When Will the U.S. Territories Exhaust Federal Medicaid Funding?
Issue brief exploring the projected effects on healthcare expense funding in American Samoa, the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands if all sources of federal funding are allowed to expire in 2019. Features statistics for Medicaid funding and spending in the territories for fiscal year 2018, and sources of federal Medicaid funding and periods during which the funding is available.
Date: 07/2019 Type: Document Sponsoring organization: Medicaid and CHIP Payment and Access Commission view details
Insurer Participation in Rural Health Insurance Marketplaces: Are Some Markets Intrinsically More Competitive Than Others?
Policy position brief reporting on analyses of insurer participation data in the Federal Employees Health Benefits Program, Medicare Advantage, and Health Insurance Marketplaces (HIMs). Assesses to what extent participation in HIMs may be associated with prior levels of local market competition. Includes statistics on prior market competition in low-population-density counties in 2014 and 2017, and county characteristics associated with low insurer participation, with comparisons between metro and nonmetro counties.
Author(s): Abigail R. Barker, Timothy D. McBride, Keith J. Mueller Date: 06/2019 Type: Document Sponsoring organization: RUPRI Center for Rural Health Policy Analysis view details
Cost-Sharing as a Barrier to Accessing Care at FQHCs and RHCs for Rural Medicare Beneficiaries
Results of a national study investigating cost barriers, using data acquired after enactment of the Affordable Care Act and viewed from perspectives other than ambulatory care sensitive hospitalizations. Features statistics including descriptive data of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) from the study sample, with breakdowns by rural and urban location.
Author(s): Alex R. Schulte, George H. Pink, Mark Holmes, Denise Kirk Date: 06/2019 Type: Document Sponsoring organization: North Carolina Rural Health Research Program view details
Toward a High Performing Rural Health Care System: Key Issues and Recommendations from Rural Health Care System Innovators
Summarizes key themes and recommendations from a meeting of rural health leaders regarding innovations in rural healthcare financing and service delivery to inform state and national policy discussions. Offers recommendations, examples, and discussion on 3 areas: financing rural health system innovation, creating an infrastructure to support rural health innovation, and promoting governance models that support innovation.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al. Date: 05/2019 Type: Document Sponsoring organization: Rural Policy Research Institute Rural Health Panel view details
Where Are They Now: Indian Programs on the GAO High Risk List
Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019 Type: Video/Multimedia Sponsoring organization: Senate Committee on Indian Affairs view details
HHS and HRSA Rural Summit
Summary of a January 28, 2019, discussion among rural healthcare stakeholders concerning challenges rural communities face in providing and accessing healthcare. Also explores opportunities for the Department of Health and Human Services Administration and the Health Resources and Services Administration to address these issues through program and policy development. Topics include access to care, workforce challenges, rural health system transformation, telehealth, and response to the opioid crisis.
Date: 01/2019 Type: Document Sponsoring organization: Health Resources and Services Administration view details
State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Findings at a Glance
Date: 2019 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International view details