Rural Health
Resources by Topic: Medicaid
Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth 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). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fourth 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). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Report to Congress on Medicaid and CHIP, March 2018
Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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How Can My Organization Connect Children to Coverage? A Guide to Fundamentals and Promising Practices
Includes strategies for enrolling children part of the hardest-to-reach groups in Medicaid or CHIP, such as rural children, American Indian/Alaska Native/Latino, low-income, or teenaged. Discusses outreach and supporting capacities, such as making contact with target populations and fostering trust in communities.
Author(s): Leslie Foster, Frank Martin
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Includes strategies for enrolling children part of the hardest-to-reach groups in Medicaid or CHIP, such as rural children, American Indian/Alaska Native/Latino, low-income, or teenaged. Discusses outreach and supporting capacities, such as making contact with target populations and fostering trust in communities.
Author(s): Leslie Foster, Frank Martin
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Details the background and highlights models of non-emergency medical transportation (NEMT) for Medicaid beneficiaries. Includes information for human services and public transportation to coordinate with NEMT. Features a companion document that breaks down NEMT by state.
Additional links: Read Online, State-by-State Profiles for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Date: 2018
Type: Document
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Details the background and highlights models of non-emergency medical transportation (NEMT) for Medicaid beneficiaries. Includes information for human services and public transportation to coordinate with NEMT. Features a companion document that breaks down NEMT by state.
Additional links: Read Online, State-by-State Profiles for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Date: 2018
Type: Document
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Oklahoma Health Care Authority Strategic Plan 2018-2022
Offers a strategic plan for Oklahoma's Medicaid program, SoonerCare. Includes a focus on ensuring access and developing new providers and services for members in rural areas.
Date: 2018
Type: Document
Sponsoring organization: Oklahoma Health Care Authority
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Offers a strategic plan for Oklahoma's Medicaid program, SoonerCare. Includes a focus on ensuring access and developing new providers and services for members in rural areas.
Date: 2018
Type: Document
Sponsoring organization: Oklahoma Health Care Authority
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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