategies, Juniper Peak Consulting
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Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Tobacco Treatment Billing and Tobacco Use Disorder Diagnosis in Healthcare Settings in the United States: An Analysis of South Carolina Medicaid Claims
Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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LTSS Users by State, County, and Setting
Interactive dashboard presenting data on the number of Medicaid enrollees that use long-term services and supports (LTSS) at the national, state, and county-levels in 2022. Includes data on LTSS users, Medicaid Home- and Community-Based Services (HCBS) users, and institutional LTSS users by age, dual-enrollment status, and sex.
Date: 06/2025
Sponsoring organizations: ATI Advisory, The SCAN Foundation
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Interactive dashboard presenting data on the number of Medicaid enrollees that use long-term services and supports (LTSS) at the national, state, and county-levels in 2022. Includes data on LTSS users, Medicaid Home- and Community-Based Services (HCBS) users, and institutional LTSS users by age, dual-enrollment status, and sex.
Date: 06/2025
Sponsoring organizations: ATI Advisory, The SCAN Foundation
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Promoting Health through Transdisciplinary Local Food System Partnerships: Insights from the North Carolina Local Food Council
Discusses the impact of the North Carolina Local Food Council (NCLFC) Community Health Working Group and their efforts to strengthen statewide and local food systems. Focuses on the North Carolina Medicaid 1115 Waiver Healthy Opportunities Pilots (HOPs) case study that aimed to integrate local food into health systems and healthcare initiatives. Includes information about partnerships, collaborations, pilot structure, and network leads in specific North Carolina regions.
Author(s): Amanda S. Hege, Morgan Cooper, K. Alexander Soltany, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 415-431
Date: 06/2025
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Discusses the impact of the North Carolina Local Food Council (NCLFC) Community Health Working Group and their efforts to strengthen statewide and local food systems. Focuses on the North Carolina Medicaid 1115 Waiver Healthy Opportunities Pilots (HOPs) case study that aimed to integrate local food into health systems and healthcare initiatives. Includes information about partnerships, collaborations, pilot structure, and network leads in specific North Carolina regions.
Author(s): Amanda S. Hege, Morgan Cooper, K. Alexander Soltany, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 415-431
Date: 06/2025
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5 Key Facts About Medicaid Coverage for People Living in Rural Areas
Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Affordable Care Act Enrollment in Texas after Rating Area Adjustments
Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s): Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation: The American Journal of Managed Care, 31(6), e147-e152
Date: 06/2025
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Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s): Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation: The American Journal of Managed Care, 31(6), e147-e152
Date: 06/2025
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