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Rural Health Information Hub

Rural Health
Resources by Topic: Medicaid

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 and sex, as well as for rural, urban, and mixed urban-rural areas.
Author(s): Simona Surdu, Margaret Langelier, Jean Moore
Date: 12/2016
Sponsoring organization: Oral Health Workforce Research 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
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
Sponsoring organization: Carsey School of Public Policy
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Innovations in Rural Health System Development: Moving Rural Health Systems to Value-Based Payment
Offers examples of rural health system transformation models and strategies from Maine and other regions of the U.S. to assist rural communities in moving forward with value-based payment systems.
Author(s): Sara Kahn-Troster, Andrew F. Coburn
Date: 10/2016
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Sponsoring organization: KFF
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Oklahoma Emergency Department Utilization: July 2012 through June 2015
Reports on emergency department use in Oklahoma to help guide the state's Medicaid program, SoonerCare. Includes rural/urban breakdowns and some discussion of rural challenges.
Author(s): Mercer Government Human Services Consulting
Date: 08/2016
Sponsoring organization: Oklahoma Health Care Authority
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Sponsoring organization: Commonwealth Fund
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Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Disenrollment Patterns Among Children Coming into Contact with Child Welfare Agencies
Analyzes Medicaid claims from 36 states over a 4-year period to assess retention of health insurance coverage for children involved with the child welfare system. Identifies associations between insurance loss and sociodemographic factors, such as age, race/ethnicity, rural versus urban residence, and other factors.
Author(s): Ramesh Raghavan, Benjamin Allaire, Derek Brown, Raven Ross
Citation: Maternal and Child Health Journal, 20(6), 1280-1287
Date: 06/2016
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