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Rural Health
Resources by Topic: Medicaid

Disruptive Innovation in Medicaid Non-Emergency Transportation
Discusses the current state of Medicaid's non-emergency medical transportation (NEMT) benefit, focusing on challenges, potential improvements, and state-level reforms. Includes an overview and table of NEMT service models by state and touches on the structural inefficiencies faced by rural communities.
Author(s): Adam Ganuza, Rachel Davis
Date: 02/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report
Third annual evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Awardee-specific chapters focus on program objectives, implementation experiences, and participant outcomes. Programs include HealthLinkNow, which uses telehealth to provide behavioral care services in rural areas, and the Prevention and Recovery in Early Psychosis Program, which was expanded to serve to rural counties in California.
Additional links: Addendum, July 2017
Date: 01/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Community Health Centers: Recent Growth and the Role of the ACA
Uses 2015 federal data on health centers and survey results from the 2016 Survey of Health Centers' Experiences and Activities to provide an overview of health centers and their patients. Compares health centers in Medicaid expansion and non-expansion states, covering topics such as revenue sources, service capacity, patient demographics, patient health coverage, and more. Also discusses the distribution and impact of health centers in rural and medically underserved communities.
Author(s): Sara Rosenbaum, Julia Paradise, Anne Markus, et al.
Date: 01/2017
Type: Document
Sponsoring organization: KFF
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Three in Ten Rural and Urban Medicaid Recipients May Be Affected by Potential Work Requirements
Identifies work-related activities for rural and urban Medicaid recipients age 19-64, exploring how many Medicaid recipients would potentially be impacted by a work requirement.
Author(s): Andrew Schaefer, Jessica A. Carson
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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Utilization of Oral Health Services by Medicaid-Insured Adults in New York, 2012-2013
Presents a report on the rates of enrollment and utilization of adult Medicaid dental benefits in New York State from 2012-2013. Analyzes data by age, race, and gender, as well as by county, which is broken down by rural, urban, or mixed rural-urban status.
Author(s): Simona Surdu, Margaret Langelier, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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A Comparison of Medicaid Dental Claims Data in 2 States with Different Adult Dental Benefits, 2012-2013
Compares enrollment and utilization of adult Medicaid dental benefits in Oklahoma and New York from 2012-2013. Analyzes for age, race, and gender, as well as for rural, urban, and mixed urban-rural areas.
Author(s): Simona Surdu, Margaret Langelier, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Iowa State Innovation Model (SIM): Baseline Process/Implementation Report
Reports on the progress, challenges, and future concerns during the pre-implementation (2015) and the first-year implementation (2016) of the Iowa State Innovation Model (SIM) test grant to improve population health, transform healthcare, and promote sustainability in rural and urban counties of Iowa. Discusses 5 main SIM activities: Plan for Population Health (PPH), Community Care Coalitions (C3) including rural counties, Statewide Alert Network (SWAN), Community-Based Performance Improvement (CBPI), and Value-Based Purchasing (VBP).
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 12/2016
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Center for Medicare and Medicaid Innovation: Report to Congress
Details the activities and progress of the CMS Innovation Center, focusing on the time period between October 1, 2014, and September 30, 2016. Includes updates on multiple rural-relevant models and initiatives such as the Accountable Care Organization Investment Model, Health Care Innovation Awards, and the Strong Start for Mothers and Newborns initiative.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Impact of State Medicaid Expansion Under the Affordable Care Act on Health Insurance Coverage at the County Level
Compares health insurance coverage in 2013, prior to the Affordable Care Act, and in 2015. Includes data on health insurance coverage for metropolitan and nonmetro counties. Discusses the impact of Medicaid expansion on health insurance coverage.
Author(s): Danielle C. Rhubart
Date: 12/2016
Type: Document
Sponsoring organization: Carsey School of Public Policy
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