Rural Health
Resources by Topic: Health insurance
2023 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2022 report, including some that impact rural providers and beneficiaries.
Additional links: Tables and Figures
Date: 03/2023
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2022 report, including some that impact rural providers and beneficiaries.
Additional links: Tables and Figures
Date: 03/2023
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance, Additional Guidance
Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Inflation Reduction Act Research Series: Medicare Part D Enrollee Savings from Elimination of Vaccine Cost-Sharing
Explains new vaccine payment policies for Medicare Part D effective January 1, 2023. Examines vaccine related data for people covered by Medicare Part D. Vaccines included are shingles, tetanus/diphtheria/pertussis, hepatitis A, hepatitis B and more. Shows breakdown of demographics receiving both any vaccine and specific vaccines through Medicare Part D including a urban-rural comparison.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explains new vaccine payment policies for Medicare Part D effective January 1, 2023. Examines vaccine related data for people covered by Medicare Part D. Vaccines included are shingles, tetanus/diphtheria/pertussis, hepatitis A, hepatitis B and more. Shows breakdown of demographics receiving both any vaccine and specific vaccines through Medicare Part D including a urban-rural comparison.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Coverage, Affordability, and Access Among Rural and Urban Adults Ages 50 to 64
Examines differences in healthcare coverage, affordability, and access trends among rural and urban adults aged 50-64 between 2012 and 2019. Explores possible factors driving healthcare coverage disparities. Offers policy recommendations to improve access to coverage and affordable healthcare among older adults, especially those in rural areas.
Author(s): Olivia Dean, Beth Carter, Robert C. Saunders, et al.
Date: 03/2023
Type: Document
Sponsoring organizations: AARP Public Policy Institute, KNG Health
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Examines differences in healthcare coverage, affordability, and access trends among rural and urban adults aged 50-64 between 2012 and 2019. Explores possible factors driving healthcare coverage disparities. Offers policy recommendations to improve access to coverage and affordable healthcare among older adults, especially those in rural areas.
Author(s): Olivia Dean, Beth Carter, Robert C. Saunders, et al.
Date: 03/2023
Type: Document
Sponsoring organizations: AARP Public Policy Institute, KNG Health
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Programs of All-Inclusive Care for the Elderly in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medicaid/CHIP Coverage by School Districts, 2016-2020
Provides data on the percent of children covered by Medicaid/CHIP by school district, with separate, searchable lists for each state.
Date: 03/2023
Type: Website
Sponsoring organization: Georgetown University Health Policy Institute
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Provides data on the percent of children covered by Medicaid/CHIP by school district, with separate, searchable lists for each state.
Date: 03/2023
Type: Website
Sponsoring organization: Georgetown University Health Policy Institute
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Financial Burden of Medical Care Among Veterans Aged 25–64, by Health Insurance Coverage: United States, 2019–2021
Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines financial burden for medical care among veterans aged 25–64 for those with VA health care alone and combined with different types of health insurance coverage. Table 1 includes data on VA health care and health insurance coverage for those in metropolitan and nonmetro areas.
Author(s): Robin A. Cohen, Peter Boersma
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for the Unwinding of the Pandemic-Era Continuous Enrollment Provision
Provides a detailed overview of state policies related to Medicaid and the Children's Health Insurance Program (CHIP). Covers policies related to eligibility, enrollment, and renewal. Includes information on how states are preparing for the lifting of the continuous enrollment provision. Includes data tables on state Medicaid and CHIP policies.
Date: 03/2023
Type: Document
Sponsoring organization: KFF
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Provides a detailed overview of state policies related to Medicaid and the Children's Health Insurance Program (CHIP). Covers policies related to eligibility, enrollment, and renewal. Includes information on how states are preparing for the lifting of the continuous enrollment provision. Includes data tables on state Medicaid and CHIP policies.
Date: 03/2023
Type: Document
Sponsoring organization: KFF
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