Rural Health
Resources by Topic: Medicaid
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, 41(1), e12877
Date: 2025
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, 41(1), e12877
Date: 2025
Type: Document
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The Uneven Impact of Medicaid Expansion on Rural and Urban Black, Latino/a, and White Mortality
Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Examines mortality rates and the corresponding impact of Medicaid expansion on Black, Latino/a, and White populations, broken down by rural versus urban location. Utilizes 2009-2019 data of Average Treatment Effect on the Treated (ATET) estimates to provide statistical breakdowns and graphic representation of how Medicaid expansion has impacted mortality rates for varying populations.
Author(s): J. Tom Mueller, Regina S. Baker, Matthew M. Brooks
Citation: Journal of Rural Health, 41(1), e12859
Date: 2025
Type: Document
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Rural-Urban Medicaid and CHIP Enrollee Comparisons Using the 2019 T-MSIS Analytic File
Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares urban and rural residents enrolled in fee-for-service or managed care Medicaid, using data from the 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF). Features demographics and statistics on Medicaid enrollment, with breakdowns by levels of rurality.
Author(s): Kristie Thompson, Hannah Friedman, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Center for Medicare and Medicaid Innovation: 2024 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Ohio Policy Spotlight: School-Based Health Care and Medicaid
Provides an overview of school-based health services in Ohio. Includes county-level data on the percentage of Ohio children enrolled in any public health insurance.
Author(s): Becky Carroll, Sarah Al-Hashemi
Date: 12/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Provides an overview of school-based health services in Ohio. Includes county-level data on the percentage of Ohio children enrolled in any public health insurance.
Author(s): Becky Carroll, Sarah Al-Hashemi
Date: 12/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Non-Medical Health-Related Needs of Certain Pregnant Women Report, Texas
Reports on the health outcomes of pregnant Medicaid and Thriving Texas Families (TTF) members in Texas. Provides demographic data on enrollment in each program, including comparisons between rural, micro, and metro areas.
Date: 12/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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Reports on the health outcomes of pregnant Medicaid and Thriving Texas Families (TTF) members in Texas. Provides demographic data on enrollment in each program, including comparisons between rural, micro, and metro areas.
Date: 12/2024
Type: Document
Sponsoring organization: Texas Health and Human Services
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The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research
Date: 12/2024
Type: Document
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Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research
Date: 12/2024
Type: Document
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Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
Type: Document
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Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
Type: Document
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State Telehealth Laws and Reimbursement Policies Report, Fall 2024
Provides an overview of state telehealth policies as of early September 2024. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 11/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2024. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 11/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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