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Rural Health
Resources by Topic: Medicaid

Medicaid in the Territories: Program Features, Challenges, and Changes
Issue brief examining key issues and trends in the Medicaid program for Puerto Rico, the U.S. Virgin Islands, the Northern Mariana Islands, Guam, and American Samoa, using findings drawn from a budget survey and interviews with Medicaid officials. Focuses on Medicaid financing, eligibility and enrollment, benefits, provider access and delivery systems, and the changes from fiscal years 2017 to 2019. Features statistics including Medicaid and Children's Health Insurance Program enrollment as of July 2016, and Medicaid funding and spending in these territories as of fiscal year 2017.
Author(s): Cornelia Hall, Robin Rudowitz, Kathleen Gifford
Date: 01/2019
Type: Document
Sponsoring organization: KFF
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An Analysis of the Economic Impact of Missouri Hospitals
Provides an overview on the economic impact of Missouri hospitals, with a focus on input/output economic modeling, Medicaid spending, and economic impacts from operations, capital spending, and medical tourism. Includes a section on economic impacts in rural versus urban hospitals.
Author(s): David M. Mitchell
Date: 2019
Type: Document
Sponsoring organization: Missouri Hospital Association
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Health Status and Access to Care among Maine's Low-Income Childless Adults: Implications for State Medicaid Expansion
Examines access to care for low-income adults without children in Maine, along with their health status and demographics. Includes breakdowns by rural residence and a discussion of challenges for rural areas. Offers recommendations to policymakers and others working to implement Maine's Medicaid expansion.
Author(s): Zach Croll, Erika C. Ziller
Date: 2019
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Skilled Nursing Data Initiative
Provides statistics on occupancy, patient day mix, revenue per patient day, and revenue mix including Medicare and Medicaid reimbursement, with breakdowns by rural location, urban cluster, urban area, and national total. Uses data beginning from January 2012. Requires free registration for download.
Date: 2019
Type: Document
Sponsoring organization: National Investment Center for Seniors Housing & Care
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Healthy Behaviors Claims-Based Outcomes Report #3 and Healthy Behaviors Modeling Report #2
Provides an overview of the Iowa Health and Wellness Plan (IHAWP), which expands coverage for low-income Iowans through two programs - the Marketplace Choice and the Wellness Plan - and the Healthy Behaviors Incentive (HBI) program. Explores the relationship between the completion of health behaviors and healthcare utilization.
Author(s): Brad Wright, Elizabeth Momany, Natoshia M. Askelson, et al.
Date: 12/2018
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicaid Work Requirements in Arkansas: Experience and Perspectives of Enrollees
Reports on focus groups with enrollees and providers regarding their perspectives of the Arkansas Works Medicaid waiver requirements. Covers enrollee awareness of the new requirements, the reporting process, impact on work activities, coverage losses, and more. Identifies challenges for rural areas.
Author(s): MaryBeth Musumeci, Robin Rudowitz, Barbara Lyons
Date: 12/2018
Type: Document
Sponsoring organization: KFF
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Health Insurance Coverage for Women of Reproductive Age, 2013-16
Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Type: Document
Sponsoring organization: Urban Institute
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