Rural Health
Resources by Topic: Medicaid
Health Centers: Trends in Revenue and Grants Supported by the Community Health Center Fund
Examines funding sources for community health centers for 2010-2017, including various state and federal grants and health insurance reimbursement. Addresses whether the funding went to existing services or service expansions. Provides data on the rural/urban location of new community health center sites.
Additional links: Full Report
Date: 05/2019
Sponsoring organization: Government Accountability Office
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Examines funding sources for community health centers for 2010-2017, including various state and federal grants and health insurance reimbursement. Addresses whether the funding went to existing services or service expansions. Provides data on the rural/urban location of new community health center sites.
Additional links: Full Report
Date: 05/2019
Sponsoring organization: Government Accountability Office
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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A Tale of Two Public Dental Benefit Programs: Iowa Dentist Participation in Traditional Medicaid Versus a Medicaid Expansion Program
Examines differences in dentist participation in Iowa's Dental Wellness Plan and Medicaid programs and discusses the policy implications for oral health access. Addresses differences in rural and urban participation in both programs.
Author(s): Julie C. Reynolds, Susan C. McKernan, Peter C. Damiano, Raymond A. Kuthy
Citation: BMC Oral Health, 19, 89
Date: 05/2019
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Examines differences in dentist participation in Iowa's Dental Wellness Plan and Medicaid programs and discusses the policy implications for oral health access. Addresses differences in rural and urban participation in both programs.
Author(s): Julie C. Reynolds, Susan C. McKernan, Peter C. Damiano, Raymond A. Kuthy
Citation: BMC Oral Health, 19, 89
Date: 05/2019
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Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI
Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare & Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare & Medicaid Services
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Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
Examines state and federal policy options for increasing alignment and integration of people eligible for Medicare and Medicaid through Dual Eligible Special Needs Plans (D-SNPs). Reviews the literature on the topic, provides case studies from 5 states, reports on a meeting with officials from states working on D-SNPs, and addresses challenges for offering D-SNPs in rural areas.
Author(s): Nancy Archibald, Michelle Soper, Leah Smith, Alexandra Kruse, Joshua Wiener
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines state and federal policy options for increasing alignment and integration of people eligible for Medicare and Medicaid through Dual Eligible Special Needs Plans (D-SNPs). Reviews the literature on the topic, provides case studies from 5 states, reports on a meeting with officials from states working on D-SNPs, and addresses challenges for offering D-SNPs in rural areas.
Author(s): Nancy Archibald, Michelle Soper, Leah Smith, Alexandra Kruse, Joshua Wiener
Date: 04/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Addressing Low Case-Volume in Healthcare Performance Measurement of Rural Providers: Recommendations from the MAP Rural Health Technical Expert Panel
Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare & Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Sponsoring organizations: MAP Rural Health Workgroup, National Quality Forum
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Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare & Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Sponsoring organizations: MAP Rural Health Workgroup, National Quality Forum
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Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Sponsoring organization: KFF
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Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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