Rural Health
Resources by Topic: Medicaid
MACPAC Response to CMS Request for Information on Access and Coverage in Medicaid and CHIP
Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health Panel Comment Letter – Access to Coverage and Care in Medicaid & CHIP
Offers comments in response to the Access to Coverage and Care in Medicaid and CHIP Request for Information. Discusses ways the Centers for Medicare & Medicaid Services (CMS) can support states in addressing barriers to enrollment and retention, minimum access standards, and monitoring care availability and access to care.
Date: 04/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Access to Coverage and Care in Medicaid and CHIP Request for Information. Discusses ways the Centers for Medicare & Medicaid Services (CMS) can support states in addressing barriers to enrollment and retention, minimum access standards, and monitoring care availability and access to care.
Date: 04/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Learning From COVID-19-Related Flexibilities: Moving Toward More Person-Centered Medicare and Medicaid Programs
Presents a person-centered framework to facilitate policymakers' decisions regarding the future of COVID-19-related temporary regulatory flexibilities. Identifies priority flexibilities that should be considered for permanence, modification, or further evaluation. Covers regulatory flexibilities regarding telehealth, scope of practice, Medicare Advantage requirements, and more. Includes rural references throughout.
Date: 03/2022
Type: Document
Sponsoring organizations: Health Management Associates, Manatt Health, The Scan Foundation
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Presents a person-centered framework to facilitate policymakers' decisions regarding the future of COVID-19-related temporary regulatory flexibilities. Identifies priority flexibilities that should be considered for permanence, modification, or further evaluation. Covers regulatory flexibilities regarding telehealth, scope of practice, Medicare Advantage requirements, and more. Includes rural references throughout.
Date: 03/2022
Type: Document
Sponsoring organizations: Health Management Associates, Manatt Health, The Scan Foundation
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Environmental Scan on Issues Related to the Development of Population-Based Total Cost of Care (TCOC) Models in the Broader Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Presents results of an environmental scan regarding population-based total cost of care (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 TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan regarding population-based total cost of care (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 TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Telehealth Has Played an Outsized Role Meeting Mental Health Needs During the COVID-19 Pandemic
Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Type: Document
Sponsoring organization: KFF
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Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Type: Document
Sponsoring organization: KFF
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Report to Congress on Medicaid and CHIP, March 2022
Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 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 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 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 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Structural Factors That Impact Rural Life Expectancy
Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper focused on challenges to improving life expectancy in rural areas. Offers policy recommendations to address health outcomes in rural populations.
Author(s): Bryan Price, Elizabeth Ruen, Wade Swenson
Date: 02/2022
Type: Document
Sponsoring organization: National Rural Health Association
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Medicaid and Counties: Understanding the Program and Why It Matters to Counties
Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Type: Document
Sponsoring organization: National Association of Counties
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Discusses the importance of Medicaid in county-level healthcare. Describes the role Medicaid plays in financing and delivering healthcare for children, the elderly, the disabled, and rural residents. Highlights the impact of COVID-19 on the Medicaid program and challenges for county governments.
Date: 02/2022
Type: Document
Sponsoring organization: National Association of Counties
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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