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Rural Health
Resources by Topic: Medicaid

Environmental Scan on Encouraging Rural Participation in Population-Based TCOC Models
Presents results of an environmental scan regarding population-based total cost of care (PB-TCOC) payment models and encouraging rural participation in these models. Describes challenges affecting rural patients and providers; opportunities for alternative payment models (APMs) and PB-TCOC models to address challenges in rural areas; trends in rural providers' participation in APMs; driving care delivery transformation in rural providers, including models that include or target rural participants in their model designs; leveraging financial incentives to improve rural health care; adoption and use of health information technology, including telehealth and data analytics among rural providers; and the measurement of rural providers' performance in APMs.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Sustaining Essential Rural Health Services Through Changes in Payment and Related Public Policies
Presentation slides that discuss payment policies and models, Medicare and Medicaid, Accountable Care Organizations (ACOs), commercial plans, value-based care, and more, with data and maps illustrating impacts in specific areas.
Author(s): Keith J. Mueller
Date: 09/2023
Type: Presentation Slides
Sponsoring organizations: Iowa Department of Health Management and Policy, Rural Policy Research Institute
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New Mexico Children, Youth and Families Department 2023-2024 Annual Progress and Services Plan (APSR)
Reports on progress made towards outcomes in the areas of child welfare services, early childhood services, behavioral health services, and juvenile justice services. Addresses issues specific to rural areas, collaboration with tribes in the state, and coordination with the state Medicaid system for the behavioral and physical health needs of children, families, and youth in New Mexico.
Date: 09/2023
Type: Document
Sponsoring organization: New Mexico Children, Youth, and Families Department
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Colorado Springs, Colorado, September 6-8, 2023
Summarizes the 93nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Colorado Springs, Colorado. Presents an overview of national and state perspectives on disability and independence in rural communities.
Additional links: Lincoln County Human Services Site Visit Summary
Date: 09/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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September 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Merit-based Incentive Payment System (MIPS): 2023 MIPS Promoting Interoperability Performance Category Hardship Exception Application Guide
Provides guidance on how clinicians can apply for a MIPS hardship exception. Highlights guidance for having your MIPS Promoting Interoperability performance category reweighted to 0% in cases of insufficient internet connectivity, decertified electronic health record technology, or other circumstances out of the clinicians control.
Date: 09/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nevada Medicaid Cost Driver Analysis
Report analyzing Medicaid data from 2016-2022 to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 09/2023
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Assessing the Impact of Medicaid Telehealth Policy Change on Equitable Access to Telehealth Services in North Carolina
Describes the evolution of North Carolina's Medicaid telehealth coverage and reimbursement policies in response to the COVID-19 pandemic. Discusses the impact of these policies on access to care. Compares data on telehealth claims by volume and as a percentage of total claims by race and rural-urban residence between March 2020 and December 2022.
Author(s): Shannon Dowler, Sam Thompson, Michelle Savuto, Jacqueline Marks-Smith, Jared Augenstein
Date: 09/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Medicaid and CHIP Renewals Webinar Focused on Reaching Special Populations: Reaching American Indian and Alaska Native Populations
A recorded webinar with strategies and resources to use in communicating with American Indian and Alaska Native people enrolled in Medicaid and CHIP about how to maintain health insurance coverage. Transcript provided, along with the link and password to access the webinar recording.
Date: 09/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reaching Out to American Indian and Alaska Native People about Medicaid and CHIP Renewals
Information and resources for communicating with people enrolled in Medicaid and CHIP about how to maintain health insurance coverage. Includes strategies specific to reaching American Indian and Alaska Native people.
Date: 09/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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