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Rural Health Information Hub

Rural Health
Resources by Topic: Medicaid

Telemedicine in Sexual and Reproductive Health
Overview of telemedicine use in sexual and reproductive healthcare by patients, and by providers in metropolitan and non-metropolitan areas. Reviews the potential of telemedicine to increase access particularly in rural areas, identifies the range of reproductive health services facilitated by telemedicine, and covers Medicaid reimbursement, insurance coverage, and investment costs.
Author(s): Gabriela Weigel, Brittni Frederiksen, Usha Ranji, Alina Salganicoff
Date: 11/2019
Sponsoring organization: KFF
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Sponsoring organizations: Health Management Associates, KFF
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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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
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
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
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
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
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
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
Sponsoring organization: Commonwealth Fund
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