Rural Health
Resources by Topic: Medicaid
340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Sponsoring organization: Center for Health Care Strategies
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Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Sponsoring organization: Center for Health Care Strategies
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The Rural Health Care Coordination Network Partnership Program: Critical Access Hospital Network of Eastern Washington
Describes and examines the impact of a care coordination program developed by the Critical Access Hospital Network (CAHN) of Eastern Washington. Provides care coordination services to Medicaid patients with at least two chronic conditions or one chronic condition and the risk of developing another. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional funding from the Empire Health Foundation.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Describes and examines the impact of a care coordination program developed by the Critical Access Hospital Network (CAHN) of Eastern Washington. Provides care coordination services to Medicaid patients with at least two chronic conditions or one chronic condition and the risk of developing another. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional funding from the Empire Health Foundation.
Date: 2020
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
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The Uninsured in New Mexico
Analysis of the nonelderly uninsured population in New Mexico by 9 substate regions for state policymakers drafting policies and outreach to expand health insurance coverage within the state. Includes demographic, employment, citizenship, and family income characteristics for this population, with a special focus on uninsured American Indians in the state. Presents estimates of the distribution of the uninsured population by their eligibility for Medicaid and other health insurance programs.
Author(s): Jessica S. Banthin, Matthew Buettgens, Linda J. Blumberg, Robin Wang, Clare Wang Pan
Date: 12/2019
Sponsoring organization: Urban Institute
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Analysis of the nonelderly uninsured population in New Mexico by 9 substate regions for state policymakers drafting policies and outreach to expand health insurance coverage within the state. Includes demographic, employment, citizenship, and family income characteristics for this population, with a special focus on uninsured American Indians in the state. Presents estimates of the distribution of the uninsured population by their eligibility for Medicaid and other health insurance programs.
Author(s): Jessica S. Banthin, Matthew Buettgens, Linda J. Blumberg, Robin Wang, Clare Wang Pan
Date: 12/2019
Sponsoring organization: Urban Institute
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Maternal Characteristics and Birth Outcomes among Oklahoma Medicaid: 2016 SoonerCare – Birth Data Linkage Report
Examines birth outcomes of mothers with live births paid by SoonerCare, Oklahoma's Medicaid, versus mothers with live births not paid by SoonerCare using 2016 data from the Oklahoma Medicaid Management Information Systems of the Oklahoma Health Care Authority, and the Center for Health Statistics division of the Oklahoma State Department of Health. Data compared includes personal and clinical demographics, including rural/urban dwelling.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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Examines birth outcomes of mothers with live births paid by SoonerCare, Oklahoma's Medicaid, versus mothers with live births not paid by SoonerCare using 2016 data from the Oklahoma Medicaid Management Information Systems of the Oklahoma Health Care Authority, and the Center for Health Statistics division of the Oklahoma State Department of Health. Data compared includes personal and clinical demographics, including rural/urban dwelling.
Date: 12/2019
Sponsoring organization: Oklahoma State Department of Health
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Evaluation of the Maryland All-Payer Model: Volume I - Final Report
Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare & Medicaid Services
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Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare & Medicaid Services
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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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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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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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