Rural Health
Resources by Topic: Health insurance
Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices, Visual Appendix
Date: 01/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices, Visual Appendix
Date: 01/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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The Future of Remote Patient Monitoring
Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of remote monitoring, including evidence-based use cases, coverage and utilization across payers, U.S. Food and Drug Administration (FDA) regulation of remote monitoring devices, and data security and privacy. Offers policy recommendations regarding ways to improve the use of remote monitoring services, ensure access to these services across populations, and enhance data security and privacy standards. Includes rural references throughout.
Author(s): Julia Harris, Mikayla Curtis, Maya Sandalow, G. William Hoagland, Marilyn Werber Serafini
Date: 01/2024
Sponsoring organization: Bipartisan Policy Center
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Medicare Advantage Demographics Report, 2021
Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2021. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2024
Sponsoring organization: AHIP
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare & Medicaid Services, The Lewin Group
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Graduate Medical Education Funding
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
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Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
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Medicare COVID-19 Hospitalization Trends Report
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19 between January 1, 2020, and June 30, 2023. Includes data on beneficiary demographics, case and hospitalization trends, and discharge status among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by rural and urban status.
Date: 01/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Generating a Profile of the Near Dual Population
Chart pack from a project examining policy approaches to supporting Near Duals, who are adults aged 65+ experiencing financial precarity and not currently dually enrolled in Medicare and full-benefit Medicaid, utilizing Medicare Current Beneficiary Survey (MCBS) and Medicare administrative claims data. Analyzes characteristics of Near Dual population, including data on Near Duals' likelihood of living in rural and medically underserved areas.
Additional links: Project Overview: Defining and Examining the Near Duals
Date: 2024
Sponsoring organization: NORC at the University of Chicago
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Chart pack from a project examining policy approaches to supporting Near Duals, who are adults aged 65+ experiencing financial precarity and not currently dually enrolled in Medicare and full-benefit Medicaid, utilizing Medicare Current Beneficiary Survey (MCBS) and Medicare administrative claims data. Analyzes characteristics of Near Dual population, including data on Near Duals' likelihood of living in rural and medically underserved areas.
Additional links: Project Overview: Defining and Examining the Near Duals
Date: 2024
Sponsoring organization: NORC at the University of Chicago
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Expanding Behavioral Health Care Workforce Participation in Medicare, Medicaid, and Marketplace Plans
Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Health Insurance Coverage and Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents Who Gave Birth 2016-2020
Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
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Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
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Federally Qualified Health Centers Financial and Operational Performance Analysis 2019-2022
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2019-2022. Explores FQHC growth and expansion, patient and payer mix, financial performance, revenue and growth mix, quality of care, staffing, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 2024
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2019-2022. Explores FQHC growth and expansion, patient and payer mix, financial performance, revenue and growth mix, quality of care, staffing, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 2024
Sponsoring organization: Capital Link
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