Rural Health
Resources by Topic: Health insurance
A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shared Savings Program Fast Facts
Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2025. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2025. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluating Medicare Advantage Benchmark Setting Methodology on Rural Counties
Examines how the current Medicare Advantage benchmark setting process and methods impact rural and urban counties. Presents data on the Medicare fee-for-service spending quartiles by metropolitan and non-metropolitan counties and the effects of caps on benchmark payments by geography.
Author(s): Dan M. Shane, Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines how the current Medicare Advantage benchmark setting process and methods impact rural and urban counties. Presents data on the Medicare fee-for-service spending quartiles by metropolitan and non-metropolitan counties and the effects of caps on benchmark payments by geography.
Author(s): Dan M. Shane, Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid's Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Healthcare Insurance Coverage, Affordability of Coverage, and Access to Care, 2021-2024
Provides an overview of health insurance access between 2021 and 2024. Provides data on the national uninsured rate, enrollment in new insurance plans after a consumer's Medicaid or Children's Health Insurance Program (CHIP) disenrollment, and indicators on healthcare access and affordability for both children and adults. Includes select data on rural consumers, such as projected savings and uninsurance rates.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of health insurance access between 2021 and 2024. Provides data on the national uninsured rate, enrollment in new insurance plans after a consumer's Medicaid or Children's Health Insurance Program (CHIP) disenrollment, and indicators on healthcare access and affordability for both children and adults. Includes select data on rural consumers, such as projected savings and uninsurance rates.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medical Debt and Its Impact on Rural Patients and Providers, with Carrie Henning-Smith
An episode of the Exploring Rural Health podcast featuring Carrie Henning-Smith, Co-Director of the University of Minnesota Rural Health Research Center. Focuses on the prevalence of and difficulties caused by medical debt for both rural patients and providers.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Carrie Henning-Smith, Co-Director of the University of Minnesota Rural Health Research Center. Focuses on the prevalence of and difficulties caused by medical debt for both rural patients and providers.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Medicare Advantage Enrollment Update 2024
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Author(s): Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Author(s): Fred Ullrich, Keith Mueller
Date: 01/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Merit-based Incentive Payment System (MIPS): 2025 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2025 performance year. Includes information on performance category redistribution policies for small practices.
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2025 performance year. Includes information on performance category redistribution policies for small practices.
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Differences Between Rural and Non-Rural Texas Counties Based on 2023 County Health Rankings
Examines rural versus nonrural counties in Texas by health outcomes and factors. Utilizes 2023 County Health Rankings data to explore county-level health disparities and includes maps showing health insurance, poverty, length and quality of life, socioeconomic factors, physical environment, health behavior, and clinical care ratings by county.
Author(s): Elizabeth Ekren, Shadi Maleki, Cristian Curran, Cassidy Watkins, Melinda M. Villagran
Citation: BMC Health Services Research, 25, 2
Date: 01/2025
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Examines rural versus nonrural counties in Texas by health outcomes and factors. Utilizes 2023 County Health Rankings data to explore county-level health disparities and includes maps showing health insurance, poverty, length and quality of life, socioeconomic factors, physical environment, health behavior, and clinical care ratings by county.
Author(s): Elizabeth Ekren, Shadi Maleki, Cristian Curran, Cassidy Watkins, Melinda M. Villagran
Citation: BMC Health Services Research, 25, 2
Date: 01/2025
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Minnesota Chartbook Section 6: Uninsurance, Forgone Care, and the Safety Net
Reports on uninsurance trends in Minnesota from 2007 to 2023. 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: 01/2025
Sponsoring organization: Minnesota Department of Health
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Reports on uninsurance trends in Minnesota from 2007 to 2023. 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: 01/2025
Sponsoring organization: Minnesota Department of Health
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