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Rural Health
Resources by Topic: Health insurance

The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Type: Document
Sponsoring organization: National Rural Health Association
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The Extender Policies: What Are They and How Should They Continue Under a Permanent SGR Repeal Landscape
Provides resources from the U.S. House of Representatives Energy and Commerce Committee hearing on Medicare extender policies to determine whether they should be made permanent. Addresses payment adjustments for low-volume hospitals, rural areas, and more. Includes statements from the Rural Hospital Coalition, American Hospital Association, and National Rural Health Association on the impact of these payment policies on rural hospitals and rural beneficiaries.
Additional links: Statement of the American Hospital Association, Statement of the National Rural Health Association, Statement of the Rural Hospital Coalition, Transcript
Date: 01/2014
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Rural Implications of the Affordable Care Act Outreach, Education, and Enrollment
Outlines opportunities for rural communities to benefit from the Affordable Care Act and discusses the importance of efforts aimed at furthering outreach, education, and enrollment in health insurance in rural areas.
Date: 01/2014
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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2012 Rural Medicare Advantage Quality Ratings and Bonus Payments
Analyzes differences in rural Medicare Advantage (MA) quality ratings and payments and suggests reasons why quality ratings vary by geography. Compares the quality rating of MA plans in rural areas to urban areas and discusses differences in the composition of MA market enrollment and plan availability. Addresses the potential impact of quality bonus payments on MA plan quality.
Author(s): Leah Kemper, Abigail R. Barker, Timothy D. McBride, Keith Mueller
Date: 01/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Private Health Insurance: The Range of Base Premiums for Individuals Age 19 and 64 in the Individual Market by State in January 2013
Reports on the range of health insurance premiums offered to different categories of consumers in the individual market in the month of January 2013. As of 2014, insurers are no longer able to use gender or health status to set premiums and are restricted in the amount they can vary premiums based on age and tobacco use. Enclosure II, beginning on page 107, reports base premiums for an urban and rural zip code in four select states, one from each census region: Illinois, Nevada, Pennsylvania, and Texas.
Additional links: Full Report
Date: 01/2014
Type: Document
Sponsoring organization: Government Accountability Office
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Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Type: Document
Sponsoring organization: Congressional Research Service
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Public Insurance Drove Overall Coverage Growth Among Children in 2012: Rates of Coverage Vary Across the Country
Examines the rates of health insurance coverage among children under 18 in the U.S. by region and by rural, suburban, and central city residence between 2008 and 2012.
Author(s): Michael J. Staley
Date: 2014
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Medical Transportation in an Era of Change
Discusses how medical transportation for patients is more than a healthcare access issue and how it is becoming an integral component of disease management for patients residing in rural areas far from their medical providers.
Author(s): Dale J. Marsico
Date: 2014
Type: Document
Sponsoring organization: Community Transportation Association of America
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State Medicaid Profiles 2010
Provides national and state-level data comparing Medicaid enrollment and expenditures in rural and urban counties.
Date: 2014
Type: Website
Sponsoring organization: North Carolina Rural Health Research Program
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