Rural Health
Resources by Topic: Medicaid
Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Telehealth: Use in Medicare and Medicaid
Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Drug Discount Program: Update on Agency Efforts to Improve 340B Program Oversight
Testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, U.S. House of Representatives, describing the Health Resources and Services Administration's (HRSA) actions and plans for improving 340B program oversight. Also provides an update on the Government Accountability Office's work regarding the 340B program and HRSA oversight. Includes information on 340B program participants, background, structure, audit frequency, and more.
Additional links: Examining HRSA's Oversight of the 340B Drug Pricing Program, Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, U.S. House of Representatives, describing the Health Resources and Services Administration's (HRSA) actions and plans for improving 340B program oversight. Also provides an update on the Government Accountability Office's work regarding the 340B program and HRSA oversight. Includes information on 340B program participants, background, structure, audit frequency, and more.
Additional links: Examining HRSA's Oversight of the 340B Drug Pricing Program, Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on rural/urban geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Additional links: Full Report
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on rural/urban geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Additional links: Full Report
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Factors Affecting States' Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending including rural population, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Type: Document
Sponsoring organization: KFF
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Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending including rural population, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Type: Document
Sponsoring organization: KFF
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Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age. Addresses the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors' Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age. Addresses the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors' Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Access to Dental Care Remains a Challenge for Millions of Michiganders
Report reevaluates a study on oral healthcare access in Michigan. Breaks down key takeaways from the study, such as rates of Medicaid enrolled dentists, access for low-income populations, and dentist distribution.
Date: 05/2017
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Report reevaluates a study on oral healthcare access in Michigan. Breaks down key takeaways from the study, such as rates of Medicaid enrolled dentists, access for low-income populations, and dentist distribution.
Date: 05/2017
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Compendium of Unimplemented Recommendations: May 2017
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's 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 May 2017 edition include: Critical Access Hospital (CAH) swing bed reimbursement rates, Medicare payment policies, combating prescription opioid abuse, and quality compliance in Indian Health Service (IHS) hospitals.
Date: 05/2017
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 OIG's 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 May 2017 edition include: Critical Access Hospital (CAH) swing bed reimbursement rates, Medicare payment policies, combating prescription opioid abuse, and quality compliance in Indian Health Service (IHS) hospitals.
Date: 05/2017
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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