Rural Health
Resources by Topic: Health reform
CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
view details
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
view details
Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018
Assesses changes in average Health Insurance Marketplace plan premiums from 2014-2018, with an emphasis on the variation across rural and urban areas. Includes statistics on premium increases by population density of rating area, distribution of insurance issuers by percentage of counties, rurality, and Medicaid expansion, and rural and urban average adjusted premiums by Medicaid expansion status.
Author(s): Abigail R. Barker, Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Assesses changes in average Health Insurance Marketplace plan premiums from 2014-2018, with an emphasis on the variation across rural and urban areas. Includes statistics on premium increases by population density of rating area, distribution of insurance issuers by percentage of counties, rurality, and Medicaid expansion, and rural and urban average adjusted premiums by Medicaid expansion status.
Author(s): Abigail R. Barker, Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Medicaid Income Eligibility Transitions Among Rural Adults
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Research and policy brief examining the extent to which incomes of rural and urban residents shifted above or below the Medicaid expansion eligibility threshold during 2010. Features statistics with breakdowns by expansion and non-expansion states, rural or urban location, and starting income as a percent of federal poverty level.
Author(s): Erika Ziller, Deborah Thayer, Jennifer D. Lenardson
Date: 08/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
2018 Rural Hospital and Clinic Financial Summit Report: Key Financial Success Indicators and Strategies
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
The Intersection of Hepatitis, HIV, and the Opioid Crisis: The Need for a Comprehensive Response
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Type: Document
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
view details
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Type: Document
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
view details
Insuring Rural America: Health Insurance Challenges and Opportunities
Details a study focusing on the challenges of designing an insurance market that works in rural America. Looks at the needs of rural people and current health insurance policy.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Details a study focusing on the challenges of designing an insurance market that works in rural America. Looks at the needs of rural people and current health insurance policy.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
view details
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
view details
Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Third Annual Report
Summarizes the third year evaluation results of 38 Health Care Innovation Awards Round Two projects, one awardee of the original 39 having left the program in September 2016. Focuses on implementation effectiveness, developing payment models, planning for sustainability, and some preliminary work related to evaluating program impacts. Provides findings for the individual awardees, which include projects that serve rural areas.
Date: 06/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
view details
Summarizes the third year evaluation results of 38 Health Care Innovation Awards Round Two projects, one awardee of the original 39 having left the program in September 2016. Focuses on implementation effectiveness, developing payment models, planning for sustainability, and some preliminary work related to evaluating program impacts. Provides findings for the individual awardees, which include projects that serve rural areas.
Date: 06/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
view details
Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details