Rural Health
Resources by Topic: Medicaid
Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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State Telehealth Laws and Reimbursement Policies Report, Fall 2024
Provides an overview of state telehealth policies as of early September 2024. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 11/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2024. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 11/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health and ensure affordable healthcare for people living in rural, tribal, and geographically isolated communities. Covers 6 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: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health and ensure affordable healthcare for people living in rural, tribal, and geographically isolated communities. Covers 6 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: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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"American Indian 101": Understanding the History And Contemporary Experiences of Native People in a United States Health Policy Context
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
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Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
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Impacts of Telehealth on Rural Health Care Access
Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payors, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Policy brief highlighting the significance and effectiveness of telehealth. Includes analysis of current telehealth policies for Medicaid, Medicare, and private payors, and examines COVID-19 impacts on telehealth. Offers policy recommendations to enhance adoption and efficacy of telehealth services, particularly in rural areas.
Date: 11/2024
Sponsoring organization: National Rural Health Association
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Growing the Rural Physician Workforce: Decades of Federal Funding Impacts Rural Graduate Medical Education
A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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A historical review of graduate medical education funding and its relationship to the supply of rural physicians. Highlights recent federal funding and policies aimed at addressing the geographic maldistribution of physicians.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Montana Healthcare Foundation Annual Report, 2023
Provides an overview of the Montana Healthcare Foundation's work in 2023. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 10/2024
Sponsoring organization: Montana Healthcare Foundation
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Provides an overview of the Montana Healthcare Foundation's work in 2023. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 10/2024
Sponsoring organization: Montana Healthcare Foundation
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Hospital Price Transparency: What Hospitals Need to Know – Part 2
Webinar recording presents part two of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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Webinar recording presents part two of a discussion on CMS's hospital price transparency requirement that went into effect on January 1, 2024. Features a presentation from a representative from the Centers for Medicare and Medicaid Services.
Date: 10/2024
Sponsoring organization: Rural Health Information Hub
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