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Rural Health
Resources by Topic: Medicaid

Sources of Insurance Coverage in Nonmetropolitan Areas: The Role of Public and Private Insurance Since 2009
Describes regional variation in insurance coverage rates, using the American Community Survey 5-year estimates from 2009-2013 and 2013-2017 to compare types of health insurance coverage for people less than 65 years of age. Features statistics including share of nonmetropolitan nonelderly population per region, health insurance rates for nonelderly with breakdowns by metropolitan and nonmetropolitan areas, and source of health insurance for nonelderly by region.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, Timothy D. McBride, Keith J. Mueller
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties
Presents a study on primary care access for Medicaid beneficiaries in nonmetropolitan counties who were enrolled through managed care organizations (MCOs) from 2012 to 2018. Details the level of access to primary care in the nonmetropolitan counties of 15 states and compares the rates of access for beneficiaries enrolled through MCOs established before 2012 and after 2012. Discusses findings and makes recommendations for policy makers.
Author(s): Linda Li, Matthew Najarian, Abigail R. Barker, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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CMS: Current Emergencies: Coronavirus Disease 2019
Guidance from CMS for healthcare facilities and labs related to COVID-19. Includes clinical and technical guidance on infection control and prevention for specific types of facilities, information on billing and coding, coverage for services related to COVID-19, and other topics.
Date: 03/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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OBGYNs and the Provision of Sexual and Reproductive Health Care: Key Findings from a National Survey
Reports on a nationwide survey of obstetrician-gynecologists (OBGYNs) regarding sexual and reproductive healthcare, covering screening practices; provision of contraception, abortion, and sexually transmitted infection care; and the effects of policy on healthcare access and quality. Analyzes survey data from 1,210 OBGYN participants on contraception provision and other services, access to specific services based on regional and urban/rural location, provider characteristics and experiences, Medicaid coverage, and more.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 02/2021
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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COVID Relief Funding for Medicaid Providers
Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI). Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2021
Type: Document
Sponsoring organization: Rural Health Value
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CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement Process
Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health System Challenges for Critical Access Hospitals: Findings from a National Survey of CAH Executives
Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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