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Rural Health
Resources by Topic: Health insurance

Evaluation of the Primary Care First Model: First Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the first performance year of the PCF model for Cohort 1 practices. Explores advanced primary care attributes that Cohort 1 practices report they possessed at the start of PCF and the approaches these practices have taken or plan to take to change how they deliver advanced primary care. Presents findings on the 13 payers that are partnering with the Centers for Medicare & Medicaid Services (CMS) as payer partners, including why they chose to partner with CMS and efforts made to align their payments with CMS in the PCF model.
Additional links: Findings at a Glance
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Federal Support for Financially Distressed Hospitals
Provides an overview of Medicare hospital payments and federal funding opportunities to assist financially distressed hospitals. Includes information on COVID-19 relief funding targeted to rural and safety net hospitals.
Date: 12/2022
Type: Document
Sponsoring organization: Congressional Research Service
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Minnesota Chartbook Section 6: Uninsurance, Forgone Care, and the Safety Net
Reports on uninsurance trends in Minnesota from 2007 to 2021. Discusses statewide measures, population groups, characteristics and potential access to coverage of the uninsured, and uncompensated care. Includes charts showing rural versus urban hospital uncompensated care expenses.
Date: 12/2022
Type: Document
Sponsoring organization: Minnesota Department of Health
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Oral Healthcare in Rural America
Webinar highlighting oral healthcare in rural Texas and nationally. Discusses common oral health disparities, common causes of poor oral health, prevention measures, access to oral healthcare, insurance rates, and oral healthcare projects in Texas. Transcript for video available by clicking three dots under the video.
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Rural Health Clinic All-Inclusive Rate: CY 2023 Update
Provides an overview of Rural Health Clinic (RHC) payment limits and cost report data requirements for calendar year 2023.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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An Analysis of Pennsylvania's Children
Report examining trends from 2010-2019 pertaining to Pennsylvania children ages 0-17, comparing and contrasting the profiles of rural and urban children. Provides statistics on dimensions including economic circumstances, education, foster care, insurance, access to healthcare, health, mortality, and use of alcohol and illicit drugs.
Author(s): Rhoda C. Joseph
Date: 11/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Interest in Using Over-the-Counter Oral Contraceptive Pills: Findings from the 2022 KFF Women's Health Survey
Presents findings from the national 2022 KFF Women's Health Survey about the preferences of reproductive age females for an over the counter (OTC) contraceptive pill. Offers data demonstrating their preferences and reasons for their preferences, and compares data by race/ethnicity, income, insurance status, and rural and urban location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, Karen Diep, Alina Salganicoff
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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Medicaid Population-Based Payment: The Current Landscape, Early Insights, and Considerations for Policymakers
Provides an overview of population-based payment (PBP) models and the Medicaid PBP landscape. Identifies promising strategies for designing and implementing PBPs in Medicaid and considerations for state and federal policymakers who want to support these programs. Highlights state PBP approaches, including the Pennsylvania Rural Health Model.
Author(s): Rob Houston, Anne Smithey, Kelsey Brykman
Date: 11/2022
Type: Document
Sponsoring organization: Center for Health Care Strategies
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National Rural Health Day Webinar: CMS Framework for Advancing Health Care
Recording of a November 15, 2022, webinar providing an overview of the Centers for Medicare & Medicaid (CMS) Framework for Advancing Health Care in Rural, Tribal and Geographically Isolated Communities. Discusses the CMS Framework for Health Equity and identifies other rural health resources, including other recent CMS rural health reports.
Additional links: Presentation Slides, Transcript
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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