Rural Health
Resources by Topic: Health insurance
Behavioral Health Care System Capacity in Pennsylvania and Its Impact on Hospital Emergency Departments and Patient Health
An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
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Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
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Medicare's Mental Health Coverage: How COVID-19 Highlights Gaps and Opportunities for Improvement
Report explores Medicare beneficiaries' access to mental healthcare during the COVID-19 pandemic. Breaks down data by beneficiary type, severity of illness, and rural versus urban location, among other measures. Highlights barriers to care and makes recommendations for the future.
Author(s): Beth McGinty
Date: 07/2020
Sponsoring organization: Commonwealth Fund
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Report explores Medicare beneficiaries' access to mental healthcare during the COVID-19 pandemic. Breaks down data by beneficiary type, severity of illness, and rural versus urban location, among other measures. Highlights barriers to care and makes recommendations for the future.
Author(s): Beth McGinty
Date: 07/2020
Sponsoring organization: Commonwealth Fund
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Key Characteristics of COVID-19 Patients: Profiles Based on Analysis of Private Healthcare Claims
Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Analyzes private health insurance claims to describe key characteristics of patients diagnosed with COVID-19 between January-May 2020. Characteristics explored include age, sex, rural versus urban area by age, venue of care where first diagnosed, venue of care by age, comorbidities of hospitalized patients, and median costs of hospitalization.
Date: 07/2020
Sponsoring organization: FAIR Health
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Individual Market Volatility and Vulnerability, 2015 to 2019
Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
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Study examining health insurance options and premium prices from 2015-2019, including rural/urban differences. Provides data and statistics on market volatility and vulnerability, with information broken down by population, race, health status, number of hospital beds, and more.
Author(s): Jean Marie Abraham
Citation: RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2): 206–22
Date: 07/2020
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Advocacy in New Hampshire Procures More Funding for Provider Recruitment
Describes how the New Hampshire Health Care Workforce Coalition lobbied for state legislation to increase the annual budget for the State Loan Repayment Program (SLRP) to enhance recruitment of healthcare providers. SLRP activities include securing hospitalists for Critical Access Hospitals, Medicaid school psychologists, and other healthcare professionals; developing loan repayment programs for dentists and behavioral health providers; and more.
Author(s): Beth Blevins
Date: 07/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Describes how the New Hampshire Health Care Workforce Coalition lobbied for state legislation to increase the annual budget for the State Loan Repayment Program (SLRP) to enhance recruitment of healthcare providers. SLRP activities include securing hospitalists for Critical Access Hospitals, Medicaid school psychologists, and other healthcare professionals; developing loan repayment programs for dentists and behavioral health providers; and more.
Author(s): Beth Blevins
Date: 07/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Left Out: Barriers to Health Equity for Rural and Underserved Communities
Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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Summarizes responses to a Request for Information from the U.S. House Ways and Means Committee's Rural and Underserved Communities Health Task Force. Describes factors contributing to healthcare challenges in rural areas, including demographics, social and structural determinants of health, insurance coverage, access to care, and workforce shortages. Highlights promising models of healthcare delivery in rural areas. Includes state-by-state health equity maps.
Additional links: State and Territory Health Equity Maps, Summary
Date: 07/2020
Sponsoring organization: House Ways and Means Committee
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