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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Navigating Natural Disasters: Key Strategies for Medicaid Agencies to Support Members
Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Innovative Solutions to Address the Oral Health Care Workforce Shortage: Insights from Michigan
Discusses the impact of the oral healthcare workforce shortage on rural communities and other communities in need in Michigan. Provides examples, strategies, and collaborative efforts of State Medicaid agencies to address the shortage.
Author(s): Jade Kissi
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Medicare Advantage Reimbursement Remains Top Challenge for RHCs
Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Improving Access to Maternity Care in Iowa's Health Care Deserts
Examines maternal healthcare shortages and facility closures in Iowa. Discusses strategies to improve access, such as workforce training, graduate medical education, and collaborative opportunities.
Author(s): Diana Mirel
Date: 03/2025
Sponsoring organization: American Medical Association
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A Picture of the Loss of Rural Obstetrical Service in Alabama 1980 to 2025
County-level maps showing counties with hospitals offering obstetrical service in 1980 and those offering service as of March 2025.
Date: 03/2025
Sponsoring organization: Alabama Office of Primary Care and Rural Health
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Use of Medicaid Personal Care Services in 2019 and 2020
Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Wyoming Medicaid Annual Report SFY 2024
Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 03/2025
Sponsoring organization: Wyoming Department of Health
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FH Healthcare Indicators and FH Medical Price Index 2025: An Annual View of Place of Service Trends and Medical Pricing
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2018-2023; and urgent care, ambulatory surgery centers, and emergency rooms from 2014-2024. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2025
Sponsoring organization: FAIR Health
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Merit-based Incentive Payment System (MIPS): Eligibility and Participation in the 2025 Performance Year
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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