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Rural Health
Resources by Topic: Medicaid

Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018
Assesses changes in average Health Insurance Marketplace plan premiums from 2014-2018, with an emphasis on the variation across rural and urban areas. Includes statistics on premium increases by population density of rating area, distribution of insurance issuers by percentage of counties, rurality, and Medicaid expansion, and rural and urban average adjusted premiums by Medicaid expansion status.
Author(s): Abigail R. Barker, Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid Income Eligibility Transitions Among Rural Adults
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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5 Ways to Conduct Outreach in Rural Communities
Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Insuring Rural America: Health Insurance Challenges and Opportunities
Details a study focusing on the challenges of designing an insurance market that works in rural America. Looks at the needs of rural people and current health insurance policy.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Different Populations Served by the Medicare Home Health Benefit: Comparison of Post-Acute Versus Community-Entry Home Health in Rural Areas
Analyzes differences between community-entry and post-acute home health services among rural Medicare beneficiaries. Compares statistics on beneficiary characteristics and communities, such as rurality, region, economic indicators, and county-level health resources.
Author(s): Tracy M. Mroz, C. Holly A. Andrilla, Lisa A. Garberson, et al.
Date: 07/2018
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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The Medicaid Fee-for-Service Provider Payment Process
Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Community Care Integration
Profile of Southern Prairie, a 12-county collaboration facilitating integration of health services and community supports in rural southwestern Minnesota through a Medicaid Accountable Care Organization.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Value
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Drug Discount Program: Improvements Needed in Federal Oversight of Compliance at 340B Contract Pharmacies
Details an evaluation of HRSA's oversight of contract pharmacies participating in the 340B Drug Pricing Program. Discusses rates of compliance by contract pharmacies and HRSA's enforcement efforts.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 06/2018
Type: Document
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