Rural Health
Resources by Topic: Health insurance
Medicare Advantage Demographics Report, 2021
Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Type: Document
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Type: Document
Sponsoring organization: AHIP
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Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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2024 New Hampshire Primary Care Sourcebook
Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Graduate Medical Education Funding
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Merit-based Incentive Payment System (MIPS): 2024 Eligibility and Participation Quick Start Guide
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare COVID-19 Hospitalization Trends Report
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid and CHIP Renewal and Transition Resources for Partners
Offers resources for states, beneficiary and provider organizations, and other partners to better assist people with Medicaid or Children's Health Insurance Program (CHIP) coverage to renew their healthcare coverage or transition to insurance options that better suit their needs. Includes outreach materials for different population categories, including racial and ethnic populations, people with disabilities and older adults, and rural populations.
Date: 2024
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers resources for states, beneficiary and provider organizations, and other partners to better assist people with Medicaid or Children's Health Insurance Program (CHIP) coverage to renew their healthcare coverage or transition to insurance options that better suit their needs. Includes outreach materials for different population categories, including racial and ethnic populations, people with disabilities and older adults, and rural populations.
Date: 2024
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Enhancing Access and Impact of the Medicare Diabetes Prevention Program Using Telehealth: A Narrative Review
Evaluates the viability of telehealth delivery of the Medicare Diabetes Prevention Program (MDPP) via a literature review of telehealth-based disease prevention program research. Discusses clinical effectiveness, feasibility and acceptability, and policies affecting MDPP implementation. Highlights rural-relevant research findings and discusses access benefits of remote delivery.
Author(s): Natalie D. Ritchie, Melanie T. Turk
Citation: mHealth, 10, 10
Date: 12/2023
Type: Document
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Evaluates the viability of telehealth delivery of the Medicare Diabetes Prevention Program (MDPP) via a literature review of telehealth-based disease prevention program research. Discusses clinical effectiveness, feasibility and acceptability, and policies affecting MDPP implementation. Highlights rural-relevant research findings and discusses access benefits of remote delivery.
Author(s): Natalie D. Ritchie, Melanie T. Turk
Citation: mHealth, 10, 10
Date: 12/2023
Type: Document
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