Rural Health
Resources by Topic: Medicaid
January 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Mandated Report on Non-Emergency Medical Transportation Further Findings
Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Advancing Population Health in Rural Places: Key Lessons and Policy Opportunities
Discussion of topics including strategies to incorporate population health into rural health, how collaboration can help rural hospitals address population health issues, how rural healthcare systems can gain community support for population activities, and ways in which the rural healthcare workforce can be involved in population health. Examines various demonstration projects with roots in the Medicare and Medicaid programs.
Author(s): Keith J. Mueller, Delaney P. Bounds, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discussion of topics including strategies to incorporate population health into rural health, how collaboration can help rural hospitals address population health issues, how rural healthcare systems can gain community support for population activities, and ways in which the rural healthcare workforce can be involved in population health. Examines various demonstration projects with roots in the Medicare and Medicaid programs.
Author(s): Keith J. Mueller, Delaney P. Bounds, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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CMS Pandemic Plan
Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Discusses how four states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
Type: Document
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Left Behind Again: Rural Home Health Services in a Medicaid Pediatric Accountable Care Organization
Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
Type: Document
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Examines differences in pediatric home healthcare utilization among rural and urban children in a Medicaid pediatric Accountable Care Organization (ACO) in Ohio. Analyzes overall differences in healthcare use and annual trends in home health use by rurality and Medicaid eligibility group. Discusses how these findings could inform state policies and future research.
Author(s): Rose Y. Hardy, Gilbert C. Liu, Kimberly J. Conkol, Sean P. Gleeson, Kelly J. Kelleher
Citation: Journal of Rural Health
Date: 2021
Type: Document
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Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care
Examines the current state of primary care in the United States, and describes an implementation plan to strengthen high-quality primary care. Discusses value-based care and reimbursement, access to care, primary care workforce recruitment and training, and the role of health information technology. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines the current state of primary care in the United States, and describes an implementation plan to strengthen high-quality primary care. Discusses value-based care and reimbursement, access to care, primary care workforce recruitment and training, and the role of health information technology. Includes rural references throughout.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2021
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Centers for Medicare & Medicaid Services Could Improve Its Wage Index Adjustment for Hospitals in Areas With the Lowest Wages
Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Additional links: Full Data Brief
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Additional links: Full Data Brief
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Telemedicine Utilization Report: Telehealth and Telemedicine During the COVID-19 Pandemic
Examines the use of telemedicine to deliver Medicaid-covered services in the state of Minnesota. Describes state and federal telehealth policy waivers and modifications that were temporarily implemented in response to the COVID-19 pandemic. Discusses telehealth use by and special considerations for rural populations.
Author(s): Neerja Singh, Julie Marquardt
Date: 12/2020
Type: Document
Sponsoring organization: Minnesota Department of Human Services
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Examines the use of telemedicine to deliver Medicaid-covered services in the state of Minnesota. Describes state and federal telehealth policy waivers and modifications that were temporarily implemented in response to the COVID-19 pandemic. Discusses telehealth use by and special considerations for rural populations.
Author(s): Neerja Singh, Julie Marquardt
Date: 12/2020
Type: Document
Sponsoring organization: Minnesota Department of Human Services
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