Rural Health
Resources by Topic: Health insurance
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
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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
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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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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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. Transcript available below description.
Additional links: Slides, Transcript
Date: 12/2023
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. Transcript available below description.
Additional links: Slides, Transcript
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, National Rural Health Association
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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
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
Sponsoring organization: KFF
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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
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
Sponsoring organization: National Association of Rural Health Clinics
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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.
Additional links: Full Report
Date: 12/2023
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.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Medicaid and CHIP Enrollees Who Received Mental Health or SUD Services in 2020
Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Describes the share of enrollees who used these services overall and by selected sociodemographic characteristics, including as age, sex, urban or rural status, Medicaid or CHIP eligibility category, and more.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on the percentage and number of Medicaid and CHIP enrollees who received mental health or substance use disorder (SUD) services in 2020. Describes the share of enrollees who used these services overall and by selected sociodemographic characteristics, including as age, sex, urban or rural status, Medicaid or CHIP eligibility category, and more.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Section 1915(c) Waiver Program Participants in 2020
Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Describes the share of enrollees who participated in a Section 1915(c) waiver program overall and by selected sociodemographic characteristics, including age, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on the percentage and number of Medicaid enrollees who participated in a Section 1915(c) waiver program in 2020. Describes the share of enrollees who participated in a Section 1915(c) waiver program overall and by selected sociodemographic characteristics, including age, urban or rural residence, Medicaid eligibility category, and dual eligibility status.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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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. Describes the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by selected sociodemographic characteristics, including age, urban or rural residence, and program type.
Date: 12/2023
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. Describes the share of Medicaid or CHIP enrollees under age 19 who received a well-child visit by selected sociodemographic characteristics, including age, urban or rural residence, and program type.
Date: 12/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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