Rural Health
Resources by Topic: Medicaid

Handbook for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Details the background and highlights models of non-emergency medical transportation (NEMT) for Medicaid beneficiaries. Includes information for human services and public transportation to coordinate with NEMT. Features a companion document that breaks down NEMT by state.
Additional links: Read Online, State-by-State Profiles for Examining the Effects of Non-Emergency Medical Transportation Brokerages on Transportation Coordination
Date: 2018
Type: Document
Sponsoring organizations: National Academies of Sciences, Engineering, and Medicine, Transportation Research Board
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Oklahoma Health Care Authority Strategic Plan 2018-2022
Offers a strategic plan for Oklahoma's Medicaid program, SoonerCare. Includes a focus on ensuring access and developing new providers and services for members in rural areas.
Date: 2018
Type: Document
Sponsoring organization: Oklahoma Health Care Authority
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Getting to Healthcare Value: Redirecting the Policy Debate Toward Lower Costs and Better Quality
Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Catalyzing Medicaid-Public Health Collaboration to Reduce Childhood Obesity
Explains cross-sector interventions tested by 5 states - Arizona, Maryland, Oklahoma, Oregon, and Texas - participating in the Center for Health Care Strategies' Innovations in Childhood Obesity Initiative. Each state profile highlights how Medicaid and public health agencies are using innovative approaches to address childhood obesity in their high-risk communities. The Texas initiative focuses on childhood obesity in the rural, low-income population along the U.S./Mexico border.
Author(s): Alexandra Maul, Stephen A. Somers
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Provides information concerning the potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by state and census region, with breakdowns for urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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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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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