Rural Health
Resources by Topic: Medicaid
Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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COVID Relief Funding for Medicaid Providers
Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement Process
Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health System Challenges for Critical Access Hospitals: Findings from a National Survey of CAH Executives
Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a 2019 survey of 174 respondents, examining challenges including uncompensated care, affordability of health insurance, patients seeking care beyond their local hospital, and prescription drug prices. Intended to help rural health policymakers in development of strategies to maintain Critical Access Hospital viability and access to healthcare in rural communities.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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January 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
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) January 2021 meeting. Covers the review of draft chapters and recommendations regarding postpartum coverage, estate recovery, automatic countercyclical financing adjustment, design considerations for creating a new unified program for dually eligible beneficiaries, and housing supports for individuals with substance use disorder, among other things. Also details a MACPAC study on non-emergency medical transportation (NEMT), which includes a discussion of NEMT in rural areas.
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Mandated Report on Non-Emergency Medical Transportation Further Findings
Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Advancing Population Health in Rural Places: Key Lessons and Policy Opportunities
Discussion of topics including strategies to incorporate population health into rural health, how collaboration can help rural hospitals address population health issues, how rural healthcare systems can gain community support for population activities, and ways in which the rural healthcare workforce can be involved in population health. Examines various demonstration projects with roots in the Medicare and Medicaid programs.
Author(s): Keith J. Mueller, Delaney P. Bounds, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discussion of topics including strategies to incorporate population health into rural health, how collaboration can help rural hospitals address population health issues, how rural healthcare systems can gain community support for population activities, and ways in which the rural healthcare workforce can be involved in population health. Examines various demonstration projects with roots in the Medicare and Medicaid programs.
Author(s): Keith J. Mueller, Delaney P. Bounds, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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CMS Pandemic Plan
Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guide to help CMS prepare for, respond to, and recover from current and future pandemic threats. Addresses policy responses related to waivers and flexibilities. Includes some information specific to rural healthcare providers, healthcare facilities, and residents.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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