Rural Health
Resources by Topic: Medicaid
The Tennessee Medicaid Medication Therapy Management Program: Early Stage Contextual Factors and Implementation Outcomes
Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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Shares the results of a study examining a multi-faceted implementation strategy to support a medication therapy management (MTM) pilot program for TennCare, Tennessee's state Medicaid program, at both the organizational and individual levels. Describes contextual factors associated with the pilot program implementation based on the consolidated framework for implementation research (CFIR). Table 3 reports characteristics of organizations participating in the pilot program, including information on study participants located in a rural area.
Author(s): Kenneth C. Hohmeier, Chelsea Renfro, Kea Turner, et al.
Citation: BMC Health Services Research, 21, 1189
Date: 11/2021
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Mapping the Location of Health Centers in Relation to "Maternity Care Deserts": Associations With Utilization of Women's Health Providers and Services
Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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Explores the association between community health centers' (CHC) distance to a maternity care desert (MCD) and use of maternity-related healthcare services. Discusses the effects of rural hospital closures and provider shortages on patients' access to maternity care. Includes a county-level MCD map and county-level and CHC-level statistics related to MCDs.
Author(s): Anne R. Markus, Drishti Pillai
Citation: Medical Care, 59(10), S434-S440
Date: 10/2021
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Sponsoring organization: National Academy for State Health Policy
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Disparities in Health Care in Medicare Advantage Associated with Dual Eligibility or Eligibility for a Low-Income Subsidy
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas
Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Sponsoring organization: National Academy for State Health Policy
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Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Sponsoring organization: National Academy for State Health Policy
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Advancing Integrated Care for Dually Eligible Individuals: Factors Influencing State D-SNP Contracting Decisions
Presents results of a study on factors that influence states' use of a variety of Dual Eligible Special Needs Plans (D-SNP) contracting strategies to facilitate the integration of Medicare and Medicaid benefits. Discusses factors influencing state adoption of D-SNP contracting strategies, barriers to D-SNP contracting in rural areas, and benefits and challenges of adoption 11 specific contracting strategies.
Additional links: Issue Brief
Author(s): Erin Weir Lakhmani, Danielle Chelminsky, Alena Tourtellotte, et al.
Date: 07/2021
Sponsoring organization: Mathematica
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Presents results of a study on factors that influence states' use of a variety of Dual Eligible Special Needs Plans (D-SNP) contracting strategies to facilitate the integration of Medicare and Medicaid benefits. Discusses factors influencing state adoption of D-SNP contracting strategies, barriers to D-SNP contracting in rural areas, and benefits and challenges of adoption 11 specific contracting strategies.
Additional links: Issue Brief
Author(s): Erin Weir Lakhmani, Danielle Chelminsky, Alena Tourtellotte, et al.
Date: 07/2021
Sponsoring organization: Mathematica
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare 3 LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Sponsoring organization: Center for Health Care Strategies
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Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare 3 LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Sponsoring organization: Center for Health Care Strategies
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