Rural Health
Resources by Topic: Health insurance
Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Arizona Graduate Medical Education (GME): Growing Arizona's Primary Care Physician Workforce
Presentation slides highlighting training physicians in Arizona. Discusses population growth trends, health professional shortage areas, Medicaid enrollment data, and more. Discusses rural throughout.
Author(s): Dan Derksen
Date: 12/2023
Type: Presentation Slides
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Presentation slides highlighting training physicians in Arizona. Discusses population growth trends, health professional shortage areas, Medicaid enrollment data, and more. Discusses rural throughout.
Author(s): Dan Derksen
Date: 12/2023
Type: Presentation Slides
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Nevada Resident Births by Medicaid Enrollment, State of Nevada and Nevada Medicaid Including Nevada Check Up
Offers data comparing Nevada births for Medicaid enrollees to the state of Nevada between 2018 and 2022. Includes rural-specific data.
Date: 12/2023
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Offers data comparing Nevada births for Medicaid enrollees to the state of Nevada between 2018 and 2022. Includes rural-specific data.
Date: 12/2023
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Improving Access to Health Care Coverage in Rural Communities with Medicaid and CHIP
A recorded webinar that provides strategies and best practices to improve outreach in an effort to enroll American Indian/Alaska Native communities (AI/AN) in Medicaid and the Children's Health Insurance Program (CHIP). Discusses the importance of healthcare access and offers resources and tools for enrollment outreach.
Additional links: Slides, Transcript
Date: 12/2023
Type: Video/Multimedia
Sponsoring organizations: Centers for Medicare and Medicaid Services, National Rural Health Association
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A recorded webinar that provides strategies and best practices to improve outreach in an effort to enroll American Indian/Alaska Native communities (AI/AN) in Medicaid and the Children's Health Insurance Program (CHIP). Discusses the importance of healthcare access and offers resources and tools for enrollment outreach.
Additional links: Slides, Transcript
Date: 12/2023
Type: Video/Multimedia
Sponsoring organizations: Centers for Medicare and Medicaid Services, National Rural Health Association
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A Snapshot of Sources of Coverage Among Medicare Beneficiaries
Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2021. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Gabrielle Clerveau, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2021. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Gabrielle Clerveau, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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Disparities in Health Measures By Race and Ethnicity Among Beneficiaries in Medicare Advantage: A Review of the Literature
Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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Summarizes the results of a review of 20 studies published between January 2018 and April 2023 to examine racial and ethnic disparities in quality of care and beneficiary experience among Medicare Advantage (MA) plan enrollees. Discusses gaps in data and in the literature that contribute to challenges in understanding racial and ethnic disparities in MA quality and beneficiary experience. Includes information on nine studies that explored 25 measures of quality of care received by American Indian and Alaska Native enrollees and two studies that examined disparities among MA enrollees in rural areas by race and ethnicity.
Author(s): Nancy Ochieng, Jeannie Fuglesten Biniek, Juliette Cubanski, Tricia Neuman
Date: 12/2023
Type: Document
Sponsoring organization: KFF
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Medicare Cognitive Assessments: Utilization Tripled between 2018 and 2022, but Challenges Remain
Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the utilization of traditional Medicare's cognitive assessment service from 2018 through 2022. Presents stakeholder views on challenges providers and beneficiaries face in providing and accessing the service, respectively. Discusses steps the Centers for Medicare & Medicaid Services (CMS) has taken to increase awareness of the service. Includes information on the number of cognitive assessment services by urban and rural beneficiaries by race and ethnicity.
Additional links: Full Report
Date: 12/2023
Type: Document
Sponsoring organization: Government Accountability Office
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CMS Final Rules Overview - Impact for RHCs Beginning January 1, 2024
Recording of a December 11, 2023, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2024. Covers new billable providers for RHCs, changes to care management services and billing, telehealth regulations, intensive outpatient program (IOP) services, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 11, 2023, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2024. Covers new billable providers for RHCs, changes to care management services and billing, telehealth regulations, intensive outpatient program (IOP) services, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Health Value
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Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Health Value
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Medicaid and CHIP Enrollees Who Received a Well-Child Visit in 2020
Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, gender, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on the percentage and number of children under age 19 who received a well-child visit that was paid for by Medicaid or CHIP in 2020. Includes data on the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by age, gender, race and ethnicity, urban or rural residence, program type, and primary language spoken.
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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