Rural Health
Resources by Topic: Medicaid
Infants Without Health Insurance: Racial/Ethnic and Rural/Urban Disparities in Infant Households' Insurance Coverage
Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R. Sanders, Michael R. Cope, Paige N. Park, Wesley Jeffery, Jorden E. Jackson
Citation: PLoS ONE, 15(1), e0222387
Date: 01/2020
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Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R. Sanders, Michael R. Cope, Paige N. Park, Wesley Jeffery, Jorden E. Jackson
Citation: PLoS ONE, 15(1), e0222387
Date: 01/2020
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Medicaid's Role in Financing Maternity Care
Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examines the characteristics of births financed by Medicaid and other payers in 2018. Describes the demographics and health status of pregnant women by insurance type, including urban versus rural residence. Provides state-by-state data on births by payer as well as the location of birth, access to prenatal care, and birth outcomes among Medicaid beneficiaries.
Date: 01/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Opioid Use Disorder: Barriers to Medicaid Beneficiaries' Access to Treatment Medications
Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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Examines Medicaid beneficiaries' access to medication-assisted treatment (MAT) for opioid use disorder. Identifies state and federal policies that can impose barriers to MAT medications. Highlights how 3 states and the District of Columbia are addressing these barriers. Discusses challenges to medication deliveries to rural and small practices and access to addiction medicine providers in rural areas.
Additional links: Full Report
Date: 01/2020
Sponsoring organization: Government Accountability Office
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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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