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Rural Health
Resources by Topic: Medicaid

Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2023 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Amid Unwinding of Pandemic-Era Policies, Medicaid Programs Continue to Focus on Delivery Systems, Benefits, and Reimbursement Rates: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2023 and 2024
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, pharmacy and prescription drugs, and telehealth. Highlights challenges posed by the unwinding of COVID-19 Public Health Emergency (PHE), as well as other challenges and priorities.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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Geographic Variation in Health Insurance Coverage: United States, 2022
Reports on rates of people who had private health insurance, public insurance, and who were uninsured according to the 2022 National Health Interview Survey. Presents coverage rates by urbanization level for adults aged 18-64 and for children aged 0-17.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 11/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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National and State Level Estimates of WIC Eligibility and Program Reach in 2021, Final Report, Volume 1
Compares eligibility versus participation in Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits in 2021 using Community Population Survey Annual Social and Economic Supplement (CPS-ASEC), American Community Survey (ACS), and National Vital Statistics data. Discusses trends over time for infants and pregnant women as well as by breastfeeding status, race and ethnicity, Medicaid participation, urbanicity. Includes state and regional comparisons.
Additional links: Appendices, Volume 2, Summary
Author(s): Courtenay Kessler, Andrew Bryant, Kate Munkacsy, Kelsey Farson Gray
Date: 11/2023
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Assisting Rural Consumers
Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 10/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth Policies and Federally Qualified Health Centers
Provides an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). Covers originating and distance sites, reimbursement, services outside the four walls of the FQHC, and more. Includes a chart of FQHC Medicaid telehealth reimbursement eligibility policies by state.
Date: 10/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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State Telehealth Laws and Reimbursement Policies Report, Fall 2023
Provides an overview of state telehealth policies as of early September 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Environmental Scan on Encouraging Rural Participation in Population-Based TCOC Models
Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Sustaining Essential Rural Health Services Through Changes in Payment and Related Public Policies
Presentation slides that discuss payment policies and models, Medicare and Medicaid, Accountable Care Organizations (ACOs), commercial plans, value-based care, and more, with data and maps illustrating impacts in specific areas.
Author(s): Keith J. Mueller
Date: 09/2023
Type: Presentation Slides
Sponsoring organizations: Iowa Department of Health Management and Policy, Rural Policy Research Institute
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