Rural Health
Resources by Topic: Medicaid
Rural Medicaid and CHIP Enrollees in 2020
Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Expanded Medical Training Could Help Hospitals in Rural, Underserved Areas
Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Describes actions taken by states to ensure adequate access to clinical training for medical graduates and address physician shortages in rural and underserved areas. Covers statewide collaboration and appropriations, Medicaid payments, and incentives for rural clinical training.
Author(s): Rachel Woolworth
Date: 07/2023
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Addressing the Opioid Crisis: A Look at the Evolving Landscape of Federal OUD Treatment Policies
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Rural Health on Life Support - Episode Three: Medicaid Unwinding
Podcast episode discussing the role of Medicaid in providing health insurance in rural areas. Covers the potential impact of Medicaid cuts on rural areas, the impact of Medicaid expansion on pediatric and maternal outcomes, and Medicaid unwinding after the COVID-19 public health emergency.
Date: 07/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the role of Medicaid in providing health insurance in rural areas. Covers the potential impact of Medicaid cuts on rural areas, the impact of Medicaid expansion on pediatric and maternal outcomes, and Medicaid unwinding after the COVID-19 public health emergency.
Date: 07/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Oral Health Disparities Through the Lifespan: Challenges and Opportunities
Recording of a June 7, 2023, conference session on oral health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the CMS Office of the Administrator comparing differences in rural and urban dental opioid prescribing to adolescent/young adult and adult Medicaid/CHIP enrollees by patient and county characteristics. Transcript available below description.
Additional links: Carla Shoff, Centers for Medicare & Medicaid Services Office of the Administrator - Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a June 7, 2023, conference session on oral health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the CMS Office of the Administrator comparing differences in rural and urban dental opioid prescribing to adolescent/young adult and adult Medicaid/CHIP enrollees by patient and county characteristics. Transcript available below description.
Additional links: Carla Shoff, Centers for Medicare & Medicaid Services Office of the Administrator - Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Health Care-Related Expiring Provisions of the 118th Congress, First Session
Outlines the healthcare-related funding and governmental authorities that will expire during the first session of the 118th Congress, calendar year 2023, if not extended through congressional action. Highlights similar provisions that expired during the 117th Congress (2021-2022). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Outlines the healthcare-related funding and governmental authorities that will expire during the first session of the 118th Congress, calendar year 2023, if not extended through congressional action. Highlights similar provisions that expired during the 117th Congress (2021-2022). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Congressional Research Service
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NHPCO Pediatric Facts and Figure, 2023 Edition
Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Type: Document
Sponsoring organization: National Hospice and Palliative Care Organization
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Provides an overview of pediatric hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, and more. Section 3 compares the number and percentage of metropolitan and non-metropolitan counties with access to pediatric hospice and palliative care.
Date: 06/2023
Type: Document
Sponsoring organization: National Hospice and Palliative Care Organization
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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