Rural Health
Resources by Topic: Health insurance
Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Rural-Urban Disparities in All-cause Mortality among Low-Income Medicare Beneficiaries, 2004–17
Examines the change in all-cause mortality rates among low-income Medicare beneficiaries dually-enrolled in Medicaid between 2004 and 2017. Compares rates between rural and urban beneficiaries by age, ethnicity, insurance type, and census region.
Author(s): Emefah Loccoh, Karen E. Joynt Maddox, Jiaman Xu, et al.
Citation: Health Affairs, 40(2), 289-296
Date: 02/2021
view details
Examines the change in all-cause mortality rates among low-income Medicare beneficiaries dually-enrolled in Medicaid between 2004 and 2017. Compares rates between rural and urban beneficiaries by age, ethnicity, insurance type, and census region.
Author(s): Emefah Loccoh, Karen E. Joynt Maddox, Jiaman Xu, et al.
Citation: Health Affairs, 40(2), 289-296
Date: 02/2021
view details
OBGYNs and the Provision of Sexual and Reproductive Health Care: Key Findings from a National Survey
Reports on a nationwide survey of obstetrician-gynecologists (OBGYNs) regarding sexual and reproductive healthcare, covering screening practices; provision of contraception, abortion, and sexually transmitted infection care; and the effects of policy on healthcare access and quality. Analyzes survey data from 1,210 OBGYN participants on contraception provision and other services, access to specific services based on regional and urban/rural location, provider characteristics and experiences, Medicaid coverage, and more.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 02/2021
Sponsoring organization: KFF
view details
Reports on a nationwide survey of obstetrician-gynecologists (OBGYNs) regarding sexual and reproductive healthcare, covering screening practices; provision of contraception, abortion, and sexually transmitted infection care; and the effects of policy on healthcare access and quality. Analyzes survey data from 1,210 OBGYN participants on contraception provision and other services, access to specific services based on regional and urban/rural location, provider characteristics and experiences, Medicaid coverage, and more.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 02/2021
Sponsoring organization: KFF
view details
Medicare Reimbursement in Rural America
Policy brief discussing Medicare reimbursement for services provided at rural hospitals and how it impacts hospital finances. Provides policy recommendations for rural health reimbursement, and identifies and other considerations for addressing rural healthcare sustainability.
Author(s): Eric Schlidt, Cody Wilkinson
Date: 02/2021
Sponsoring organization: National Rural Health Association
view details
Policy brief discussing Medicare reimbursement for services provided at rural hospitals and how it impacts hospital finances. Provides policy recommendations for rural health reimbursement, and identifies and other considerations for addressing rural healthcare sustainability.
Author(s): Eric Schlidt, Cody Wilkinson
Date: 02/2021
Sponsoring organization: National Rural Health Association
view details
Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Sponsoring organization: National Rural Health Association
view details
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Sponsoring organization: National Rural Health Association
view details
Availability of Supplemental Benefits in Medicare Advantage Plans in Rural and Urban Areas
Examines differences in Medicare Advantage (MA) plans with supplemental benefits that are available to enrollees in nonmetropolitan and metropolitan areas. Features statistics including average number of organizations offering MA plans, proportion of MA plans offering supplemental benefits, and MA plan premiums as of 2020, with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Examines differences in Medicare Advantage (MA) plans with supplemental benefits that are available to enrollees in nonmetropolitan and metropolitan areas. Features statistics including average number of organizations offering MA plans, proportion of MA plans offering supplemental benefits, and MA plan premiums as of 2020, with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Jason Semprini, Fred Ullrich, Keith J. Mueller
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
COVID Relief Funding for Medicaid Providers
Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement Process
Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Sponsoring organization: Government Accountability Office
view details
Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Sponsoring organization: Government Accountability Office
view details
Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details