Rural Health
Resources by Topic: Health insurance
Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Sponsoring organization: UW Center for Health Workforce Studies
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Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Sponsoring organization: UW Center for Health Workforce Studies
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Integrating Behavioral Health into Your RHC
Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2022
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2022
Sponsoring organization: National Association of Rural Health Clinics
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How Increased Funding Can Advance the Mission of the Indian Health Service to Improve Health Outcomes for American Indians and Alaska Natives
Provides an overview of health and healthcare challenges and barriers experienced by American Indian and Alaska Native (AI/AN) populations. Describes the role of the federal government in financing and providing healthcare services to these populations. Discusses how enhanced funding could help further the Indian Health Service's mission to ensure that tribal communities have access to high-quality healthcare services.
Date: 07/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of health and healthcare challenges and barriers experienced by American Indian and Alaska Native (AI/AN) populations. Describes the role of the federal government in financing and providing healthcare services to these populations. Discusses how enhanced funding could help further the Indian Health Service's mission to ensure that tribal communities have access to high-quality healthcare services.
Date: 07/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Synthesis of Evaluation Results across 21 Medicare Models, 2012-2020
Summarizes results from evaluations of 21 Centers for Medicare & Medicaid (CMS) Innovation Center models. Examines measures related to gross and net Medicare spending, utilization, and quality of care. Identifies themes among models with similar participant types and interventions used. Offers considerations for acute or specialty care and targeted populations models and prevention and population management models.
Additional links: Findings at a Glance, Synthesis of Evaluation Results Across 21 Medicare Models Slides, Transcript, Webinar Recording
Date: 07/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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Summarizes results from evaluations of 21 Centers for Medicare & Medicaid (CMS) Innovation Center models. Examines measures related to gross and net Medicare spending, utilization, and quality of care. Identifies themes among models with similar participant types and interventions used. Offers considerations for acute or specialty care and targeted populations models and prevention and population management models.
Additional links: Findings at a Glance, Synthesis of Evaluation Results Across 21 Medicare Models Slides, Transcript, Webinar Recording
Date: 07/2022
Sponsoring organization: Centers for Medicare & Medicaid Services
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
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Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare & Medicaid Services, RTI International
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Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Rural Illinois in Numbers: Content-Valid Indicators for Governance
Reports on quality of life (QOL) measures in Illinois such as economic conditions, access to healthcare, educational attainment, crime rates, and more. Includes metro versus nonmetro comparisons using data spanning from 2000 to 2020.
Author(s): Adee Athiyaman
Date: 06/2022
Sponsoring organization: Illinois Institute for Rural Affairs
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Reports on quality of life (QOL) measures in Illinois such as economic conditions, access to healthcare, educational attainment, crime rates, and more. Includes metro versus nonmetro comparisons using data spanning from 2000 to 2020.
Author(s): Adee Athiyaman
Date: 06/2022
Sponsoring organization: Illinois Institute for Rural Affairs
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and healthcare quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and healthcare quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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