Rural Health
Resources by Topic: Health insurance
ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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KanCare Unwinding Data by Age and County as of Feb. 29, 2024
An interactive data table that depicts Medicaid unwinding in Kansas related to the end of the COVID-19 federal Public Health Emergency in March 2023. Allows user to select for rurality, age group, and county, showing corresponding approved, discontinued, or reinstatement window insurance coverage counts and rates.
Type: Website
Sponsoring organization: Kansas Health Institute
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An interactive data table that depicts Medicaid unwinding in Kansas related to the end of the COVID-19 federal Public Health Emergency in March 2023. Allows user to select for rurality, age group, and county, showing corresponding approved, discontinued, or reinstatement window insurance coverage counts and rates.
Type: Website
Sponsoring organization: Kansas Health Institute
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Hospital Price Transparency
Offers resources for healthcare providers and consumers regarding hospital price transparency regulations and policies. Includes links to a GitHub repository of resources for templates and technical instructions and tools to support hospitals in meeting accessibility and machine-readable file requirements.
Additional links: GitHub Repository
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers resources for healthcare providers and consumers regarding hospital price transparency regulations and policies. Includes links to a GitHub repository of resources for templates and technical instructions and tools to support hospitals in meeting accessibility and machine-readable file requirements.
Additional links: GitHub Repository
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Cross Cutting Initiative: Rural Health
A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Inpatient Discharges to Home Hospice and Facility Hospice Care in California
Visualization showing inpatient discharges to hospice care in California between 2018 and 2022. Offers filters for hospice type, patient characteristics, and diagnosis category. Data is available at the county level.
Type: Website
Sponsoring organization: California Department of Health Care Access and Information
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Visualization showing inpatient discharges to hospice care in California between 2018 and 2022. Offers filters for hospice type, patient characteristics, and diagnosis category. Data is available at the county level.
Type: Website
Sponsoring organization: California Department of Health Care Access and Information
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NARHC REF RHC Data Portal
Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Type: Tool
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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Interactive tool providing data on the Healthcare Common Procedure Coding System (HCPCS) codes and Current Procedural Terminology (CPT) codes used by Rural Health Clinics (RHCs) for services provided to Medicare beneficiaries. Uses a statistically adjusted sample of health care claims data and carrier file claims from 2019-2021. Data are searchable by claim year, code, and percentage and frequency of use.
Type: Tool
Sponsoring organizations: Catherine Cutler Institute, National Association of Rural Health Clinics, National Association of Rural Health Clinics Research and Education Foundation
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NC Medicaid Expansion Dashboard
Dashboard providing data on North Carolina Medicaid expansion enrollment. Contains an interactive, county-level map and charts which allow sorting data by demographics, health plan, rurality, and county. Updated monthly.
Type: Website
Sponsoring organization: North Carolina Department of Health and Human Services
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Dashboard providing data on North Carolina Medicaid expansion enrollment. Contains an interactive, county-level map and charts which allow sorting data by demographics, health plan, rurality, and county. Updated monthly.
Type: Website
Sponsoring organization: North Carolina Department of Health and Human Services
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Transforming Maternal Health (TMaH) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Maternal Health (TMaH) Model, which will support participating state Medicaid agencies in the development of a whole-person approach to pregnancy, childbirth, and postpartum care that addresses the physical, mental health, and social needs experienced during pregnancy. Aims to reduce disparities in maternal healthcare access and treatment, improve outcomes and experiences for mothers and their newborns, and reduce overall program expenditures.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Transforming Maternal Health (TMaH) Model, which will support participating state Medicaid agencies in the development of a whole-person approach to pregnancy, childbirth, and postpartum care that addresses the physical, mental health, and social needs experienced during pregnancy. Aims to reduce disparities in maternal healthcare access and treatment, improve outcomes and experiences for mothers and their newborns, and reduce overall program expenditures.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health Workforce Tracker
Interactive tool presenting state and county-level data on the behavioral health workforce between 2017 and 2021. Uses 2017-2021 IQVIA Xponent retail prescription data to identify prescribers of behavioral health medications and state licensure data from 2020 and 2021 to identify licensed clinical social workers, licensed professional counselors, and licensed marriage and family therapists.
Type: Map/Mapping System
Sponsoring organization: Fitzhugh Mullan Institute for Health Workforce Equity
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Interactive tool presenting state and county-level data on the behavioral health workforce between 2017 and 2021. Uses 2017-2021 IQVIA Xponent retail prescription data to identify prescribers of behavioral health medications and state licensure data from 2020 and 2021 to identify licensed clinical social workers, licensed professional counselors, and licensed marriage and family therapists.
Type: Map/Mapping System
Sponsoring organization: Fitzhugh Mullan Institute for Health Workforce Equity
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Medicare Learning Network: Chronic Care Management Services
Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about payable chronic care management service elements, practitioners able to bill for CCM services, patient eligibility, service codes, concurrent billing, and Medicare Physician Fee Schedule (PFS) billing requirements. Includes information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) billing for CCM services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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