Rural Health
Resources by Topic: Health insurance
Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how 4 states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Discusses how 4 states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Rural Health Potentially Avoidable Utilization (PAU) Dashboard
Interactive dashboard providing information on potentially avoidable utilization at rural hospitals based on 2019 Medicare claims data. Includes data on admissions for ambulatory care sensitive conditions, hospital readmissions, and potentially avoidable emergency department visits.
Date: 2021
Sponsoring organization: Mathematica
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Interactive dashboard providing information on potentially avoidable utilization at rural hospitals based on 2019 Medicare claims data. Includes data on admissions for ambulatory care sensitive conditions, hospital readmissions, and potentially avoidable emergency department visits.
Date: 2021
Sponsoring organization: Mathematica
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Left Behind Again: Rural Home Health Services in a Medicaid Pediatric Accountable Care Organization
Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
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Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
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Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care
Examines the current state of primary care in the United States, and describes an implementation plan to strengthen high-quality primary care. Discusses value-based care and reimbursement, access to care, primary care workforce recruitment and training, and the role of health information technology. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines the current state of primary care in the United States, and describes an implementation plan to strengthen high-quality primary care. Discusses value-based care and reimbursement, access to care, primary care workforce recruitment and training, and the role of health information technology. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2016-2019
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs). Explores FQHC patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data.
Date: 2021
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs). Explores FQHC patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data.
Date: 2021
Sponsoring organization: Capital Link
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Health, United States, 2019
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups.
Date: 2021
Sponsoring organization: National Center for Health Statistics
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Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access, and expenditures. Includes rural data - see the Trend Tables Data Finder and select "Metropolitan and nonmetropolitan" under Population Subgroups.
Date: 2021
Sponsoring organization: National Center for Health Statistics
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Public Law 116–260: Consolidated Appropriations Act, 2021
Text of the Consolidated Appropriations Act, 2021, Public Law 116-260 (December 27, 2020). Section 125 establishes the Rural Emergency Hospital designation. Section 127 makes changes to direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs.
Date: 12/2020
Sponsoring organization: U.S. Congress
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Text of the Consolidated Appropriations Act, 2021, Public Law 116-260 (December 27, 2020). Section 125 establishes the Rural Emergency Hospital designation. Section 127 makes changes to direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs.
Date: 12/2020
Sponsoring organization: U.S. Congress
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Behavioral Health Barometer: United States, Volume 6
Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, sex, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, sex, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Clinics Modernization Policy Explained
Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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The Centers for Medicare & Medicaid Services Could Improve Its Wage Index Adjustment for Hospitals in Areas With the Lowest Wages
Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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