Rural Health
Resources by Topic: Health reform
State Innovation Models (SIM) Round 2: Model Design Final Report
Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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An Emerging Approach to Payment Reform: All-Payer Global Budgets for Large Safety-Net Hospital Systems
Examines the possibility of implementing global all-payer budgets in safety-net hospital systems throughout the U.S. Provides background on the all-payer model, and discusses the experiences of rural hospitals in Maryland and Pennsylvania, where current global budgeting demonstrations are ongoing.
Author(s): Joshua M. Sharfstein, Sule Gerovich, Elizabeth Moriarty, David Chin
Date: 08/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines the possibility of implementing global all-payer budgets in safety-net hospital systems throughout the U.S. Provides background on the all-payer model, and discusses the experiences of rural hospitals in Maryland and Pennsylvania, where current global budgeting demonstrations are ongoing.
Author(s): Joshua M. Sharfstein, Sule Gerovich, Elizabeth Moriarty, David Chin
Date: 08/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Second Annual Report
Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the second year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Describes implementation experiences during the second program year and examines pre-enrollment characteristics of participants. Focuses on program enrollment, implementation of service delivery models, development and implementation of payment models, and sustainability plans. Provides findings for the individual grantees, which include projects that serve rural areas.
Date: 08/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Finance in Rural and Urban Hospitals
Summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Health Care Access in Rural Minnesota: Results from the Minnesota Health Access Survey
Examines healthcare access in rural Minnesota before and after the implementation of the Affordable Care Act (ACA), with a particular focus on insurance coverage rates. Includes data and statistics for affordability of insurance, availability of care, and demographics across the state.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Examines healthcare access in rural Minnesota before and after the implementation of the Affordable Care Act (ACA), with a particular focus on insurance coverage rates. Includes data and statistics for affordability of insurance, availability of care, and demographics across the state.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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How Could Repealing Key Provisions of the Affordable Care Act Affect Community Health Centers and Their Patients?
Analyzes and estimates the potential effects of repealing certain provisions of the Affordable Care Act (ACA), focusing primarily on the implications for community health centers located in medically underserved communities. Examines how each of the following actions may affect health centers and primary healthcare access: ending the Health Centers Fund, ending health insurance subsidies, and ending expanded Medicaid coverage.
Author(s): Sara J. Rosenbaum, Jessica Sharac, Thao-Chi Tran, et al.
Date: 03/2017
Type: Document
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Analyzes and estimates the potential effects of repealing certain provisions of the Affordable Care Act (ACA), focusing primarily on the implications for community health centers located in medically underserved communities. Examines how each of the following actions may affect health centers and primary healthcare access: ending the Health Centers Fund, ending health insurance subsidies, and ending expanded Medicaid coverage.
Author(s): Sara J. Rosenbaum, Jessica Sharac, Thao-Chi Tran, et al.
Date: 03/2017
Type: Document
Sponsoring organization: George Washington University Milken Institute School of Public Health Department of Health Policy and Management
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 2
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Third Annual Report
Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Third annual evaluations for the Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Presents findings on program impacts related to quality of care, service use, and medical spending. Includes projects serving rural areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Third Annual Report
Third annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses awardees' progress and impact over the 3-year funding period from 2012 to 2015. Includes profiles of rural-focused projects, as well as projects serving rural and urban areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses awardees' progress and impact over the 3-year funding period from 2012 to 2015. Includes profiles of rural-focused projects, as well as projects serving rural and urban areas.
Additional links: Addendum, August 2017
Date: 03/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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