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Rural Health
Resources by Topic: Healthcare business and finance

Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion.
Additional links: Full Report, Press Release
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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One Year after the Storms: Recovery and Health Care in Puerto Rico and the U.S. Virgin Islands
Issue brief describing status of the recovery in Puerto Rico and the U.S. Virgin Islands, following the September 2017 hurricanes. Draws on public reports and interviews conducted in July and September 2018 and earlier work focusing on the territories' status 6 months after the storms.
Author(s): Cornelia Hall, Robin Rudowitz, Samantha Artiga, Barbara Lyons
Date: 09/2018
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Insuring Rural America: Health Insurance Challenges and Opportunities
Provides a webinar recording discussing the economic factors affecting the lack of health insurance options in some rural areas. Focuses on the impact of small risk pools and network adequacy and policy options to address these issues.
Additional links: Slides
Author(s): Timothy McBride, Abigail Barker
Date: 09/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Examining Barriers to Expanding Innovative, Value-Based Care in Medicare
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare efforts to transition from a fee-for-service model to a value-based payment model. Features testimony from physicians and healthcare associations, healthcare systems, first-responders, and an information technology association. Testimony briefly addresses rural areas, particularly how broadband access and telehealth can benefit rural Americans.
Additional links: Morgan Reed Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Health Insurance Coverage in the United States: 2017
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Value
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2017 QIO Program Progress Report: Putting Patients at the Core
Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Type: Document
Sponsoring organization: Quality Improvement Organization Program
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2019
Comment on a September 4, 2018 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions.
Author(s): Francis J. Crosson
Date: 09/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Insurance Market Challenges
Offers a policy brief examining challenges affecting rural health insurance markets with a focus on Medicare Advantage, Medicare Part D, Medicaid Managed Care, and the Health Insurance Marketplace. Provides recommendations related to health insurance availability, network development and adequacy, and consumer and provider engagement.
Date: 08/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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