Rural Health
Resources by Topic: Health insurance
CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report
Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Profile of Migrant Health: 2020 Uniform Data System Analysis
Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Findings from the National Agricultural Workers Survey (NAWS) 2019–2020: A Demographic and Employment Profile of United States Farmworkers
Reports on demographic and employment characteristics of hired agricultural workers in the United States. Includes data on health insurance and healthcare access, as well as information on social determinants of health such as income, education level, language skills, and housing. Based on data collected from face-to-face interviews with 2,586 crop farmworkers conducted between October 1, 2018, and September 30, 2020.
Date: 01/2022
Type: Document
Sponsoring organization: U.S. Department of Labor
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Reports on demographic and employment characteristics of hired agricultural workers in the United States. Includes data on health insurance and healthcare access, as well as information on social determinants of health such as income, education level, language skills, and housing. Based on data collected from face-to-face interviews with 2,586 crop farmworkers conducted between October 1, 2018, and September 30, 2020.
Date: 01/2022
Type: Document
Sponsoring organization: U.S. Department of Labor
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January 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Michigan Certified Rural Health Clinics
Lists rural health clinics in Michigan that are CMS certified as of January 2022. Includes street address and county for each clinic.
Date: 01/2022
Type: Document
Sponsoring organizations: Bureau of Community and Health Systems, Michigan Department of Licensing and Regulatory Affairs
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Lists rural health clinics in Michigan that are CMS certified as of January 2022. Includes street address and county for each clinic.
Date: 01/2022
Type: Document
Sponsoring organizations: Bureau of Community and Health Systems, Michigan Department of Licensing and Regulatory Affairs
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The Effectiveness of Policies to Improve Primary Care Access for Underserved Populations: An Assessment of the Literature
Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Review of research literature to assess whether policy initiatives targeting primary care access for rural and underserved populations has been effective in reducing healthcare disparities. Initiatives considered include availability, accessibility, accommodation, affordability, and acceptability.
Additional links: Fact Sheet: Alleviating Structural Barriers to Obtaining Primary Care Services, Fact Sheet: Bringing Outpatient Clinics into Communities, Fact Sheet: Ensuring Comfort and Communication in the Delivery of Primary Care Services, Fact Sheet: Increasing the Availability of Primary Care Clinicians, Fact Sheet: Removing Financial Barriers to Primary Care
Author(s): Maanasa Kona, Megan Houston, Nia Gooding
Date: 01/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Beneficiary Experiences with the Medicaid Enrollment and Renewal Processes
Presents findings from focus groups with Medicaid beneficiaries and their representatives about their preferences communicating with state Medicaid agencies during the enrollment and renewal processes. Discusses participants' access to technology and technology as a potential barrier, as well as their experiences during the application and renewal processes.
Date: 01/2022
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Presents findings from focus groups with Medicaid beneficiaries and their representatives about their preferences communicating with state Medicaid agencies during the enrollment and renewal processes. Discusses participants' access to technology and technology as a potential barrier, as well as their experiences during the application and renewal processes.
Date: 01/2022
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Beneficiary Preferences for Communications Regarding Eligibility, Enrollment, and Renewal
Discusses federal requirements for states to provide multiple modes of communication for Medicaid eligibility and enrollment, as well as current state practices to facilitate this communication. Summarizes results of focus groups on Medicaid beneficiaries' preferences and experiences communicating with state Medicaid agencies and use of technology.
Date: 01/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Discusses federal requirements for states to provide multiple modes of communication for Medicaid eligibility and enrollment, as well as current state practices to facilitate this communication. Summarizes results of focus groups on Medicaid beneficiaries' preferences and experiences communicating with state Medicaid agencies and use of technology.
Date: 01/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CARES Act Telehealth Expansion: Trends in Post-Discharge Follow-Up and Association with 30-Day Readmissions for Hospital Readmissions Reduction Program Health Conditions
Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Prescription Drug Affordability among Medicare Beneficiaries
Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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