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Rural Health
Resources by Topic: Medicaid

Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by age, race/ethnicity, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
Type: Document
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Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Obesity Prevention and Treatment in Rural America Through Changes in Diet and Food Availability
Policy position paper regarding obesity prevention and treatment through rural-specific programming and equitable coverage. Offers policy recommendations to address obesity among rural populations.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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The Approaching End of the COVID-19 Public Health Emergency and Its Implications for RHCs
Outlines Rural Health Clinic (RHC)-specific waivers implemented in response to the COVID-19 pandemic and will end at the conclusion of the public health emergency (PHE). Highlights how other policies will be impacted by the end of the PHE, including telehealth flexibilities; Medicaid redetermination; the commercialization of COVID-19 vaccines, treatments, and tests; and Emergency Use Authorizations.
Date: 02/2023
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Rural Hospitals Face Renewed Financial Challenges, Especially in States That Have Not Expanded Medicaid
Provides an overview of rural hospital finances before the COVID-19 pandemic and compares operating margins in hospitals in states that expanded Medicaid with those that did not expand Medicaid. Describes financial trends during pandemic. Highlights selected policy initiatives intended to support rural hospitals or restructure the rural healthcare delivery system.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver
Date: 02/2023
Type: Document
Sponsoring organization: KFF
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2023-2027 Ohio State Oral Health Plan
Provides an overview of Ohio's state plan to improve and integrate oral health into citizens' overall healthcare plans. Focuses on community conditions, health behaviors, access to quality care, dental care outcomes, and oral health outcomes. Includes strategies specific to rural, Appalachian Ohio and data on dentists who billed at least 100 services to Medicaid in 2021 by county.
Author(s): Becky Sustersic Carroll, Hailey Akah, Lexi Chirakos
Date: 02/2023
Type: Document
Sponsoring organizations: Health Policy Institute of Ohio, Oral Health Ohio
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A Study Pursuant to (Pennsylvania) House Resolution 68: Rural Dental Health
Results of a study to identify the availability, costs, and barriers to receiving dental services in rural Pennsylvania. Offers recommendations to expand oral healthcare services in rural areas. Features county-level maps showing distribution of Pennsylvania dentists with breakdowns by rural and nonrural areas, and population-to-dentist ratios.
Date: 01/2023
Type: Document
Sponsoring organization: Legislative Budget and Finance Committee of the Pennsylvania General Assembly
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Cancer Disproportionately Impacts Adults Living in Rural Areas
Analyzes cancer disparities in metro and nonmetro areas across the U.S. as well as select states that did not expand Medicaid coverage: Georgia, South Carolina, Tennessee, and Texas. Utilizes multiple data sources to examine cancer incidence, mortality, and survival rates in metro and nonmetro areas.
Date: 01/2023
Type: Document
Sponsoring organization: The National Grange
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Access to Oral Health Workforce Report: Part II
Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Pennsylvania Coalition for Oral Health
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid race and ethnicity data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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