Rural Health
Resources by Topic: Medicaid
CMS Bundled Payments for Care Improvement Advanced Model: Sixth Annual Evaluation Report
Sixth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Examines the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 5. Also explores the impact of the model on accountable care relationships, strengthening primary care, and care for patients eligible for both Medicare and Medicaid. Includes data on the percentage of BPCI Advanced episodes with and without ACO attribution by patient characteristics, including rural residents.
Additional links: Appendices, Executive Summary, Findings at a Glance, Transformation Spotlight
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 04/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Sixth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Examines the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 5. Also explores the impact of the model on accountable care relationships, strengthening primary care, and care for patients eligible for both Medicare and Medicaid. Includes data on the percentage of BPCI Advanced episodes with and without ACO attribution by patient characteristics, including rural residents.
Additional links: Appendices, Executive Summary, Findings at a Glance, Transformation Spotlight
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 04/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research, 60(S2)
Date: 04/2025
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Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research, 60(S2)
Date: 04/2025
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 04/2025
Sponsoring organization: Missouri Department of Social Services
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Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 04/2025
Sponsoring organization: Missouri Department of Social Services
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Exercising Self-Governance Through an Indian Managed Care Entity: The Eastern Band of Cherokee Indians Tribal Option
Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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5 Key Facts About Medicaid and Hospitals
Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Navigating Natural Disasters: Key Strategies for Medicaid Agencies to Support Members
Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Innovative Solutions to Address the Oral Health Care Workforce Shortage: Insights from Michigan
Discusses the impact of the oral healthcare workforce shortage on rural communities and other communities in need in Michigan. Provides examples, strategies, and collaborative efforts of State Medicaid agencies to address the shortage.
Author(s): Jade Kissi
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the impact of the oral healthcare workforce shortage on rural communities and other communities in need in Michigan. Provides examples, strategies, and collaborative efforts of State Medicaid agencies to address the shortage.
Author(s): Jade Kissi
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Use of Medicaid Personal Care Services in 2019 and 2020
Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Wyoming Medicaid Annual Report SFY 2024
Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 03/2025
Sponsoring organization: Wyoming Department of Health
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Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 03/2025
Sponsoring organization: Wyoming Department of Health
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