Rural Health
Resources by Topic: Health insurance
Health Coverage Options for American Indians and Alaska Natives
Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Clarity for Rural Emergency Hospitals and Changes for Critical Access Hospitals: CMS Finalizes Conditions of Participation and Payment and Enrollment Policies But Pauses Stark Law Flexibilities
Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Type: Document
Sponsoring organization: McDermott Will & Emery
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Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Type: Document
Sponsoring organization: McDermott Will & Emery
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2021
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Medicare Shared Savings Program: Rule Changes and Implications for Rural Health Care Organizations
Summarizes changes to the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (SSP) that take effect in January 2023 for current participants, and in January 2024 for organizations applying for a January 1, 2024 start. Discusses the potential impact of these changes on rural health and participation considerations.
Date: 11/2022
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes changes to the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (SSP) that take effect in January 2023 for current participants, and in January 2024 for organizations applying for a January 1, 2024 start. Discusses the potential impact of these changes on rural health and participation considerations.
Date: 11/2022
Type: Document
Sponsoring organization: Rural Health Value
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State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency: 2022 Update
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency (PHE). Describes the types of Medicaid services that were allowed to be delivered by telehealth and the types of telehealth modality covered before the PHE, in May 2020, and in January 2022. Outlines the status of state Medicaid telehealth flexibilities based on state executive orders and Medicaid agency guidance. Builds on a July 2021 analysis of state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 PHE.
Author(s): Jacquelyn Rudich, Ann B. Conmy, Rose C. Chum, et al
Date: 11/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency (PHE). Describes the types of Medicaid services that were allowed to be delivered by telehealth and the types of telehealth modality covered before the PHE, in May 2020, and in January 2022. Outlines the status of state Medicaid telehealth flexibilities based on state executive orders and Medicaid agency guidance. Builds on a July 2021 analysis of state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 PHE.
Author(s): Jacquelyn Rudich, Ann B. Conmy, Rose C. Chum, et al
Date: 11/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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National Rural Health Day 2022: Dr. Roxie Wells Talks Hospital Resilience in the Face of Change
Conversation with Dr. Roxie Wells, president of Cape Fear Valley Hoke Hospital, on rural hospital resiliency. Describes the most pressing needs of the Hoke County, North Carolina, community; Cape Fear Valley Hoke Hospital's primary areas of action to address those needs; and the most significant threats the hospital faces to improve community health. Discusses how AHA has helped the hospital successfully confront these challenges.
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: American Hospital Association
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Conversation with Dr. Roxie Wells, president of Cape Fear Valley Hoke Hospital, on rural hospital resiliency. Describes the most pressing needs of the Hoke County, North Carolina, community; Cape Fear Valley Hoke Hospital's primary areas of action to address those needs; and the most significant threats the hospital faces to improve community health. Discusses how AHA has helped the hospital successfully confront these challenges.
Date: 11/2022
Type: Video/Multimedia
Sponsoring organization: American Hospital Association
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Bridging the Digital Divide: Advancing Telehealth Equity
Describes the rise in telehealth use in Massachusetts since the onset of the COVID-19 pandemic and disparities in use across populations. Summarizes the access, quality, and experience factors associated with telehealth from the perspective of patients, providers, and community leaders. Identifies barriers and factors that promoted telehealth use. Offers recommendations for health plans to advance telehealth equity by addressing the root causes of the digital divide, promoting digital inclusion, removing structural and financial barriers to telehealth access, and supporting higher quality and more inclusive care delivery.
Date: 11/2022
Type: Document
Sponsoring organizations: Department of Population Medicine at Harvard Medical School, Harvard Pilgrim Health Care Institute, Massachusetts Association of Health Plans, Massachusetts Health Quality Partners
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Describes the rise in telehealth use in Massachusetts since the onset of the COVID-19 pandemic and disparities in use across populations. Summarizes the access, quality, and experience factors associated with telehealth from the perspective of patients, providers, and community leaders. Identifies barriers and factors that promoted telehealth use. Offers recommendations for health plans to advance telehealth equity by addressing the root causes of the digital divide, promoting digital inclusion, removing structural and financial barriers to telehealth access, and supporting higher quality and more inclusive care delivery.
Date: 11/2022
Type: Document
Sponsoring organizations: Department of Population Medicine at Harvard Medical School, Harvard Pilgrim Health Care Institute, Massachusetts Association of Health Plans, Massachusetts Health Quality Partners
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Fifth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on changes to the Next Generation Accountable Care Organization (NGACO) Model in response to the COVID-19 public health emergency (PHE). Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care, as well as impacts observed in 2020, the model's fifth performance year. The appendices include data on community characteristics, including rurality.
Additional links: Technical Appendices
Date: 11/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on changes to the Next Generation Accountable Care Organization (NGACO) Model in response to the COVID-19 public health emergency (PHE). Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care, as well as impacts observed in 2020, the model's fifth performance year. The appendices include data on community characteristics, including rurality.
Additional links: Technical Appendices
Date: 11/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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It's Not Easy Being a Rural Pharmacy: Services, Payments, Closures, and Deserts
Webinar recording discusses the financial pressures facing rural pharmacies and the consequences of rural pharmacy closures. Explores pharmacy deserts as a barrier to rural healthcare. Features presentations from researchers from the RUPRI Center for Rural Health Policy Analysis.
Additional links: Webinar Slides, Webinar Transcript
Date: 11/2022
Type: Video/Multimedia
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Health Research Gateway
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Webinar recording discusses the financial pressures facing rural pharmacies and the consequences of rural pharmacy closures. Explores pharmacy deserts as a barrier to rural healthcare. Features presentations from researchers from the RUPRI Center for Rural Health Policy Analysis.
Additional links: Webinar Slides, Webinar Transcript
Date: 11/2022
Type: Video/Multimedia
Sponsoring organizations: RUPRI Center for Rural Health Policy Analysis, Rural Health Research Gateway
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Health Care Access and Use Among Adults With and Without Vision Impairment: Behavioral Risk Factor Surveillance System, 2018
Analyzes insurance status, access to usual source of care, healthcare utilization, and unmet healthcare needs due to cost among adults with vision impairment. Utilizes 2018 Behavioral Risk Factor Surveillance System data to examine 426,302 adults by age, sex, race/ethnicity, poverty level, health status and behaviors, disability type, U.S. region and territory, and metropolitan or nonmetropolitan status.
Author(s): Qi Cheng, Catherine A. Okoro, Isabel Mendez, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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Analyzes insurance status, access to usual source of care, healthcare utilization, and unmet healthcare needs due to cost among adults with vision impairment. Utilizes 2018 Behavioral Risk Factor Surveillance System data to examine 426,302 adults by age, sex, race/ethnicity, poverty level, health status and behaviors, disability type, U.S. region and territory, and metropolitan or nonmetropolitan status.
Author(s): Qi Cheng, Catherine A. Okoro, Isabel Mendez, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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