Rural Health
Resources by Topic: Health insurance
CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation 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 March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation 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 March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Compacts of Free Association: Populations in U.S. Areas Have Grown, with Varying Reported Effects
Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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Describes estimated migration of citizens from the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, and reported costs related to this migration in Hawaii, Guam, and the Commonwealth of the Northern Mariana Islands. Also explores effects of this migration on governments, workforces, and societies in these and other areas of the United States, including costs of providing healthcare and extending access to the Children's Health Insurance Program and Medicaid.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Regional Disparities in Qualified Health Plans' Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States
Results of a study examining differences in qualified health plans (QHPs) in the South, the Midwest, the West, and the Northeast, in terms of prior authorization requirements for combined tenofovir disoproxil fumarate and emtricitabine. Features statistics comparing 16,853 QHPs, with breakdowns by urban and rural areas.
Author(s): Kathleen A. McManus, Samuel Powers, Amy Killelea, Sebastian Tello-Trillo, Elizabeth Rogawski McQuade
Citation: JAMA Network Open, 3(6)
Date: 06/2020
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Results of a study examining differences in qualified health plans (QHPs) in the South, the Midwest, the West, and the Northeast, in terms of prior authorization requirements for combined tenofovir disoproxil fumarate and emtricitabine. Features statistics comparing 16,853 QHPs, with breakdowns by urban and rural areas.
Author(s): Kathleen A. McManus, Samuel Powers, Amy Killelea, Sebastian Tello-Trillo, Elizabeth Rogawski McQuade
Citation: JAMA Network Open, 3(6)
Date: 06/2020
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Rural/Urban Disparities in Utilization of Diabetes Self-Management Training to the Fee-for-Service Medicare Population
Compares the utilization of Diabetes Self-Management Training (DSMT) services of Medicare recipients in rural and urban areas in 2016. Includes data on DSMT providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Aric Schadler, Jeffery C. Talbert
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the utilization of Diabetes Self-Management Training (DSMT) services of Medicare recipients in rural and urban areas in 2016. Includes data on DSMT providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Aric Schadler, Jeffery C. Talbert
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Rural/Urban Disparities in Utilization of Medical Nutrition Therapy to the Fee-for-Service Medicare Population
Compares the utilization of Medical Nutrition Therapy (MNT) services by Medicare recipients in rural and urban areas in 2016. Includes data on MNT providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery Talbert
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the utilization of Medical Nutrition Therapy (MNT) services by Medicare recipients in rural and urban areas in 2016. Includes data on MNT providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery Talbert
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Rural/Urban Disparities in the Utilization of Health and Behavioral Assessments/Interventions in the Fee-for-Service Medicare Population
Compares the utilization of Health and Behavioral Assessments and Interventions (HBAI) services by Medicare recipients in rural and urban areas. Includes data on HBAI providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery C. Talbert
Citation: Rural and Underserved Health Research Center Publications
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the utilization of Health and Behavioral Assessments and Interventions (HBAI) services by Medicare recipients in rural and urban areas. Includes data on HBAI providers, service units, beneficiaries, and average utilization rate in rural and urban counties.
Author(s): Christian Rhudy, Eugene Shin, Jeffery C. Talbert
Citation: Rural and Underserved Health Research Center Publications
Date: 06/2020
Sponsoring organization: Rural and Underserved Health Research Center
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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