Rural Health
Resources by Topic: Medicaid
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
Sponsoring organization: North Carolina Rural Health Research Program
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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
Sponsoring organization: North Carolina Rural Health Research Program
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Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
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
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
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
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
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
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
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
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
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 4 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
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Discusses how 4 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
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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
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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
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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
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
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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