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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Use of the National Health Interview Survey Linked to Medicaid Analytic eXtract Data to Identify Children With Medicaid-covered Births
Explains a method for longitudinal follow-up of children who were enrolled in Medicaid at birth through linked National Health Interview Survey and Medicaid Analytic eXtract data files. Includes NHIS data on health insurance coverage, health status, and healthcare access for children with Medicaid-covered births, including data by urban-rural county of residence.
Author(s): Patricia C. Lloyd, Anne K. Driscoll, Alan E. Simon, Jennifer D. Parker
Date: 04/2018
Sponsoring organization: National Center for Health Statistics
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Bipartisan Budget Act of 2018 (P.L. 115-123): CHIP, Public Health, Home Visiting, and Medicaid Provisions in Division E
Highlights a report on the Bipartisan Budget Act of 2018. Details appropriations for Medicare, Medicaid, CHIP, public health, and other provisions in Division E. Provides some discussion of the effect of these appropriations on rural communities.
Date: 03/2018
Sponsoring organization: Congressional Research Service
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CMS Innovation Center: Model Implementation and Center Performance
Examines the activities of the Centers for Medicare and Medicaid Services' Innovation Center. Discusses the Center's goals of identifying, testing, and improving payment and delivery models, while cutting healthcare costs and sharing best practices. Includes models tested in rural areas.
Additional links: Full Report
Date: 03/2018
Sponsoring organization: Government Accountability Office
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Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Sponsoring organization: Government Accountability Office
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces
Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Sponsoring organization: Leonard Davis Institute of Health Economics
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In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured
Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Sponsoring organization: U.S. Census Bureau
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Small Area Health Insurance Estimates: 2016
Reports on health insurance coverage in the U.S. in 2016 and changes between 2015 and 2016, as well as changes between 2013 and 2016. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Report Maps, 2016
Author(s): Lauren Bowers, Carolyn Gann, Rachel Upton
Date: 03/2018
Sponsoring organization: U.S. Census Bureau
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Geographic Variation in the 2016 Profitability of Urban and Rural Hospitals
Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Sponsoring organization: Congressional Research Service
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