Rural Health
Resources by Topic: Medicaid
State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Demographic and Health Characteristics of Ohio's Non-Elderly Adult Medicaid Population: 2019 OMAS Update
Presents information on the Medicaid population in Ohio based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Discusses the health status of Medicaid enrollees with information on self-reported health status, unmet needs, and mental health-related impairments. Includes county-level reports on non-working adults and demographic data broken down by age, sex, race/ethnicity, household type, insurance status, employment, and rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Hilary Metelko Rosebrook, Kelly Stamper Balistreri
Date: 06/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio College of Medicine Government Resource Center, Ohio Department of Health, Ohio Department of Medicaid
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Presents information on the Medicaid population in Ohio based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Discusses the health status of Medicaid enrollees with information on self-reported health status, unmet needs, and mental health-related impairments. Includes county-level reports on non-working adults and demographic data broken down by age, sex, race/ethnicity, household type, insurance status, employment, and rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Hilary Metelko Rosebrook, Kelly Stamper Balistreri
Date: 06/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio College of Medicine Government Resource Center, Ohio Department of Health, Ohio Department of Medicaid
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Understanding the Value of the Medicaid Non-Emergency Medical Transportation Benefit
Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Health in Rural Ohio: 2019 Update
Examines disparities in health conditions, insurance status, health behaviors, economic distress, and more in rural versus non-rural Ohioans based on the 2019 Ohio Medicaid Assessment Survey (OMAS).
Author(s): Anirudh V. S. Ruhil, Heather Robinson, Piyali Das, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Examines disparities in health conditions, insurance status, health behaviors, economic distress, and more in rural versus non-rural Ohioans based on the 2019 Ohio Medicaid Assessment Survey (OMAS).
Author(s): Anirudh V. S. Ruhil, Heather Robinson, Piyali Das, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Employment in Ohio: 2019 Update
Examines the adult Ohio workforce based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Includes employment information such as percent employed, hours worked, and reasons for not working according to rural Appalachian, rural non-Appalachian, suburban, and metropolitan location.
Author(s): Michael Nau , Eric Seiber, Thomas Albani, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Examines the adult Ohio workforce based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Includes employment information such as percent employed, hours worked, and reasons for not working according to rural Appalachian, rural non-Appalachian, suburban, and metropolitan location.
Author(s): Michael Nau , Eric Seiber, Thomas Albani, et al.
Date: 05/2021
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio Department of Aging, Ohio Department of Health, Ohio Department of Medicaid, Ohio Department of Mental Health and Addiction Services
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Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021
Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
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 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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