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Rural Health
Resources by Topic: Medicaid

Medicaid Expansion in Texas: Potential Economic and Employment Implications
Compares the findings of a survey of low-income adults in Texas – a non-expansion Medicaid state – with the findings from surveys of low-income populations living in Arkansas, Kentucky, and Louisiana – states having expanded Medicaid to assess the economic impact on their families and their state.
Author(s): Lucy Chen, Joy Madubuonwu, Caroline Pecos-Duarte, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Factors that Influence Access to Medication-Assisted Treatment
Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Medi-Cal Telehealth Updated Policy
Summarizes a California Department of Health Care Services telehealth policy update for the Medi-Cal fee-for-service program. Highlights key changes related to the definitions, reimbursable services, e-consults, and more.
Date: 08/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examining Rural Cancer Prevention and Control Efforts: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Health Research Recap: Poverty and Health Insurance Coverage Among Rural Children
Provides summaries of recent research on poverty among rural children, their access to insurance, and care available to Medicaid beneficiaries. Features statistics from 2012 on groups covered by Medicaid and distribution of Medicaid enrollment of children by race or ethnicity, with breakdowns by urban, large rural, small rural, or isolated rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016
Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Understanding the Intersection of Medicaid and Work: What Does the Data Say?
Provides analysis on Medicaid enrollees and work requirements. Examines policy implications of work requirements, and explores barriers to work and reporting requirements. Table 1 includes statistics describing nonelderly adult Medicaid enrollees work status in 2017 by race/ethnicity, education, family type, family work status, and metro/nonmetro residence.
Author(s): Rachel Garfield, Robin Rudowitz, Kendal Orgera, Anthony Damico
Date: 08/2019
Type: Document
Sponsoring organization: KFF
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