Rural Health
Resources by Topic: Healthcare business and finance
Understanding the Intersection of Medicaid and Work: What Does the Data Say?
Provides analysis on Medicaid enrollees and work requirements. Examines policy implications of work requirements, and explores barriers to work and reporting requirements. Table 1 includes statistics describing nonelderly adult Medicaid enrollees work status in 2017 by race/ethnicity, education, family type, family work status, and metro/nonmetro residence.
Author(s): Rachel Garfield, Robin Rudowitz, Kendal Orgera, Anthony Damico
Date: 08/2019
Sponsoring organization: KFF
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Provides analysis on Medicaid enrollees and work requirements. Examines policy implications of work requirements, and explores barriers to work and reporting requirements. Table 1 includes statistics describing nonelderly adult Medicaid enrollees work status in 2017 by race/ethnicity, education, family type, family work status, and metro/nonmetro residence.
Author(s): Rachel Garfield, Robin Rudowitz, Kendal Orgera, Anthony Damico
Date: 08/2019
Sponsoring organization: KFF
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Sponsoring organization: Auditor of the State of California
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Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Sponsoring organization: Auditor of the State of California
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A Flexible Solution: How Critical Access Hospitals Reshaped Rural Health
Brief video overview describing how the Balanced Budget Act of 1997 created the Critical Access Hospital designation to reduce rural hospital closures. Discusses the role of the Senate Finance Committee and Federal Office of Rural Health Policy in developing the related policies, the transition of rural hospitals to critical access status, and the creation and impact of the Medicare Rural Hospital Flexibility Program (Flex Program).
Date: 07/2019
Sponsoring organization: Rural Health Information Hub
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Brief video overview describing how the Balanced Budget Act of 1997 created the Critical Access Hospital designation to reduce rural hospital closures. Discusses the role of the Senate Finance Committee and Federal Office of Rural Health Policy in developing the related policies, the transition of rural hospitals to critical access status, and the creation and impact of the Medicare Rural Hospital Flexibility Program (Flex Program).
Date: 07/2019
Sponsoring organization: Rural Health Information Hub
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2019 Medicaid and Commercial Access to Care Index: How Payer Type Influences Coloradans' Access to Needed Health Care
Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Sponsoring organization: Colorado Health Institute
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Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Sponsoring organization: Colorado Health Institute
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Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017
Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Jeremy Zuckero
Date: 07/2019
Sponsoring organization: Flex Monitoring Team
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Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Jeremy Zuckero
Date: 07/2019
Sponsoring organization: Flex Monitoring Team
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State-by-State Health Insurance Coverage among Women of Reproductive Age in 2017
Presents an interactive map with corresponding reports for each state highlighting the rates of insurance coverage for women of reproductive age. Breaks down data by age, race, marital status, metro and nonmetro, and compares state rates to U.S. rates. Offers national estimates and explanation of methodology in the National Update and Methods Appendix.
Additional links: National Update and Methods Appendix
Date: 07/2019
Sponsoring organization: Urban Institute
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Presents an interactive map with corresponding reports for each state highlighting the rates of insurance coverage for women of reproductive age. Breaks down data by age, race, marital status, metro and nonmetro, and compares state rates to U.S. rates. Offers national estimates and explanation of methodology in the National Update and Methods Appendix.
Additional links: National Update and Methods Appendix
Date: 07/2019
Sponsoring organization: Urban Institute
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program
Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Describes strategies used by successful Accountable Care Organizations (ACOs) to reduce spending and increase healthcare quality. Addresses social determinants of health, behavioral health, reducing hospitalizations, using technology to share information, and more. Two of the 20 ACOs included in the study served rural communities.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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