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Rural Health
Resources by Topic: Health insurance

What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance
Recording of a January 18, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 01/2023
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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The State of Healthcare in North Carolina: 2022 Impact Report
Examines contributions to the people and economy of North Carolina by the North Carolina Healthcare Association's 130 member hospitals and hospitals systems. Describes key issues facing North Carolina health systems, including access and innovation, workforce development and retention, health equity, and behavioral health. Mentions rural throughout.
Date: 01/2023
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Missouri Medicaid Basics 2023
Provides information on Medicaid expansion, eligibility and enrollment, covered services, financing and expenditures, Missouri (MO) HealthNet programs and waivers, and more. Include data on MO HealthNet enrollment for children and families as well as overall enrollment by year and county.
Additional links: Fact Sheet
Date: 01/2023
Type: Document
Sponsoring organization: Missouri Foundation for Health
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Variations in Affordability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status across Eight Geographically Dispersed States
Examines affordability of healthcare in terms of healthcare coverage, forgone healthcare due to cost, forgone medications due to cost, and needing to pay back healthcare bills over time. Analyzes data from respondents aged 18-64 participating in the Behavioral Risk Factor Surveillance System (BRFSS) survey, with information broken down by race/ethnicity and metropolitan versus non-metropolitan.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Virginia Rural Hospital Report: The Challenge Before Us
Highlights the public health and economic contributions made by the 28 Virginia rural hospitals and the challenges they face. Features statistics on admissions, births, beds, and fulltime employees, and county-level maps showing locations of rural hospitals and Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Virginia Hospital & Healthcare Association
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Type: Document
Sponsoring organization: Capital Link
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The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action
Provides an overview on the access barriers and health disparities of Medicaid and Medicare dually eligible individuals residing in rural areas. Presents research and stakeholder feedback from New Mexico, North Dakota, and Tennessee to provide information to policymakers. Discusses topics such as community planning related to equity and infrastructure, workforce capacity and community health workers (CHWs), and social determinants of health.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Date: 01/2023
Type: Document
Sponsoring organization: Health Management Associates
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of January 2023, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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