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Rural Health
Resources by Topic: Healthcare business and finance

Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals Report
Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Differences in Case-Mix Between Rural and Urban Recipients of Home Health Care
Provides a description of the health status and service needs of rural and urban Medicare home health patients based on a professional assessment of their condition at the start of care.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Grishma P. Bhavsar
Date: 10/2014
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Geographic Variation in Plan Uptake in the Federally Facilitated Marketplace
Combines data on health insurance plan selection in the federally facilitated marketplaces with estimates of people likely to qualify for the marketplace in order to calculate the percent of eligible people who chose a health insurance plan. Includes a heat map that illustrates which U.S. regions had the highest and lowest plan selection rates. Discusses differences for rural areas.
Author(s): Mark Holmes, Pam Silberman, Kristie Thompson, Victoria Freeman, Randy K. Randolph
Date: 10/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Children Increasingly Rely on Medicaid and State Child Health Insurance Programs for Health Insurance
Focuses on rural-urban differences in coverage and type of health insurance for children. Discusses the Children's Health Insurance Program (CHIP) and includes statistics such as percentage and characteristics of insured and uninsured children, with breakdowns by state, urban or rural location, and Congressional district.
Author(s): William P. O'Hare
Date: 09/2014
Type: Document
Sponsoring organization: First Focus on Children
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Transforming the Workforce to Provide Better Care: The Role of Obstetric Nurse Coordinators in North Carolina
A case study describing how nurses are helping improve prenatal care for high-risk pregnant women via North Carolina's statewide Medicaid Pregnancy Medical Home (PMH) program. Includes a section on support for rural practices participating in the PMH program.
Author(s): Mary Takach, Rachel Yalowich
Date: 09/2014
Type: Document
Sponsoring organizations: AARP Public Policy Institute, National Academy for State Health Policy
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Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions
Offers information on community health centers, which provide access to care for patients in rural and medically underserved areas. Provides a comparison of health centers in Medicaid expansion and non-expansion states and the percentage of those health centers in rural versus urban locations.
Author(s): Peter Shin, Jessica Sharac, Sara Rosenbaum, Julia Paradise
Date: 09/2014
Type: Document
Sponsoring organization: KFF
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Health Insurance Coverage in the United States: 2013
Reports on health insurance coverage, including data on private insurance, government insurance coverage, and the uninsured. Table 5 (page 11) offers metropolitan and non-metropolitan data. Based on data from the 2014 Current Population Survey Annual Social and Economic Supplement.
Author(s): Jessica C. Smith, Carla Medalia
Date: 09/2014
Type: Document
Sponsoring organization: U.S. Census Bureau
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Rural Implications of the Blueprints for State-Based Health Insurance Marketplaces
Presents different states' approaches to the health insurance marketplaces including service areas and rating areas, network adequacy requirements, rural consumer outreach, rural representation on the marketplace governing board, certification and oversight of qualified health plans, and design of the small business health options program.
Author(s): Andy Potter, Matt Nattinger, Keith J. Mueller
Date: 09/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Oral Health Workforce in New York
Summary of the oral health workforce across the state of New York. Includes demographics for both dentists and dental hygienists, discussion of the low availability of Medicaid oral health providers, and distribution of the workforce by region.
Date: 08/2014
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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