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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Public and Individual Health Insurance Trends in Rural Minnesota: Enrollment During Implementation of the Affordable Care Act
Report focuses on rural Minnesotans' enrollment in non-employer provided insurance coverage as impacted by the Affordable Care Act (ACA) since 2010. Includes a discussion of Medical Assistance and MinnesotaCare increases as well as the individual market. Data and statistics by county type (entirely rural, small town/rural mix, urban/small town/rural, entirely urban) also provided.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Finance in Rural and Urban Hospitals
Summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Health Care Access in Rural Minnesota: Results from the Minnesota Health Access Survey
Examines healthcare access in rural Minnesota before and after the implementation of the Affordable Care Act (ACA), with a particular focus on insurance coverage rates. Includes data and statistics for affordability of insurance, availability of care, and demographics across the state.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Rural Health Networks and Coalitions Toolkit
Resources and best practices to help rural communities develop or expand a rural health network or coalition. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Date: 04/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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Designing a Health System That Works for the Tribe
Outlines the challenges facing the Rosebud Sioux Tribe as they work to restore services and improve quality in their Indian Health Service (IHS) hospital. Despite challenges leading to the closure of their emergency department and surgical and obstetrics wards, members of the Rosebud Sioux Tribe are exploring the option of hospital self-governance and believe a high quality healthcare system is within reach.
Author(s): Jessica Bylander
Citation: Health Affairs, 36(4), 592-595
Date: 04/2017
Type: Document
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Impact of Comorbidities Among Medicaid Enrollees With Chronic Obstructive Pulmonary Disease, United States, 2009
Results of a study exploring how comorbidities among patients with chronic obstructive pulmonary disease affect disease burden, emergency department use, hospitalizations, and healthcare costs. Uses data from 2009 for 291,978 people aged 18-64 from 28 states. Features statistics with breakdowns including age group, race or ethnicity, sex, and residence in large metropolitan, small metropolitan, or rural areas.
Author(s): Gloria Westney, Marilyn G. Foreman, Junjun Xu, et al.
Citation: Preventing Chronic Disease, 14
Date: 04/2017
Type: Document
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Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Type: Document
Sponsoring organization: Government Accountability Office
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State Variability in Access to Hospital-Based Obstetric Services in Rural U.S. Counties
Policy brief examining differences in availability of obstetric services in rural counties of all states, 2004-2014. Features statistics with breakdowns by all rural counties, micropolitan, and noncore areas.
Author(s): Peiyin Hung, Katy Kozhimannil, Michelle Casey, Carrie Henning-Smith
Date: 04/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Closure of Hospital Obstetric Services Disproportionately Affects Less-Populated Rural Counties
Policy brief describing a study examining obstetric unit and hospital closures in rural areas of the United States, 2004-2014. Features statistics with breakdowns by all rural counties, micropolitan, and noncore areas.
Author(s): Peiyin Hung, Katy Kozhimannil, Carrie Henning-Smith, Michelle Casey
Date: 04/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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