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Rural Health
Resources by Topic: Medicaid

Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: House Committee on Energy and Commerce
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Use of the National Health Interview Survey Linked to Medicaid Analytic eXtract Data to Identify Children With Medicaid-covered Births
Explains a method for longitudinal follow-up of children who were enrolled in Medicaid at birth through linked National Health Interview Survey and Medicaid Analytic eXtract data files. Includes NHIS data on health insurance coverage, health status, and healthcare access for children with Medicaid-covered births, including data by urban-rural county of residence.
Author(s): Patricia C. Lloyd, Anne K. Driscoll, Alan E. Simon, Jennifer D. Parker
Date: 04/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Bipartisan Budget Act of 2018 (P.L. 115-123): CHIP, Public Health, Home Visiting, and Medicaid Provisions in Division E
Highlights a report on the Bipartisan Budget Act of 2018. Details appropriations for Medicare, Medicaid, CHIP, public health, and other provisions in Division E. Provides some discussion of the effect of these appropriations on rural communities.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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CMS Innovation Center: Model Implementation and Center Performance
Examines the activities of the Centers for Medicare and Medicaid Services' Innovation Center. Discusses the Center's goals of identifying, testing, and improving payment and delivery models, while cutting healthcare costs and sharing best practices. Includes models tested in rural areas.
Additional links: Full Report
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth 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). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Report to Congress on Medicaid and CHIP, March 2018
Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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