Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
State Innovations to Advance Respite Care: Policy Strategies Shared at the State-Federal Respite Summit
Presents strategies utilized by states to improve access to and quality of respite care services for family caregivers. Strategies cover awareness and outreach, respite workforce education, and serving diverse populations. Highlights strategies from Colorado, North Dakota, and Oklahoma focused on rural areas.
Author(s): Kimberly Hodges, Ella Taggart, Salom Teshale
Date: 05/2024
Type: Document
Sponsoring organization: National Academy for State Health Policy
view details
Examining the Dental Care Crisis in America: How Can We Make Dental Care More Affordable and More Available?
Recording of a May 16, 2024, U.S. Senate Committee on Health, Education, Labor & Pensions hearing on the accessibility and affordability of dental care, including in rural areas. Features testimony from the CareQuest Institute for Oral Health.
Additional links: Myechia Minter-Jordan, CareQuest Institute for Oral Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
view details
Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
Type: Document
view details
Converting to Rural Emergency Hospitals
Podcast episode featuring a discussion with Rural Emergency Hospital (REH) Chief Executive Officers in New Mexico and Oklahoma regarding the conversion to REH status. Discusses the conversion process of each REH; how they built trust and buy-in from patients and communities, including state and federal policymakers; and financial considerations of conversion.
Date: 05/2024
Type: Audio
Sponsoring organization: American Hospital Association
view details
Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization
Analyzes likelihood of receiving physical therapy or occupational therapy during ICU hospitalization among older adults. Utilizes 2011-2018 National Health and Aging Trends Study (NHATS) data of 1,618 hospitalizations. Highlights social determinants of health associated with disparities in rehabilitation service delivery, including rural status, dual eligibility for Medicare and Medicaid, and limited English proficiency.
Author(s): Snigdha Jain, Terrence E. Murphy, Jason R. Falvey, et al.
Citation: JAMA Network Open, 7(5), e2410713
Date: 05/2024
Type: Document
view details
Trends and Disparities in Pandemic Telehealth Use among People with Disabilities
Examines the use of telehealth services by Medicare beneficiaries with disabilities by analyzing data from the Medicare Telehealth Trends Dashboard; the 2021 Medicare Current Beneficiary Survey (MCBS) and MCBS Winter 2021 Supplement; and the Census Bureau's Household Pulse Survey data from July 21, 2021, to August 8, 2022. Presents data on patterns of telehealth utilization by Medicare beneficiaries with disabilities by type of Medicare eligibility and number and type of disabilities, modes of telehealth used by the number and type of disabilities, and the availability of different modes of telehealth and access to video-enabled services. Exhibit 8 compares telehealth utilization trends among Medicare fee-for-service beneficiaries between 2019 and 2021 by Medicare eligibility and rural and urban status.
Author(s): Madjid Karimi, Lok Wong Samson, Sara J. Couture, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Community Health Centers: Providers, Partners and Employers of Choice - 2024 Chartbook
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Type: Document
Sponsoring organization: National Association of Community Health Centers
view details
Merit-based Incentive Payment System (MIPS): 2024 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: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Telehealth Policies and Federally Qualified Health Centers, Spring 2024
Provides an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). Covers originating and distance sites, reimbursement, services outside the four walls of the FQHC, and more. Includes a chart of FQHC Medicaid telehealth reimbursement eligibility policies by state.
Date: 05/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details