Rural Health
Resources by Topic: Healthcare business and finance
Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fourth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces
Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Type: Document
Sponsoring organization: Leonard Davis Institute of Health Economics
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Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Type: Document
Sponsoring organization: Leonard Davis Institute of Health Economics
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In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured
Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Small Area Health Insurance Estimates: 2016
Reports on health insurance coverage in the U.S. in 2016 and changes between 2015 and 2016, as well as changes between 2013 and 2016. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Report Maps, 2016
Author(s): Lauren Bowers, Carolyn Gann, Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Reports on health insurance coverage in the U.S. in 2016 and changes between 2015 and 2016, as well as changes between 2013 and 2016. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Report Maps, 2016
Author(s): Lauren Bowers, Carolyn Gann, Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Geographic Variation in the 2016 Profitability of Urban and Rural Hospitals
Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Insurers Remaining in Affordable Care Act Markets Prepared for Continued Uncertainty in 2018, 2019
Results of interviews with 10 insurance companies that participate in the individual market in 28 states and the District of Columbia, regarding their participation and pricing decisions for plan years 2018 and 2019.
Author(s): Sabrina Corlette, Linda Blumberg, John Holahan, et al.
Date: 03/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Results of interviews with 10 insurance companies that participate in the individual market in 28 states and the District of Columbia, regarding their participation and pricing decisions for plan years 2018 and 2019.
Author(s): Sabrina Corlette, Linda Blumberg, John Holahan, et al.
Date: 03/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Health Reform and Changes in Health Insurance Coverage in 2017
Examines changes in healthcare coverage over three time periods: before the Affordable Care Act's (ACA) major coverage expansions took effect in 2014; during the Obama Administration after the expansion began in 2014; and during the Trump Administration in 2017 in rural and urban populations in the U.S. Includes rural statistics on healthcare coverage changes from 2013-2017.
Author(s): Benjamin D. Sommers, Kathryn L. Clark, Arnold M. Epstein
Date: 03/2018
Type: Document
Sponsoring organizations: Harvard T. H. Chan School of Public Health, Robert Wood Johnson Foundation
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Examines changes in healthcare coverage over three time periods: before the Affordable Care Act's (ACA) major coverage expansions took effect in 2014; during the Obama Administration after the expansion began in 2014; and during the Trump Administration in 2017 in rural and urban populations in the U.S. Includes rural statistics on healthcare coverage changes from 2013-2017.
Author(s): Benjamin D. Sommers, Kathryn L. Clark, Arnold M. Epstein
Date: 03/2018
Type: Document
Sponsoring organizations: Harvard T. H. Chan School of Public Health, Robert Wood Johnson Foundation
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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