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Rural Health
Resources by Topic: Medicaid

Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Type: Document
Sponsoring organization: State Health & Value Strategies
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Rural Health Care in America: Challenges and Opportunities
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Addresses access to emergency services, rural hospital financial challenges and closures, Accountable Care Organizations, and regulatory and workforce challenges. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Medicaid Managed Care and the Rural Exception: A Review of Issues and Perspectives from the Field
Analyzes Medicaid waivers through September 2017 to examine how state Medicaid procedures affect rural populations. Covers information gathered from State Offices of Rural Health (SORHs), state Medicaid offices, and other stakeholders to describe the process of waiver development.
Author(s): Janice C. Probst, Amy B. Martin, Victor Kirksey
Date: 05/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance
Explores if patients with Medicaid and private health insurance in Maryland and Michigan experience differences in access to eye care appointments. Includes information on the rate at which appointments were obtained for patients and the length of appointment wait times by a variety of factors, including for urban and rural patients.
Author(s): Yoon H. Lee, Andrew X. Chen, Varshini Varadaraj, et al.
Citation: JAMA Ophthalmology, 136(6), 622-629
Date: 04/2018
Type: Document
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Views from the Heartland: Prospects for Bipartisanship in Health Reform
Reports on the views and opinions of 27 state legislators serving on health, budget, or appropriations committees in Colorado and Kansas. Discusses Medicaid expansion in rural areas and highlights the importance of promoting quality healthcare and removing barriers to access in rural communities.
Author(s): David K. Jones
Date: 04/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Health Care Utilization Patterns of Rural Medicaid Recipients, 2012, 35 States
Analyzes enrollment and claims data from 2012 for 35 states to describe inpatient and other institutional encounters among Medicaid enrollees prior to Medicaid expansion in 2014. Includes statistics on inpatient visits by rurality, hospitalization rates by rurality and provider payment plans, and the proportion of Medicaid enrollees with at least one long-term care stay by facility and rurality.
Author(s): Kevin J. Bennett, Karen M. Jones, Janice C. Probst
Date: 04/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Characteristics of Rural Medicaid Recipients, 2012, 35 States
Analyzes enrollment and claims data from 2012 for 35 states to describe the characteristics of Medicaid beneficiaries prior to Medicaid expansion in 2014. Includes statistics on beneficiaries' age distribution by gender and rurality and enrollment type by race/ethnicity and rurality.
Author(s): Kevin J. Bennett, Karen M. Jones, Janice C. Probst
Date: 04/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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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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