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Rural Health
Resources by Topic: Medicaid

Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums Chartpack
Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses, and barriers to healthcare access.
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder
Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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States Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019
Reports on a survey of Medicaid directors and staff regarding state Medicaid programs and possible policy changes for 2019, including some challenges for rural areas throughout. Addresses Section 1115 waivers, expansion proposals, corrections-related enrollment, payment and delivery models, home and community-based care, social determinants of health, and plans to address the opioid epidemic.
Author(s): Kathleen Gifford, Eileen Ellis, Barbara Coulter Edwards, et al.
Date: 10/2018
Type: Document
Sponsoring organizations: Kaiser Family Foundation, National Association of Medicaid Directors
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Oral Health in Texas: Emergency Department and Inpatient Hospitalization for Non-Traumatic Dental Conditions in Texas
Examines hospital and emergency department (ED) dental treatment in Texas for non-traumatic dental conditions, with a focus on Medicaid enrollees. Addresses ED visit rates by county, diagnoses, payer distribution, and sociodemographics.
Date: 10/2018
Type: Document
Sponsoring organization: Texas Health Institute
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Factors Affecting the Development of Medicaid Hospital Payment Policies: Findings from Structured Interviews in Five States
Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of change to payment methods, and more. Focuses on five states that made or are making significant hospital policy changes: Arizona, Louisiana, Michigan, Mississippi, and Virginia. Appendix B includes state profiles.
Author(s): Thomas Marks, Kathy Gifford, Steven Perlin, Melisa Byrd, Timothy Beger
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Chart Book: The Far-Reaching Benefits of the Affordable Care Act’s Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals on pages 19-21 for Medicaid revenue, operating margins, and uncompensated care.
Date: 10/2018
Type: Document
Sponsoring organization: Center on Budget and Policy Priorities
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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 September 2018. Focuses on Medicaid coverage for telehealth services and includes references to state policies that require private insurer payment for the service. Interactive maps allow results to be narrowed by state.
Additional links: Infographic, Interactive Map - Current State Laws & Reimbursement Policies, Interactive Map - Legislation and Regulation Tracking
Date: 10/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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