Rural Health
Resources by Topic: Health insurance
American Rescue Plan Act of 2021 (P.L. 117-2): Private Health Insurance, Medicaid, CHIP, and Medicare Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Sponsoring organization: Congressional Research Service
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Coronavirus Aid, Recovery, and Economic Security (CARES) Act & Related Legislation and Administrative Action Impacting Rural Health
Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Sponsoring organization: National Rural Health Association
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Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Sponsoring organization: National Rural Health Association
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Geographic Access to Health Care for Rural Medicare Beneficiaries in Five States: An Update
Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the provider mix caring for rural and urban Medicare beneficiaries in Alaska, Idaho, North Carolina, South Carolina, and Washington, using 2014 data. Examines the quality of care, number of annual visits, and the distances traveled for treatment of several conditions. Compares 2014 data with estimates from 1998, to assess the changes in geographical access to care. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural locations.
Date: 04/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Strengthening Primary Care and Improving Population Health: Nebraska's Approach
Explores efforts to strengthen primary care in Nebraska through Patient-Centered Medical Homes, Accountable Care Organizations (ACOs), and the Comprehensive Primary Care Plus program. Discusses the development of pilot programs and a partnership with a local nonprofit and the University of Nebraska College of Public Health.
Author(s): Martha Hostetter, Sarah Klein
Date: 04/2021
Sponsoring organization: Milbank Memorial Fund
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Explores efforts to strengthen primary care in Nebraska through Patient-Centered Medical Homes, Accountable Care Organizations (ACOs), and the Comprehensive Primary Care Plus program. Discusses the development of pilot programs and a partnership with a local nonprofit and the University of Nebraska College of Public Health.
Author(s): Martha Hostetter, Sarah Klein
Date: 04/2021
Sponsoring organization: Milbank Memorial Fund
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March 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2021 meeting. Features a discussion on rural Medicare beneficiaries' access to care. Also covers the skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, balancing efficiency with equity in Medicare Advantage benchmark policy, and the relationship between clinician services and other Medicare services.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2021 meeting. Features a discussion on rural Medicare beneficiaries' access to care. Also covers the skilled nursing facility value-based purchasing program and proposed replacement, streamlining CMS's portfolio of alternative payment models, balancing efficiency with equity in Medicare Advantage benchmark policy, and the relationship between clinician services and other Medicare services.
Date: 03/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part I: Availability among Uninsured Non-Elderly Adults and Healthcare.gov Enrollees Prior to the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 7 Evaluation & Monitoring Annual Report
Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Seventh and final report describing findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals, skilled nursing facilities, and home health agencies.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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State-Driven Initiatives to Support Moving to Value-Based Care in the Era of COVID-19
Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Describes four areas where state-driven strategies can facilitate and promote the adoption of value-based payment (VBP) models. Presents case examples throughout, including the Pennsylvania Rural Health Model. Discusses how additional federal actions could support transitions to VBP at the state level.
Author(s): Caroline Picher, Lauren Block, Mark Japinga, Hemi Tewarson
Date: 03/2021
Sponsoring organizations: Duke-Margolis Center for Health Policy, National Governors Association
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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