Rural Health
Resources by Topic: Medicaid
Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicaid Work Requirements in Arkansas: Experience and Perspectives of Enrollees
Reports on focus groups with enrollees and providers regarding their perspectives of the Arkansas Works Medicaid waiver requirements. Covers enrollee awareness of the new requirements, the reporting process, impact on work activities, coverage losses, and more. Identifies challenges for rural areas.
Author(s): MaryBeth Musumeci, Robin Rudowitz, Barbara Lyons
Date: 12/2018
Sponsoring organization: KFF
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Reports on focus groups with enrollees and providers regarding their perspectives of the Arkansas Works Medicaid waiver requirements. Covers enrollee awareness of the new requirements, the reporting process, impact on work activities, coverage losses, and more. Identifies challenges for rural areas.
Author(s): MaryBeth Musumeci, Robin Rudowitz, Barbara Lyons
Date: 12/2018
Sponsoring organization: KFF
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Health Insurance Coverage for Women of Reproductive Age, 2013-16
Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Sponsoring organization: Urban Institute
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Explores insurance coverage for women age 15-44 in the U.S. from 2013 to 2016. Presents data by age, ethnicity, and marital status, and other factors. Includes a breakdown of rates by state and metro versus nonmetro.
Author(s): Stacey McMorrow, Emily M. Johnston, Ruby Steedle, Tyler W. Thomas
Date: 12/2018
Sponsoring organization: Urban Institute
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Indian Health Service: Spending Levels and Characteristics of IHS and Three Other Federal Health Care Programs
Compares Indian Health Services (IHS) spending with other federal programs that provide healthcare services, such as the Veterans Health Administration (VHA), Medicare, and Medicaid. Looks at the different services provided by each program and the way each program is funded.
Additional links: Full Report
Date: 12/2018
Sponsoring organization: Government Accountability Office
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Compares Indian Health Services (IHS) spending with other federal programs that provide healthcare services, such as the Veterans Health Administration (VHA), Medicare, and Medicaid. Looks at the different services provided by each program and the way each program is funded.
Additional links: Full Report
Date: 12/2018
Sponsoring organization: Government Accountability Office
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Arkansas Medicaid Program Overview SFY 2017
Provides an overview of Arkansas's Medicaid program, including county-level data on enrolled and participating providers, program enrollees, Medicaid expenditures, and waiver beneficiaries on pages 32-35.
Date: 12/2018
Sponsoring organization: Arkansas Department of Human Services
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Provides an overview of Arkansas's Medicaid program, including county-level data on enrolled and participating providers, program enrollees, Medicaid expenditures, and waiver beneficiaries on pages 32-35.
Date: 12/2018
Sponsoring organization: Arkansas Department of Human Services
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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums Chartpack
Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Sponsoring organization: University of Wisconsin Population Health Institute
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Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Sponsoring organization: University of Wisconsin Population Health Institute
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses as well as barriers to healthcare access.
Date: 10/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder
Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Sponsoring organization: National Academy for State Health Policy
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Reports on interviews with health officials in Texas, Colorado, and Pennsylvania regarding how their states help pregnant women and young mothers with substance use disorders, focusing on opioids. Discusses Medicaid's role, funding sources of state initiatives, medication-assisted treatment, and issues for incarcerated women. Includes considerations and examples related to rural health throughout.
Author(s): Becky Normile, Carrie Hanlon, Hannah Eichner
Date: 10/2018
Sponsoring organization: National Academy for State Health Policy
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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