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Rural Health
Resources by Topic: Medicaid

Financial Alignment Initiative South Carolina Healthy Connections Prime: First Evaluation Report
Evaluation of the first year of the South Carolina Healthy Connections Prime demonstration to integrate care for the state's Medicare-Medicaid beneficiaries. Discusses access and other challenges for rural enrollees and how the program has worked to address rural needs.
Date: 09/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections
Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Work Requirements in Kentucky Medicaid: A Policy in Limbo
Highlights a study on the effects of Kentucky's proposed work requirement policy for Medicaid. Examines the awareness of the policy among the public and its effect on employment and healthcare coverage. Details participants' age, marital status, and whether they live in a rural or urban area.
Author(s): Joy Madubuonwu, Lucy Chen, Benjamin D. Sommers
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities
Fact sheet exploring ways in which Affordable Care Act (ACA) policy changes and Medicaid expansion affected people with disabilities, especially those in rural areas. Features statistics including changes in insurance coverage for urban and rural people with and without disabilities from 2006-2017, and differences in coverage in Medicaid expansion or non-expansion states, with breakdowns by urban or rural locations.
Author(s): Research and Training Center on Disability in Rural Communities
Date: 09/2019
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
Describes state initiatives helping older rural adults age in place by supporting services allowing them to remain in their homes. Strategies are focused around building the workforce, increasing access to services in rural areas, and addressing social determinants of health. Includes examples of programs that have already been implemented as well as emerging ideas from several states across the country.
Author(s): Neva Kaye, Kristina Long
Date: 09/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, National Academy for State Health Policy, National Organizations of State and Local Officials
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Promoting Health Coverage of American Indian and Alaska Native Children
Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on 3 public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Rural Hospital Closures Reduce Access to Emergency Care
Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Type: Document
Sponsoring organization: Center for American Progress
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