Rural Health
Resources by Topic: Medicaid
The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
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Impact of Public Health Emergency Unwinding on Medicaid Disenrollment Rates in Rural America
Policy brief discussing Medicaid unwinding and redetermination after the COVID-19 public health emergency (PHE) and its potential impacts on rural populations. Offers policy and action recommendations to address the possible consequences of Medicaid unwinding on rural populations and providers.
Author(s): Laura Mispelon, Rachael Sherard
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief discussing Medicaid unwinding and redetermination after the COVID-19 public health emergency (PHE) and its potential impacts on rural populations. Offers policy and action recommendations to address the possible consequences of Medicaid unwinding on rural populations and providers.
Author(s): Laura Mispelon, Rachael Sherard
Date: 12/2024
Sponsoring organization: National Rural Health Association
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CMS Office of Minority Health: Health Equity Data Book
Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides data on disparities in participation in Centers for Medicare & Medicaid Services (CMS) programs, including data on demographics of covered individuals, chronic conditions, behavioral health conditions, and social determinants of health. Contains rural data for select programs.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Service Use among Individuals Enrolled in Medicaid and CHIP Before and During The COVID-19 Public Health Emergency
Examines behavioral health (BH) service usage changes among Medicaid and Children's Health Insurance Program (CHIP) enrollees during the COVID-19 public health emergency (PHE). Compares BH service initiation and treatment before the PHE (2018-2019) and during the PHE (2019-2020), with further data breakdowns by enrollee BH condition and demographic variables, including rural versus urban location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines behavioral health (BH) service usage changes among Medicaid and Children's Health Insurance Program (CHIP) enrollees during the COVID-19 public health emergency (PHE). Compares BH service initiation and treatment before the PHE (2018-2019) and during the PHE (2019-2020), with further data breakdowns by enrollee BH condition and demographic variables, including rural versus urban location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Texas Medicaid and CHIP Reference Guide: Fifteenth Edition
Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Texas Medicaid Managed Care Provider Network Adequacy Report, 2024
Reports information and statistics on managed care organizations (MCOs) and their obligations to provide access to services for Medicaid members in Texas. Discusses MCO contractual obligations and performance related to geography throughout, with breakdowns by metro, micro, and rural area.
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Reports information and statistics on managed care organizations (MCOs) and their obligations to provide access to services for Medicaid members in Texas. Discusses MCO contractual obligations and performance related to geography throughout, with breakdowns by metro, micro, and rural area.
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief
Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Nevada Medicaid Cost Driver Analysis, 2024
Report analyzing 2016-2023 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2024
Sponsoring organization: Nevada Department of Health and Human Services
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Report analyzing 2016-2023 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2024
Sponsoring organization: Nevada Department of Health and Human Services
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Trends in Medicaid and CHIP Telehealth, 2019-2021 Part II: Medicaid and CHIP Telehealth Utilization Trends by Enrollee and Provider Rurality
Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural-Urban Medicaid and CHIP Enrollee Comparisons Using the 2019 T-MSIS Analytic File
Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Sponsoring organization: North Carolina Rural Health Research Program
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