Rural Health
Resources by Topic: Medicaid
Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of current supportive services and caregiving policies for rural older adults, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Health Research Recap: Poverty and Health Insurance Coverage Among Rural Children
Provides summaries of recent research on poverty among rural children, their access to insurance, and care available to Medicaid beneficiaries. Features statistics from 2012 on groups covered by Medicaid and distribution of Medicaid enrollment of children by race or ethnicity, with breakdowns by urban, large rural, small rural, or isolated rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Provides summaries of recent research on poverty among rural children, their access to insurance, and care available to Medicaid beneficiaries. Features statistics from 2012 on groups covered by Medicaid and distribution of Medicaid enrollment of children by race or ethnicity, with breakdowns by urban, large rural, small rural, or isolated rural location.
Author(s): Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016
Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the combined effects of the Patient Protection and Affordable Care Act (PPACA) insurance provisions versus the effect of the Medicaid expansions, using recent national data to show possible differences between metropolitan and nonmetropolitan areas. Features statistics including changes in each of the years between 2013 and 2016, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): George L. Wehby, Wei Lyu, Dan M. Shane
Date: 08/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Understanding the Intersection of Medicaid and Work: What Does the Data Say?
Provides analysis on Medicaid enrollees and work requirements. Examines policy implications of work requirements, and explores barriers to work and reporting requirements. Table 1 includes statistics describing nonelderly adult Medicaid enrollees work status in 2017 by race/ethnicity, education, family type, family work status, and metro/nonmetro residence.
Author(s): Rachel Garfield, Robin Rudowitz, Kendal Orgera, Anthony Damico
Date: 08/2019
Type: Document
Sponsoring organization: KFF
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Provides analysis on Medicaid enrollees and work requirements. Examines policy implications of work requirements, and explores barriers to work and reporting requirements. Table 1 includes statistics describing nonelderly adult Medicaid enrollees work status in 2017 by race/ethnicity, education, family type, family work status, and metro/nonmetro residence.
Author(s): Rachel Garfield, Robin Rudowitz, Kendal Orgera, Anthony Damico
Date: 08/2019
Type: Document
Sponsoring organization: KFF
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Department of Health Care Services: It Has Not Ensured That Medi-Cal Beneficiaries in Some Rural Counties Have Reasonable Access to Care
Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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Findings from a study to determine whether rural beneficiaries of the Medi-Cal Regional Model health plan were given acceptable access to care and adequate quality of care after the state transitioned into managed care plans in 2013. Includes county-level map showing Medi-Cal Managed Care Models and statistics showing maximum distance required to access care, with breakdowns by provider type.
Author(s): Elaine M. Howle
Citation: California State Auditor Report 2018-122
Date: 08/2019
Type: Document
Sponsoring organization: Auditor of the State of California
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2019 Medicaid and Commercial Access to Care Index: How Payer Type Influences Coloradans' Access to Needed Health Care
Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Type: Document
Sponsoring organization: Colorado Health Institute
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG's Top Recommendations
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in their view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the July 2019 edition include: reforming the hospital wage index system, a quality program and disaster planning for Indian Health Service (IHS) hospitals, and Medicaid payments for 340B drugs.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in their view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the July 2019 edition include: reforming the hospital wage index system, a quality program and disaster planning for Indian Health Service (IHS) hospitals, and Medicaid payments for 340B drugs.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Markup of 26 Bills, Full Committee (July 17, 2019)
Recording of a U.S. House Committee on Energy and Commerce markup session of 26 bills. Addresses bills reauthorizing the National Health Service Corps, funding for Federally Qualified Health Centers, Medicaid funding for the U.S. territories, and other health-related bills.
Date: 07/2019
Type: Video/Multimedia
Sponsoring organization: U.S. House of Representatives
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Recording of a U.S. House Committee on Energy and Commerce markup session of 26 bills. Addresses bills reauthorizing the National Health Service Corps, funding for Federally Qualified Health Centers, Medicaid funding for the U.S. territories, and other health-related bills.
Date: 07/2019
Type: Video/Multimedia
Sponsoring organization: U.S. House of Representatives
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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