Rural Health
Resources by Topic: Medicaid
Comparing the Affordable Care Act's Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not
Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Addresses changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports.
Author(s): Allen Dobson, Joan E. DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Addresses changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports.
Author(s): Allen Dobson, Joan E. DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Rural Differences in Characteristics and Utilization Patterns of Medicaid Recipients
Poster presentation examining the characteristics of rural Medicaid recipients and estimating their overall health care utilization. Includes rural versus urban statistics comparing Medicaid recipients with one or more hospitalizations by fee-for-service and managed care enrollees and Medicaid enrollees with at least one day in long-term care.
Author(s): Karen Jones, Kevin J. Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Poster presentation examining the characteristics of rural Medicaid recipients and estimating their overall health care utilization. Includes rural versus urban statistics comparing Medicaid recipients with one or more hospitalizations by fee-for-service and managed care enrollees and Medicaid enrollees with at least one day in long-term care.
Author(s): Karen Jones, Kevin J. Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Building Complex Care Programs: A Road Map for States
Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Type: Document
Sponsoring organization: National Governors Association
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Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Type: Document
Sponsoring organization: National Governors Association
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Promoting Integrated and Coordinated Care that Addresses Social Risk for the Dual Eligible Beneficiary Population, 2017
Describes the Measure Applications Partnership's (MAP) recent recommendations and guidance on the use of performance measures to assess and improve healthcare for dually eligible individuals/beneficiaries. Examines current measure gaps, updates to address these gaps, and measures that can help address social risk factors and health disparities. Includes a discussion on categorizing rural location as a social risk factor.
Date: 08/2017
Type: Document
Sponsoring organization: National Quality Forum
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Describes the Measure Applications Partnership's (MAP) recent recommendations and guidance on the use of performance measures to assess and improve healthcare for dually eligible individuals/beneficiaries. Examines current measure gaps, updates to address these gaps, and measures that can help address social risk factors and health disparities. Includes a discussion on categorizing rural location as a social risk factor.
Date: 08/2017
Type: Document
Sponsoring organization: National Quality Forum
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Differences in Medicare Service Use in the Last Six Months of Life among Rural and Urban Dual-Eligible Beneficiaries
Reports on a study of healthcare utilization by Medicare beneficiaries in the last six months of life in both urban and rural areas. Compares beneficiaries with dual eligibility with those who are eligible for Medicare only. Looks specifically at inpatient care, outpatient care, and home health, as well as other types of healthcare services.
Author(s): Elizabeth Crouch, Kevin J. Bennett, Janice C. Probst
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Reports on a study of healthcare utilization by Medicare beneficiaries in the last six months of life in both urban and rural areas. Compares beneficiaries with dual eligibility with those who are eligible for Medicare only. Looks specifically at inpatient care, outpatient care, and home health, as well as other types of healthcare services.
Author(s): Elizabeth Crouch, Kevin J. Bennett, Janice C. Probst
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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