Rural Health
Resources by Topic: Health insurance
Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Leveraging Medicaid to Support Housing and Nutrition in Ohio
Describes the Ohio Medicaid program and the federal Medicaid health-related social needs (HRSN) framework. Discusses how Medicaid coverage in Ohio can cover aspects of housing and nutrition needs as of 2023. Includes county-level map depicting percent of income spent on housing in Ohio as well as examples of programs addressing HRSNs in rural areas.
Author(s): Hailey Akah, Robin Blair-Ackison, Edith Nkenganyi, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Describes the Ohio Medicaid program and the federal Medicaid health-related social needs (HRSN) framework. Discusses how Medicaid coverage in Ohio can cover aspects of housing and nutrition needs as of 2023. Includes county-level map depicting percent of income spent on housing in Ohio as well as examples of programs addressing HRSNs in rural areas.
Author(s): Hailey Akah, Robin Blair-Ackison, Edith Nkenganyi, et al.
Date: 09/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 among Medicaid/CHIP Enrollees in 20 States
Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Research and policy brief on pediatric and pregnancy-related visits to Rural Health Clinics (RHCs) among Medicaid/CHIP enrollees in 20 states during the year 2018. Provides data, including regional and state comparisons, on rates at which pediatric and pregnancy-related visits took place, medical conditions observed, and services provided. Discusses the role of RHCs in overcoming geographic access barriers.
Author(s): Katherine A. Aherns, Zachariah T. Croll, Yvonne Jonk, John Gale, Heidi O'Connor
Date: 09/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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A Snapshot of Sources of Coverage Among Medicare Beneficiaries
Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2022. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Juliette Cubanski, Tricia Neuman
Date: 09/2024
Type: Document
Sponsoring organization: KFF
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Examines the sources of healthcare and supplemental insurance coverage among Medicare beneficiaries in 2022. Presents data on the sources of coverage by beneficiary characteristics, including health status, metropolitan status, and income.
Author(s): Nancy Ochieng, Juliette Cubanski, Tricia Neuman
Date: 09/2024
Type: Document
Sponsoring organization: KFF
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September 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Exploring the State of Value-Based Care
Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Drive Time to Care and Retention in HIV Care: Rural–Urban Differences Among Medicaid Enrollees in the United States South
Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health
Date: 09/2024
Type: Document
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Presents a study on the role geography plays in HIV care retention and maintenance. Draws data from Medicaid enrollees in 13 southern states including the District of Columbia and compares patient drive times to care in rural and urban areas. Breaks down data by county social determinants of health, healthcare supply, and HIV prevalence, as well as patient characteristics.
Author(s): April D. Kimmel, Rose S. Bono, Zhongzhe Pan, et al.
Citation: Journal of Rural Health
Date: 09/2024
Type: Document
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Environmental Scan on Identifying a Pathway Toward Maximizing Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Emergency Hospitals Fact Sheet
Provides a brief overview of the Rural Emergency Hospital (REH) provider designation. Outlines REH payment, services, eligibility requirements, and how to apply for REH designation.
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a brief overview of the Rural Emergency Hospital (REH) provider designation. Outlines REH payment, services, eligibility requirements, and how to apply for REH designation.
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal
Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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