Rural Health
Resources by Topic: Health insurance
Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Sponsoring organization: Rural Health Value
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Rethinking Rural Health: FY 2020 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, sex, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, sex, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Comment Letter on HHS Report to Congress on Telehealth for Pediatric SUD
Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Insurer Participation on the ACA Marketplaces, 2014-2021
Reports on the changes in health insurer participation in the ACA marketplace from 2014 to 2021 for all counties in the U.S. in chart, table, and interactive map formats.
Additional links: County-Specific Data
Author(s): Daniel McDermott, Cynthia Cox
Date: 11/2020
Sponsoring organization: KFF
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Reports on the changes in health insurer participation in the ACA marketplace from 2014 to 2021 for all counties in the U.S. in chart, table, and interactive map formats.
Additional links: County-Specific Data
Author(s): Daniel McDermott, Cynthia Cox
Date: 11/2020
Sponsoring organization: KFF
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October 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2020 meeting. Covers an alternative value incentive program that corrects current shortcomings for the skilled nursing facility value-based purchasing program; future research directions in hospice payment policy; balancing financial pressure and equity in Medicare Advantage benchmark policy; and current Medicare indirect medical education policy, concerns, and principles for revising. Includes rural references throughout.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2020 meeting. Covers an alternative value incentive program that corrects current shortcomings for the skilled nursing facility value-based purchasing program; future research directions in hospice payment policy; balancing financial pressure and equity in Medicare Advantage benchmark policy; and current Medicare indirect medical education policy, concerns, and principles for revising. Includes rural references throughout.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Colorado: Total Medicare and Medicaid Enrollees, Combined October 2020
Map of Colorado showing the percentage of each county's population enrolled in Medicare or Medicaid.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
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Map of Colorado showing the percentage of each county's population enrolled in Medicare or Medicaid.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
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Colorado: Total Medicare Enrollees, October 2020
Depicts the percentage of Medicare enrollment by county in Colorado in October 2020.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
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Depicts the percentage of Medicare enrollment by county in Colorado in October 2020.
Date: 10/2020
Sponsoring organization: Colorado Rural Health Center
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SHIP Pricing Transparency Guide
Supports Small Rural Hospital Improvement Program (SHIP) coordinators as they work to meet hospital price transparency rules. Provides an overview of the basics and history of price transparency regulations, key terms, eligibility, exemptions, and key components of the final rule. Includes resources, a list of shoppable services, and a template for work plan implementation.
Additional links: Price Transparency Webinar, Sample Price Transparency Work Plan
Date: 10/2020
Sponsoring organizations: Eide Bailly LLP, National Rural Health Resource Center
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Supports Small Rural Hospital Improvement Program (SHIP) coordinators as they work to meet hospital price transparency rules. Provides an overview of the basics and history of price transparency regulations, key terms, eligibility, exemptions, and key components of the final rule. Includes resources, a list of shoppable services, and a template for work plan implementation.
Additional links: Price Transparency Webinar, Sample Price Transparency Work Plan
Date: 10/2020
Sponsoring organizations: Eide Bailly LLP, National Rural Health Resource Center
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Mandated Report on Non-Emergency Medical Transportation: Work Plan and Preliminary Findings
Presentation slides examining non-emergency medical transportation (NEMT) benefits for Medicaid beneficiaries as well as improved coordination between NEMT and public transit or other federally-assisted transportation services. Discusses challenges faced by rural communities.
Author(s): Kacey Buderi
Date: 10/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Presentation slides examining non-emergency medical transportation (NEMT) benefits for Medicaid beneficiaries as well as improved coordination between NEMT and public transit or other federally-assisted transportation services. Discusses challenges faced by rural communities.
Author(s): Kacey Buderi
Date: 10/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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