Rural Health
Resources by Topic: Health insurance
Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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The Affordable Care Act Medicaid Expansion, Social Disadvantage, and the Practice Location Choices of New General Internists
Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
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Rural–Urban Disparities in Health Access Factors Over Time: Implications for Cancer Prevention and Health Equity in the Midwest
Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382-389.
Date: 05/2022
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Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382-389.
Date: 05/2022
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2023
Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Psychiatric Facility PPS for FY 2023
Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Sponsoring organization: USDA Economic Research Service
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Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Sponsoring organization: USDA Economic Research Service
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Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017
Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
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Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
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State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report
Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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