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Rural Health
Resources by Topic: Medicaid

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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Rural Differences in Characteristics and Utilization Patterns of Medicaid Recipients
Poster presentation examining the characteristics of rural Medicaid recipients and estimating their overall health care utilization. Includes rural versus urban statistics comparing Medicaid recipients with one or more hospitalizations by fee-for-service and managed care enrollees and Medicaid enrollees with at least one day in long-term care.
Author(s): Karen Jones, Kevin J. Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Recent Trends in Children's Healthcare - Coverage and Oral Health Outcomes
Webinar details recent finding from the South Carolina Rural Health Research Center on access to oral healthcare for rural children. Discusses Medicaid coverage, barriers to care, and demographic factors that correlate with an unmet need for oral healthcare.
Additional links: Webinar Slides, Webinar Transcript
Date: 11/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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State Telehealth Laws and Reimbursement Policies
Provides a summary of telehealth-related laws and reimbursement policies for all 50 states and the District of Columbia, using policy language available in each state as of October 2017. The primary focus of the report is on Medicaid coverage for telehealth services but also includes references to state policies that require private insurer payment for the service. Interactive map allows results to be narrowed by state.
Additional links: 50 State Scan of Telehealth Reimbursement Laws and Medicaid Policies Factsheet, Interactive Map, State Telehealth Laws and Medicaid Program Policies Infographic
Date: 11/2017
Type: Document
Sponsoring organization: Center for Connected Health Policy (National Telehealth Policy Resource Center)
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Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoë Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation working to connect rural residents of Montana's Flathead Valley with high quality care. Mountain-Pacific is part of a pilot program aimed at improving the health of high-need, rural patients through the use of technology and interdisciplinary care teams. Mountain-Pacific also received a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states - California, Colorado, New Mexico, and Oregon - are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations. Also shares design considerations for specific delivery system environments, and ways to ensure long-term program sustainability.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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