Rural Health
Resources by Topic: Health insurance
Proactively Pursuing Value-Based Payment
Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Health Insurance Marketplaces: Premium Trends in Rural Areas
A policy brief analyzing the variation in the average Health Insurance Marketplace (HIM) health insurance premiums from 2014 to 2015, without accounting for subsidies. Discusses the differences rural populations may be experiencing in HIM insurance premiums relative to urban populations.
Author(s): Abigail R. Barker, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller,
Date: 05/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A policy brief analyzing the variation in the average Health Insurance Marketplace (HIM) health insurance premiums from 2014 to 2015, without accounting for subsidies. Discusses the differences rural populations may be experiencing in HIM insurance premiums relative to urban populations.
Author(s): Abigail R. Barker, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller,
Date: 05/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees' use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees' use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs and healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs and healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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FQHC and RHC Supplemental Payment Requirements and FQHC, RHC, and FBC Network Sufficiency under Medicaid and CHIP Managed Care
Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides state health officials with guidance on Federally-qualified Health Center (FQHC) and Rural Health Clinic (RHC) payment methodologies under both Medicaid and Children's Health Insurance Program (CHIP) managed care delivery systems. Also provides guidance on FQHC, RHC, and freestanding birth center (FBC) network sufficiency standards applicable to a Medicaid managed care delivery system.
Date: 04/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Availability of New Medicaid Patient Appointments and the Role of Rural Health Clinics
Results of a study conducted between November 2012 and April 2013, examining Rural Health Clinics in 10 states in terms of their willingness to accept new primary care patients on Medicaid. Features statistics on patient acceptance rates and appointment rates, with breakdowns by 6 levels of urban-rural classification.
Author(s): Michael R. Richards, Brendan Saloner, Genevieve M. Kenney, Karin V. Rhodes, Daniel Polsky
Citation: Health Services Research, 51(2), 570-591
Date: 04/2016
Type: Document
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Results of a study conducted between November 2012 and April 2013, examining Rural Health Clinics in 10 states in terms of their willingness to accept new primary care patients on Medicaid. Features statistics on patient acceptance rates and appointment rates, with breakdowns by 6 levels of urban-rural classification.
Author(s): Michael R. Richards, Brendan Saloner, Genevieve M. Kenney, Karin V. Rhodes, Daniel Polsky
Citation: Health Services Research, 51(2), 570-591
Date: 04/2016
Type: Document
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Dementia - Capable North Carolina: A Strategic Plan for Addressing Alzheimer's Disease and Related Dementias
Presents results from the North Carolina Senate mandated Task Force on Alzheimer's Disease and Related Dementias. Offers recommendations focused on improving statewide awareness and education about Alzheimer's disease and dementia, supporting people with dementia and their families, enhancing services for treatment of Alzheimer's disease and dementia including those in underserved areas, and improving data collection and research.
Date: 03/2016
Type: Document
Sponsoring organizations: North Carolina Department of Health and Human Services, North Carolina Institute of Medicine
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Presents results from the North Carolina Senate mandated Task Force on Alzheimer's Disease and Related Dementias. Offers recommendations focused on improving statewide awareness and education about Alzheimer's disease and dementia, supporting people with dementia and their families, enhancing services for treatment of Alzheimer's disease and dementia including those in underserved areas, and improving data collection and research.
Date: 03/2016
Type: Document
Sponsoring organizations: North Carolina Department of Health and Human Services, North Carolina Institute of Medicine
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Dental Therapy Toolkit: Summary of Dental Therapy Regulatory and Payment Processes
Reviews the payment and regulatory processes for dental therapists in Minnesota. Covers the following aspects related to practicing dental therapy: education and examination requirements, supervision, clinical experiences, practice settings, scope of practice, and more. Offers guidance on payment and billing procedures for Minnesota's Medical Assistance program for care delivered by dental therapists.
Date: 03/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Reviews the payment and regulatory processes for dental therapists in Minnesota. Covers the following aspects related to practicing dental therapy: education and examination requirements, supervision, clinical experiences, practice settings, scope of practice, and more. Offers guidance on payment and billing procedures for Minnesota's Medical Assistance program for care delivered by dental therapists.
Date: 03/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Health Insurance Marketplaces 2016 Open Enrollment Period: Final Enrollment Report
Provides data summarizing Health Insurance Marketplace enrollment activity for health insurance plans during the November 1, 2015 through February 1, 2016 enrollment period, including rural status.
Date: 03/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides data summarizing Health Insurance Marketplace enrollment activity for health insurance plans during the November 1, 2015 through February 1, 2016 enrollment period, including rural status.
Date: 03/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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