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Rural Health
Resources by Topic: Medicaid

Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on rural/urban geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Additional links: Full Report
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Factors Affecting States' Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending including rural population, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Type: Document
Sponsoring organization: KFF
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Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age. Addresses the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors' Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Access to Dental Care Remains a Challenge for Millions of Michiganders
Report reevaluates a study on oral healthcare access in Michigan. Breaks down key takeaways from the study, such as rates of Medicaid enrolled dentists, access for low-income populations, and dentist distribution.
Date: 05/2017
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Compendium of Unimplemented Recommendations: May 2017
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the May 2017 edition include: Critical Access Hospital (CAH) swing bed reimbursement rates, Medicare payment policies, combating prescription opioid abuse, and quality compliance in Indian Health Service (IHS) hospitals.
Date: 05/2017
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Changes in Insurance Coverage in Rural Areas under the ACA: A Focus on Medicaid Expansion States
Analyzes the change in uninsured rates in rural areas of states that participated in the Affordable Care Act (ACA) Medicaid expansion. Includes a graph showing percentage change by state from 2013 to 2015 identifying which political party held the governorship, and a table that converts each states' percentage to number of people.
Date: 05/2017
Type: Document
Sponsoring organization: KFF
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The Role of Public Versus Private Health Insurance in Ensuring Health Care Access & Affordability for Low-Income Rural Children
Reports on the rural-urban differences in healthcare access for children with public health insurance versus private insurance, and how families perceive affordability of healthcare when enrolled in Medicaid, the Children's Health Insurance Program (CHIP), and private insurance plans.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Amanda R. Burgess
Date: 05/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Federal Health Centers: An Overview
Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Type: Document
Sponsoring organization: Congressional Research Service
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