Rural Health
Resources by Topic: Medicaid
Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Medicaid: Characteristics of and Expenditures for Adults with Intellectual or Developmental Disabilities
Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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April 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The End of the COVID-19 Public Health Emergency - Impact for RHCs
Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Programs of All-Inclusive Care for the Elderly in Rural America: Policy Brief and Recommendations to the Secretary
Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE). Discusses barriers to implementing PACE programs in rural areas and offers policy recommendations and considerations to facilitate the expansion of these programs in rural communities.
Date: 03/2023
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Optimizing Population-Based Total Cost of Care (PB-TCOC) Models in the Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report from the Physician-Focused Payment Model Technical Advisory Committee (PTAC) summarizing findings on population-based total cost of care (PB-TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of key issues relating to PB-TCOC models and value-based care transformation. Identifies areas where additional research is needed and some potential next steps. Includes rural references throughout.
Date: 03/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by age, race/ethnicity, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
Type: Document
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Examines insurance coverage in rural and urban women at prepregnancy, birth, and postpartum. Analyzes 154,992 postpartum individuals in the U.S. part of the 2016-2019 PRAMS (Pregnancy Risk Assessment Monitoring System) and breaks down rural versus urban data by age, race/ethnicity, income, state Medicaid expansion, education, marital status, chronic disease, and more. Discusses disparities in insurance for rural and urban women.
Author(s): Lindsay K. Admon, Jamie R. Daw, Julia D. Interrante, et al.
Citation: Obstetrics & Gynecology, 14(3), 570-581
Date: 03/2023
Type: Document
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Obstetric Readiness in Rural Communities Lacking Hospital Labor and Delivery Units
Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief discussing the current rural maternal healthcare workforce and their capacity to manage obstetric emergencies during pregnancy, labor, and delivery. Offers recommendations to promote obstetric readiness for emergency care in rural hospitals without obstetric units and support for community-based, emergency department-adjacent health workers.
Author(s): Eneka Lamb, Madeline Merwin, Quinyatta Mumford, et al.
Date: 02/2023
Type: Document
Sponsoring organization: National Rural Health Association
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