Rural Health
Resources by Topic: Health insurance
Rural Medicare Advantage Plan Payment in 2015
Examines how changes to the Medicare Advantage (MA) payment policy formula, which were implemented as part of the Affordable Care Act (ACA), are impacting MA plans and beneficiaries in rural and urban areas.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 12/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines how changes to the Medicare Advantage (MA) payment policy formula, which were implemented as part of the Affordable Care Act (ACA), are impacting MA plans and beneficiaries in rural and urban areas.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 12/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Date: 11/2015
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicare Value-based Payment Reform: Priorities for Transforming Rural Health Systems
Analyzes the provisions within the Affordable Care Act (ACA) regarding Medicare payment and delivery system reforms that affect rural health providers and rural health services. Proposes recommendations that support the inclusion of rural appropriate payment systems.
Additional links: Policy Brief
Author(s): Keith Mueller, Charles Alfero, Andy Coburn, et al.
Date: 11/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Analyzes the provisions within the Affordable Care Act (ACA) regarding Medicare payment and delivery system reforms that affect rural health providers and rural health services. Proposes recommendations that support the inclusion of rural appropriate payment systems.
Additional links: Policy Brief
Author(s): Keith Mueller, Charles Alfero, Andy Coburn, et al.
Date: 11/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Rural Adults Delay, Forego, and Strategize to Afford Their Pre-ACA Health Care
Provides an in-depth discussion regarding rural and urban adults under the age of 65 and their perceptions of the affordability of health insurance coverage and health services prior to the passage of the Affordable Care Act (ACA).
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Provides an in-depth discussion regarding rural and urban adults under the age of 65 and their perceptions of the affordability of health insurance coverage and health services prior to the passage of the Affordable Care Act (ACA).
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural Disabled Medicare Beneficiaries Spend More Out-of-Pocket Than Their Urban Counterparts
Analyzes differences in healthcare out-of-pocket spending, supplemental coverage, and spending by type of service between rural and urban Medicare beneficiaries. Also examines rural-urban differences for Medicare beneficiaries who qualify based on disability status.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Analyzes differences in healthcare out-of-pocket spending, supplemental coverage, and spending by type of service between rural and urban Medicare beneficiaries. Also examines rural-urban differences for Medicare beneficiaries who qualify based on disability status.
Author(s): Erika C. Ziller, Jennifer D. Lenardson, Andrew F. Coburn
Date: 11/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Which Rural and Urban Hospitals Have Received Readmission Penalties Over Time?
Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluates the rural-urban differences in the proportion of hospitals that receive penalties under the Centers for Medicare & Medicaid Services (CMS) Readmission Reduction Program, and compares the specific health condition risk-adjusted readmission rates by rural and urban location. Analyzes characteristics of hospitals receiving readmission penalties.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Hospital and Physician Participation in Private Sector Quality Initiatives
Results of a study to analyze 12 quality reporting and quality improvement programs being used by dominant insurers in Alabama, Kansas, Michigan, New Hampshire, South Carolina, and Utah, between 2011 and 2013.
Author(s): Amanda Diehl, Michelle Casey, Alex Evenson
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study to analyze 12 quality reporting and quality improvement programs being used by dominant insurers in Alabama, Kansas, Michigan, New Hampshire, South Carolina, and Utah, between 2011 and 2013.
Author(s): Amanda Diehl, Michelle Casey, Alex Evenson
Date: 10/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Enrollment in Health Insurance Marketplaces, by State
Compares rural and urban rates of enrollment in Health Insurance Marketplaces by state. Provides figures in relation to potential market participants for Medicaid and non-Medicaid expansion states.
Author(s): Abigail R. Barker, Timothy D. McBride, Leah M. Kemper, Keith J. Mueller
Date: 10/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Compares rural and urban rates of enrollment in Health Insurance Marketplaces by state. Provides figures in relation to potential market participants for Medicaid and non-Medicaid expansion states.
Author(s): Abigail R. Barker, Timothy D. McBride, Leah M. Kemper, Keith J. Mueller
Date: 10/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Type: Document
Sponsoring organization: Government Accountability Office
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Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Type: Document
Sponsoring organization: Government Accountability Office
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