Rural Health
                Resources by Topic: Medicaid
    
                    The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
        
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
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    Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
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                    Advocacy in New Hampshire Procures More Funding for Provider Recruitment
        
Describes how the New Hampshire Health Care Workforce Coalition lobbied for state legislation to increase the annual budget for the State Loan Repayment Program (SLRP) to enhance recruitment of healthcare providers. SLRP activities include securing hospitalists for Critical Access Hospitals, Medicaid school psychologists, and other healthcare professionals; developing loan repayment programs for dentists and behavioral health providers; and more.
Author(s): Beth Blevins
Date: 07/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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    Describes how the New Hampshire Health Care Workforce Coalition lobbied for state legislation to increase the annual budget for the State Loan Repayment Program (SLRP) to enhance recruitment of healthcare providers. SLRP activities include securing hospitalists for Critical Access Hospitals, Medicaid school psychologists, and other healthcare professionals; developing loan repayment programs for dentists and behavioral health providers; and more.
Author(s): Beth Blevins
Date: 07/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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                    Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
        
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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    Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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                    Telehealth in Rural America: Disruptive Innovation for the Long Term?
        
Blog post discussing policy challenges and rural-specific concerns related to telehealth and telemedicine expansion during and following the COVID-19 pandemic. Addresses potential impacts of telehealth on rural facilities, Medicaid programs, and policy efforts.
Author(s): Matthew Ralls, Lauren Moran
Date: 06/2020
Sponsoring organization: Center for Health Care Strategies
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    Blog post discussing policy challenges and rural-specific concerns related to telehealth and telemedicine expansion during and following the COVID-19 pandemic. Addresses potential impacts of telehealth on rural facilities, Medicaid programs, and policy efforts.
Author(s): Matthew Ralls, Lauren Moran
Date: 06/2020
Sponsoring organization: Center for Health Care Strategies
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                    Improving Rural Health: State Policy Options for Increasing Access to Care
        
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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    Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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                    Availability of Health Insurance Literacy Resources Fails to Meet Consumer Needs in Rural, Appalachian Communities: Implications for State Medicaid Waivers
        
Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
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    Reports on the availability of health system and community‐based programs promoting health insurance literacy and supporting informed consumer healthcare decision making in rural Kentucky. Findings are based on focus groups and interviews conducted with healthcare providers, community health workers, patient navigators, and others primarily serving rural Appalachian counties in the state.
Author(s): Jean Edward, Robin Thompson, Andrea Jaramillo
Citation: Journal of Rural Health
Date: 06/2020
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                    COVID-19: Opportunities to Improve Federal Response and Recovery Efforts
        
Provides an overview of key federal actions and spending allocations in response to the health and economic effects of the COVID-19 pandemic. Identifies challenges related to federal actions including the Payment Protection Program, economic impact payments, and Medicaid's Federal Medical Assistance Percentage (FMAP) formula. Offers lesson learned from the initial pandemic response and recommends areas for further legislative action.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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    Provides an overview of key federal actions and spending allocations in response to the health and economic effects of the COVID-19 pandemic. Identifies challenges related to federal actions including the Payment Protection Program, economic impact payments, and Medicaid's Federal Medical Assistance Percentage (FMAP) formula. Offers lesson learned from the initial pandemic response and recommends areas for further legislative action.
Additional links: Full Report
Date: 06/2020
Sponsoring organization: Government Accountability Office
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                    How Telehealth Policy is Structured in the United States
        
June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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    June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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                    Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
        
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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    Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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                    Report to Congress on Medicaid and CHIP, June 2020
        
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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    Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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