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Rural Health
Resources by Topic: Health insurance

Center for Medicare and Medicaid Innovation: 2024 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Ohio Policy Spotlight: School-Based Health Care and Medicaid
Provides an overview of school-based health services in Ohio. Includes county-level data on the percentage of Ohio children enrolled in any public health insurance.
Author(s): Becky Carroll, Sarah Al-Hashemi
Date: 12/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Non-Medical Health-Related Needs of Certain Pregnant Women Report, Texas
Reports on the health outcomes of pregnant Medicaid and Thriving Texas Families (TTF) members in Texas. Provides demographic data on enrollment in each program, including comparisons between rural, micro, and metro areas.
Date: 12/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research
Date: 12/2024
Type: Document
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Enrollment in High-Deductible Health Plans Among People Younger Than Age 65 With Private Health Insurance: United States, 2019–2023
Examines privately insured adults under the age of 65 who are enrolled in high-deductible health plans (HDHP) and consumer-directed health plans (CDHP). Utilizes 2019-2023 National Health Interview Survey data of HDHPs and CDHPs, with breakdowns by employment-based versus directly purchased insurance, race/ethnicity, poverty level, education, sex, age group, and urbanization level by 4 groups: large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan.
Author(s): Robin A. Cohen, Elizabeth M. Briones
Date: 12/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Primary Care Collaborative 2024 Evidence Report: An Evaluation of Primary Care in Medicare Accountable Care Organizations
Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
Type: Document
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Dashboard: Arkansas Healthcare Expenditures
Interactive dashboard providing data on medical, pharmacy, and dental expenditures in Arkansas, utilizing the Arkansas Healthcare Transparency Initiative's All-Payer Claims Database for the years 2021-2023. Allows sorting by year, type of coverage, and type of service for individuals, total expenditures, or average annualized expenditures. Breaks down data at the county level by sex, age, payer type, and race/ethnicity.
Date: 11/2024
Type: Website
Sponsoring organization: Arkansas Center for Health Improvement
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Evaluation of the Impact of the No Surprises Act on Health Care Market Outcomes: Exploring Pre-Implementation Trends - Second Annual Report
Provides an overview of the No Surprises Act, which aims to protect participants, beneficiaries, and enrollees in group health plans and group and individual health insurance coverage from surprise medical bills. Updates key trends in factors that will be important to evaluate the effects of the No Surprises Act identified in the First Annual Report, including market consolidation and concentration, out-of-network billing, and potential surprise bills. Describes discussions with healthcare providers, private health plans and issuers, and patients regarding implementation and understanding of the No Surprises Act.
Date: 11/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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