Rural Health
Resources by Topic: Medicaid
Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Type: Document
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Type: Document
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Community Health Centers Continue Steady Growth, But Challenges Loom
An overview of the performance of community health centers (CHCs) compiled from data reported annually to the federal government through the Uniform Data System (UDS) between 2000-2018. Data includes the total number of CHCs nationwide and in rural areas, patient demographics, patient volume, health insurance coverage, types of services rendered, number of health center staff, and health center revenue. Discusses the impact of growth on CHCs particularly in Medicaid expansion states.
Author(s): Jessica Sharac, Peter Shin, Sara Rosenbaum, et al.
Date: 09/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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An overview of the performance of community health centers (CHCs) compiled from data reported annually to the federal government through the Uniform Data System (UDS) between 2000-2018. Data includes the total number of CHCs nationwide and in rural areas, patient demographics, patient volume, health insurance coverage, types of services rendered, number of health center staff, and health center revenue. Discusses the impact of growth on CHCs particularly in Medicaid expansion states.
Author(s): Jessica Sharac, Peter Shin, Sara Rosenbaum, et al.
Date: 09/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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Child Care Challenges for Medicaid Work Requirements
Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Type: Document
Sponsoring organization: Urban Institute
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Examines the impact of Medicaid work requirements on low-income parents related to finding and affording child care. Discusses challenges related to accessing child care and afterschool programs in rural areas.
Author(s): Gina Adams, Eva H. Allen, Anuj Gangopadhyaya, Genevieve M. Kenney
Date: 09/2019
Type: Document
Sponsoring organization: Urban Institute
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Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections
Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Work Requirements in Kentucky Medicaid: A Policy in Limbo
Highlights a study on the effects of Kentucky's proposed work requirement policy for Medicaid. Examines the awareness of the policy among the public and its effect on employment and healthcare coverage. Details participants' age, marital status, and whether they live in a rural or urban area.
Author(s): Joy Madubuonwu, Lucy Chen, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Highlights a study on the effects of Kentucky's proposed work requirement policy for Medicaid. Examines the awareness of the policy among the public and its effect on employment and healthcare coverage. Details participants' age, marital status, and whether they live in a rural or urban area.
Author(s): Joy Madubuonwu, Lucy Chen, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities
Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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