Rural Health
Resources by Topic: Health insurance
Breast Cancer Screening among Medicare Advantage Enrollees with Dementia
Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
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Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, demographic characteristics, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, demographic characteristics, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Inflation Reduction Act Research Series: Projected Impacts for Rural Medicare Enrollees
Provides an overview of how the Inflation Reduction Act (IRA) is intended to improve prescription drug affordability for Medicare enrollees. Describes Medicare enrollment in rural areas and rural residents' health status and access to care. Outlines the projected impact of drug-related IRA provisions for rural Medicare beneficiaries, including the expansion of financial assistance through the low-income subsidy program, out-of-pocket spending caps for insulin, changes in Part D benefit design, and more.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of how the Inflation Reduction Act (IRA) is intended to improve prescription drug affordability for Medicare enrollees. Describes Medicare enrollment in rural areas and rural residents' health status and access to care. Outlines the projected impact of drug-related IRA provisions for rural Medicare beneficiaries, including the expansion of financial assistance through the low-income subsidy program, out-of-pocket spending caps for insulin, changes in Part D benefit design, and more.
Date: 03/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Health Research Recap: Post-Acute Care in Rural Areas: The Role of Swing Beds and Nursing Homes
Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Consensus-Based Entity 2023 Annual Report to Congress and the Secretary of Health and Human Services: Final Report
Summarizes the 2023 work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality. Includes a discussion on engaging rural perspectives to consider the unique challenges experienced in rural communities.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Summarizes the 2023 work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality. Includes a discussion on engaging rural perspectives to consider the unique challenges experienced in rural communities.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Maternal Health in Rural America
White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Sponsoring organization: National Rural Health Association
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White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Sponsoring organization: National Rural Health Association
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What Does It Mean to Be a Rural Emergency Hospital? Hear This Kansas CEO's Journey to An REH
Recording of a February 8, 2024, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, REH Technical Assistance Center (TAC) services, and REH conversion timeline. Features a discussion with Jeff Bowman, Chief Executive Officer of South Central Kansas Medical Center, regarding the facility's conversion to REH status.
Date: 02/2024
Sponsoring organization: Rural Health Redesign Center
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Recording of a February 8, 2024, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, REH Technical Assistance Center (TAC) services, and REH conversion timeline. Features a discussion with Jeff Bowman, Chief Executive Officer of South Central Kansas Medical Center, regarding the facility's conversion to REH status.
Date: 02/2024
Sponsoring organization: Rural Health Redesign Center
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Services to Individuals with Intellectual Disability, Developmental Disability, or Autism Through the Pennsylvania Office of Developmental Programs
Examines ways to deliver services to individuals with intellectual disability, developmental disability, and autism, and offers recommendations for offering services efficiently and uniformly. Includes sections on Medicaid waivers, types of services, workforce development, and program accountability. Features a section on transportation challenges in rural areas for people with disabilities.
Author(s): Yvonne Llewellyn Hursh, Stephen J. Kramer, Wendy L. Baker
Date: 02/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Examines ways to deliver services to individuals with intellectual disability, developmental disability, and autism, and offers recommendations for offering services efficiently and uniformly. Includes sections on Medicaid waivers, types of services, workforce development, and program accountability. Features a section on transportation challenges in rural areas for people with disabilities.
Author(s): Yvonne Llewellyn Hursh, Stephen J. Kramer, Wendy L. Baker
Date: 02/2024
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Closing the Coverage Gap: Policy Considerations for Public-Private Solutions to Expand Health Insurance in Georgia
Explores policy and funding considerations influencing the expansion of health insurance in Georgia, including current programs, population health and demographics, and Medicaid expansion models. Evaluates the suitability of the Arkansas "private option" expansion approach for Georgia, and discusses its implementation. Highlights rural concerns throughout.
Date: 02/2024
Sponsoring organization: Georgia Health Initiative
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Explores policy and funding considerations influencing the expansion of health insurance in Georgia, including current programs, population health and demographics, and Medicaid expansion models. Evaluates the suitability of the Arkansas "private option" expansion approach for Georgia, and discusses its implementation. Highlights rural concerns throughout.
Date: 02/2024
Sponsoring organization: Georgia Health Initiative
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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