Rural Health
Resources by Topic: Healthcare business and finance
Challenges and Strategies in Expanding Non-Traditional Pregnancy-Related Services: Findings from a Survey of State Medicaid Programs
Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Sponsoring organization: KFF
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Presents Medicaid reimbursement information for non-traditional pregnancy-related services, such as doula care, childbirth and parenting classes, lactation support, and more. Includes commentary on service challenges in rural areas.
Author(s): Anna Mudumala, Kathleen Gifford, Usha Ranji, Elizabeth Hinton
Date: 05/2024
Sponsoring organization: KFF
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Medicare Advantage Plan Growth in Rural America: Availability of Supplemental Benefits
Examines supplemental benefits of Medicare Advantage (MA) plans, categorized as traditional health benefit, expanded health benefit, and special benefit for the chronically ill. Utilizes 2022 Centers for Medicare & Medicaid Services (CMS) data to analyze availability of and benefits offered in MA plans according to metro, micro, and noncore location. Includes county-level maps of MA data organized by U.S. region.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 05/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines supplemental benefits of Medicare Advantage (MA) plans, categorized as traditional health benefit, expanded health benefit, and special benefit for the chronically ill. Utilizes 2022 Centers for Medicare & Medicaid Services (CMS) data to analyze availability of and benefits offered in MA plans according to metro, micro, and noncore location. Includes county-level maps of MA data organized by U.S. region.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 05/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicare Part D Enrollee Vaccine Use After Elimination of Cost Sharing for Recommended Vaccines in 2023
A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A report from the Inflation Reduction Act (IRA) Research Series that provides data on Medicare Part D enrollees who received vaccinations after the IRA legislated in 2023 that adult vaccinations recommended by the Advisory Committee on Immunization Practices (ACIP) would be provided at no cost. Includes data breakdowns of total and type of vaccinations received and Medicare Part D enrollee demographic characteristics, such as state and urban versus rural/unknown location.
Author(s): Bisma A. Sayed, Yevgeniy Feyman, Kristen L. King, et al.
Date: 05/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Coverage Options for American Indians and Alaska Natives
Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Quality of Care in the SoonerCare Program, 2024
Reports on access, use, and effectiveness of care for Oklahoma's Medicaid program enrollees. Appendix A provides detailed rural/urban breakdowns on compliance with immunizations, cancer screenings, medication management, and more.
Date: 04/2024
Sponsoring organization: Oklahoma Health Care Authority
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Reports on access, use, and effectiveness of care for Oklahoma's Medicaid program enrollees. Appendix A provides detailed rural/urban breakdowns on compliance with immunizations, cancer screenings, medication management, and more.
Date: 04/2024
Sponsoring organization: Oklahoma Health Care Authority
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Hospital Price Transparency: What Hospitals Need to Know
Webinar recording presenting part one of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on January 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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Webinar recording presenting part one of a discussion on the Centers for Medicare and Medicaid Services (CMS) hospital price transparency requirements that went into effect on January 1, 2024. Features a presentation and discussion from a CMS representative.
Date: 04/2024
Sponsoring organization: Rural Health Information Hub
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Ground Ambulance Industry Trends, 2017–2022: An Analysis of Ground Ambulance Organization Entrance and Exit
Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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Describes ground ambulance trends from 2017 to 2022, focusing on organizational characteristics associated with organizations' entry into or exit from the Medicare program. Presents data on the likelihood of entry and exit by a ground ambulance transportation organization by ownership status; urban, rural, or super rural location; and volume. Examines the change in traditional fee-for-service Medicare ground ambulance transport volume at the county level after an organization enters or exits the market.
Author(s): Jonathan Cantor, Sara Heins, Petra W. Rasmussen, Christine Buttorff, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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Ground Ambulance Industry Trends, 2017–2022: Analysis of Medicare Fee-for-Service Claims
Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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Explores whether ground ambulance organizations have changed between 2017 and 2022. Examines trends in the number of ground ambulance transports paid for by traditional fee-for-service Medicare, the characteristics of organizations billing Medicare for these services, the most common diagnosis codes reported on Medicare ground ambulance claims, and the share of transports to or from an end-stage renal disease (ESRD) facility. Discusses how the growth in Medicare Advantage enrollment could impact the volume of traditional Medicare ground ambulance transports. Includes data on ground ambulance transports by service area population density.
Author(s): Petra W. Rasmussen, Jonathan Cantor, Jennifer Gildner, Sara Heins, Andrew W. Mulcahy
Date: 04/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, RAND Corporation
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How Does Hawai'i's Economic Geography Affect Its Healthcare Industry?
Reports on geographic factors influencing healthcare economics in Hawai'i, including discussion of geographic decentralization, productivity, workforce recruitment, reimbursement and payment, and more. Highlights barriers to healthcare access and service availability in rural, isolated, and remote communities.
Author(s): Steven Bond-Smith, Daniela Bond-Smith
Date: 04/2024
Sponsoring organization: The Economic Research Organization at the University of Hawai'i (UHERO)
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Reports on geographic factors influencing healthcare economics in Hawai'i, including discussion of geographic decentralization, productivity, workforce recruitment, reimbursement and payment, and more. Highlights barriers to healthcare access and service availability in rural, isolated, and remote communities.
Author(s): Steven Bond-Smith, Daniela Bond-Smith
Date: 04/2024
Sponsoring organization: The Economic Research Organization at the University of Hawai'i (UHERO)
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