Rural Health
Resources by Topic: Health insurance
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2016
Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impact of the Affordable Care Act Coverage Expansion on Rural and Urban Populations
Discusses the advances supported by provisions in the Affordable Care Act (ACA) related to health insurance coverage, premium tax credits, and healthcare access for rural and urban populations with a special focus on rural individuals.
Author(s): Kelsey Avery, Kenneth Finegold, Xiao Xiao
Date: 06/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the advances supported by provisions in the Affordable Care Act (ACA) related to health insurance coverage, premium tax credits, and healthcare access for rural and urban populations with a special focus on rural individuals.
Author(s): Kelsey Avery, Kenneth Finegold, Xiao Xiao
Date: 06/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medicare Accountable Care Organizations: Beneficiary Assignment Update
Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems
An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery and rural participation in value-based payment and delivery system reforms.
Additional links: Policy Brief
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery and rural participation in value-based payment and delivery system reforms.
Additional links: Policy Brief
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Are Rural Older Adults Benefiting from Increased State Spending on Medicaid Home and Community-Based Services?
Discusses the availability and use of home and community-based services (HCBS) by rural and urban elderly receiving Medicaid funding for long-term services and supports (LTSS) using national Medicaid Analytical Extract claims data.
Author(s): Andrew F. Coburn, Eileen Griffin, Deborah Thayer, Zachariah T. Croll, Erika C. Ziller
Date: 06/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Discusses the availability and use of home and community-based services (HCBS) by rural and urban elderly receiving Medicaid funding for long-term services and supports (LTSS) using national Medicaid Analytical Extract claims data.
Author(s): Andrew F. Coburn, Eileen Griffin, Deborah Thayer, Zachariah T. Croll, Erika C. Ziller
Date: 06/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Comprehensive Primary Care Plus - A Rural Commentary
Review of Comprehensive Primary Care Plus (CPC+), a program of the Center for Medicare & Medicaid Innovation (CMMI) initiative, designed to enhance the delivery of primary healthcare and support the shift from volume-based to value-based healthcare payment. Offers a rural perspective, noting the importance and challenges of this payment model for rural healthcare.
Author(s): A. Clinton MacKinney
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Value
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Review of Comprehensive Primary Care Plus (CPC+), a program of the Center for Medicare & Medicaid Innovation (CMMI) initiative, designed to enhance the delivery of primary healthcare and support the shift from volume-based to value-based healthcare payment. Offers a rural perspective, noting the importance and challenges of this payment model for rural healthcare.
Author(s): A. Clinton MacKinney
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Value
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Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Association Between the Value-Based Purchasing Pay for Performance Program and Patient Mortality in US Hospitals: Observational Study
Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
Type: Document
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Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
Type: Document
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Utilization of Telemedicine Among Rural Medicare Beneficiaries
Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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