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Rural Health
Resources by Topic: Medicaid

Assessing the Characteristics of New York State Dentists Serving Medicaid Beneficiaries
Results of a study exploring the demographic, educational, and practice characteristics of dentists in New York, to understand which factors are associated with dentists' participation and their level of participation in the Medicaid program. Features statistics with breakdowns by rural or urban location.
Author(s): Shen Wang, Robert Martiniano, Kristen Stiegler
Date: 08/2022
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Association Between Medicaid Expansion Under the Affordable Care Act and Survival Among Newly Diagnosed Cancer Patients
Examines the relationship between cancer survival and Medicaid expansion under the Affordable Care Act (ACA) by sex, race and ethnicity, poverty level, and rurality. Utilizes the Cancer Incidence in North America (CiNA) Survival dataset to analyze 2, 555 ,302 patients diagnosed with cancer to see pre-ACA and post-ACA survival rates.
Author(s): Xuesong Han, Jingxuan Zhao, K. Robin Yabroff, Christopher J. Johnson, Ahmedin Jemal
Citation: Journal of the National Cancer Institute, 114(8), 1176-1185
Date: 08/2022
Type: Document
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Longitudinal Assessment of Indiana Dentists' Participation in Medicaid Before and After Expansion
Examines trends related to dentists in Indiana who provided services to Medicaid patients before and after Medicaid expansion, from 2014 through 2017. Analyzes 2,037 Indiana-licensed dentists by Medicaid engagement status, practice type and setting, job status, and demographic characteristics, including rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Courtney R. Medlock, Analise Dickinson, Yumin Wang
Citation: Journal of the American Dental Association, 153(7), 659-667
Date: 07/2022
Type: Document
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Health Workforce Issues in American Indian and Alaska Native (AI/AN) Populations
Rapid response policy brief providing an overview of the Indian Health Service (IHS), and discussing tribally-operated health services and access to health services and insurance outside of tribal or IHS networks. Describes the representation of AI/AN populations within the healthcare workforce and offers recommendations and strategies to strengthen the health workforce providing care for AI/AN populations.
Author(s): Natalia V. Oster, Susan M. Skillman, Bianca K. Frogner
Date: 07/2022
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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The Affordable Care Act Medicaid Expansion, Social Disadvantage, and the Practice Location Choices of New General Internists
Examines levels of social disadvantage in states that lost general internal medicine physicians (internists) and states that gained internists after Medicaid expansion. Analyzes 32,102 internists who established their first practice between 2009 and 2019 and their location of choice. Outlines characteristics of internist location choices by population demographics such as age, race and ethnicity, education levels, income levels, social disadvantage level, medical school availability, and rurality.
Author(s): José J. Escarce, Gregory D. Wozniak, Stavros Tsipas, et al.
Citation: Medical Care, 60(5), 342-350
Date: 05/2022
Type: Document
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