Rural Health
Resources by Topic: Health insurance
Report to Congress on Medicaid and CHIP, March 2022
Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Measure Applications Partnership 2021-2022 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital, and Post-Acute Care Long-Term Care
Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Sponsoring organization: National Quality Forum
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Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Sponsoring organization: National Quality Forum
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What Can You Learn About Counties from the American Community Survey?
Interactive mapping system that highlights and provides access to county-level data on key topics from the 2016-2020 American Community Survey 5-year estimates, including poverty rates, educational attainment, health insurance coverage, and more.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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Interactive mapping system that highlights and provides access to county-level data on key topics from the 2016-2020 American Community Survey 5-year estimates, including poverty rates, educational attainment, health insurance coverage, and more.
Date: 03/2022
Sponsoring organization: U.S. Census Bureau
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report
Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Medicare: Information on Geographic Adjustments to Physician Payments for Physicians' Time, Skills, and Effort
Provides an overview of the work geographic practice cost indices (GPCI), which the Centers for Medicare & Medicaid Services uses to adjust Medicare physician payments to account for differences in the costs of providing care across various geographic locations. Examines the extent to which the work GPCI accounts for geographic variation in physician earnings and how Medicare payments could change under potential modifications to the work GPCI.
Additional links: Full Report
Date: 02/2022
Sponsoring organization: Government Accountability Office
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Provides an overview of the work geographic practice cost indices (GPCI), which the Centers for Medicare & Medicaid Services uses to adjust Medicare physician payments to account for differences in the costs of providing care across various geographic locations. Examines the extent to which the work GPCI accounts for geographic variation in physician earnings and how Medicare payments could change under potential modifications to the work GPCI.
Additional links: Full Report
Date: 02/2022
Sponsoring organization: Government Accountability Office
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Structural Factors That Impact Rural Life Expectancy
Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Quality of Home Health Agencies Serving Rural Medicare Beneficiaries
Describes a study examining the quality of home health agencies (HHAs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of HHAs, patient care ratings, and patient experience ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Describes a study examining the quality of home health agencies (HHAs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of HHAs, patient care ratings, and patient experience ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Quality of Skilled Nursing Facilities Serving Rural Medicare Beneficiaries
Policy paper describing a study examining the quality of skilled nursing facilities (SNFs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of SNFs, overall star ratings, and staff star ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Policy paper describing a study examining the quality of skilled nursing facilities (SNFs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of SNFs, overall star ratings, and staff star ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Medicaid and Counties: Understanding the Program and Why It Matters to Counties
Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Sponsoring organization: National Association of Counties
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Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Sponsoring organization: National Association of Counties
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Healthcare Experiences of Uninsured and Under-Insured American Indian Women in the United States
Explores experiences of American Indian women who do not receive healthcare services through the Indian Health Service. Discusses the different ways American Indian women pay for healthcare based on information gained from 31 semi-structured interviews.
Author(s): Jessica L. Liddell, Jenn M. Lilly
Citation: Global Health Research and Policy, 7, 5
Date: 02/2022
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Explores experiences of American Indian women who do not receive healthcare services through the Indian Health Service. Discusses the different ways American Indian women pay for healthcare based on information gained from 31 semi-structured interviews.
Author(s): Jessica L. Liddell, Jenn M. Lilly
Citation: Global Health Research and Policy, 7, 5
Date: 02/2022
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