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Rural Health
Resources by Topic: Medicaid

Reforming Biopharmaceutical Pricing at Home and Abroad
Discusses federal policy changes within the Food and Drug Administration (FDA) and Medicare and Medicaid programs that could help lower domestic drug prices and encourage more robust price competition. Includes a discussion of potential changes to the 340B Drug Pricing Program and the resulting impacts for Critical Access Hospitals (CAHs), Disproportionate Shares Hospitals (DSHs), and other providers.
Date: 02/2018
Type: Document
Sponsoring organization: The Council of Economic Advisers
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Uses data from calendar year 2013 to examine beneficiary demographics, utilization and spending patterns, eligibility pathways, annual program growth rates, and more. Chart on page 37 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2018
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Building Complex Care Programs: A Road Map for States
Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarso
Date: 12/2017
Type: Document
Sponsoring organization: National Governors Association
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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Catalyzing Medicaid-Public Health Collaboration to Reduce Childhood Obesity
Explains cross-sector interventions tested by five states - Arizona, Maryland, Oklahoma, Oregon, and Texas - participating in the Center for Health Care Strategies' Innovations in Childhood Obesity Initiative. Each state profile highlights how Medicaid and public health agencies are using innovative approaches to address childhood obesity in their high-risk communities. The Texas initiative focuses on childhood obesity in the rural, low-income population along the U.S./Mexico border.
Author(s): Alexandra Maul, Stephen A. Somers
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Information concerning potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by census region, with breakdowns by urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Comparing the Affordable Care Act’s Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not
Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports, and explain changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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