Rural Health
Resources by Topic: Medicaid
Public and Individual Health Insurance Trends in Rural Minnesota: Enrollment During Implementation of the Affordable Care Act
Report focuses on rural Minnesotans' enrollment in non-employer provided insurance coverage as impacted by the Affordable Care Act (ACA) since 2010. Includes a discussion of Medical Assistance and MinnesotaCare increases as well as the individual market. Data and statistics by county type (entirely rural, small town/rural mix, urban/small town/rural, entirely urban) also provided.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Report focuses on rural Minnesotans' enrollment in non-employer provided insurance coverage as impacted by the Affordable Care Act (ACA) since 2010. Includes a discussion of Medical Assistance and MinnesotaCare increases as well as the individual market. Data and statistics by county type (entirely rural, small town/rural mix, urban/small town/rural, entirely urban) also provided.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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Impact of Comorbidities Among Medicaid Enrollees With Chronic Obstructive Pulmonary Disease, United States, 2009
Results of a study exploring how comorbidities among patients with chronic obstructive pulmonary disease affect disease burden, emergency department use, hospitalizations, and healthcare costs. Uses data from 2009 for 291,978 people aged 18-64 from 28 states. Features statistics with breakdowns including age group, race or ethnicity, sex, and residence in large metropolitan, small metropolitan, or rural areas.
Author(s): Gloria Westney, Marilyn G. Foreman, Junjun Xu, et al.
Citation: Preventing Chronic Disease, 14
Date: 04/2017
Type: Document
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Results of a study exploring how comorbidities among patients with chronic obstructive pulmonary disease affect disease burden, emergency department use, hospitalizations, and healthcare costs. Uses data from 2009 for 291,978 people aged 18-64 from 28 states. Features statistics with breakdowns including age group, race or ethnicity, sex, and residence in large metropolitan, small metropolitan, or rural areas.
Author(s): Gloria Westney, Marilyn G. Foreman, Junjun Xu, et al.
Citation: Preventing Chronic Disease, 14
Date: 04/2017
Type: Document
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Health Care: Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Type: Document
Sponsoring organization: Government Accountability Office
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How Has the ACA Changed Finances for Different Types of Hospitals? Updated Insights from 2015 Cost Report Data
Compares the impact of whether states decided to expand Medicaid on hospital finances, including an exploration of the impact on various types of hospitals. Examines and compares hospital financial indicators such as uncompensated care, Medicaid revenue, operating margin, and excess margins from fiscal year (FY) 2011 through FY 2015. Includes an extensive discussion on the variation between metro and nonmetro hospitals, and provides tables and charts to help illustrate trends.
Author(s): Fredric Blavin
Date: 04/2017
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Compares the impact of whether states decided to expand Medicaid on hospital finances, including an exploration of the impact on various types of hospitals. Examines and compares hospital financial indicators such as uncompensated care, Medicaid revenue, operating margin, and excess margins from fiscal year (FY) 2011 through FY 2015. Includes an extensive discussion on the variation between metro and nonmetro hospitals, and provides tables and charts to help illustrate trends.
Author(s): Fredric Blavin
Date: 04/2017
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Report to Congress on Medicaid and CHIP, March 2017
Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Behavioral Health Treatment Needs and Outcomes for Washington Counties
Provides county-level behavioral health data for Medicaid enrollees in Washington. Includes data breakdowns for those covered under Medicaid expansion, adults with disabilities, and by race/ethnicity and age group. Covers mental health, substance abuse, co-occurring disorders, criminal justice involvement, emergency department use, homelessness, and more.
Date: 03/2017
Type: Website
Sponsoring organization: Washington State Department of Social and Health Services
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Provides county-level behavioral health data for Medicaid enrollees in Washington. Includes data breakdowns for those covered under Medicaid expansion, adults with disabilities, and by race/ethnicity and age group. Covers mental health, substance abuse, co-occurring disorders, criminal justice involvement, emergency department use, homelessness, and more.
Date: 03/2017
Type: Website
Sponsoring organization: Washington State Department of Social and Health Services
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Medicaid Expansion, Budgetary Projections, and Impact on Hospitals
Examines the impact of Medicaid expansion in Louisiana on rural hospitals, healthcare providers, and the state budget. Addresses the potential impact on rural hospitals of a cutback in disproportionate share (DSH) payments for uncompensated care.
Author(s): James A. Richardson, Jared J. Llorens, Roy L. Heidelberg
Date: 03/2017
Type: Document
Sponsoring organization: Louisiana Public Health Institute
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Examines the impact of Medicaid expansion in Louisiana on rural hospitals, healthcare providers, and the state budget. Addresses the potential impact on rural hospitals of a cutback in disproportionate share (DSH) payments for uncompensated care.
Author(s): James A. Richardson, Jared J. Llorens, Roy L. Heidelberg
Date: 03/2017
Type: Document
Sponsoring organization: Louisiana Public Health Institute
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Medicaid Expansion in Louisiana: Perspectives of Providers from Federally Qualified Health Centers and Rural Health Centers
Reports on interviews with Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Louisiana to analyze the impact of Medicaid expansion. Describes the impact on health care access, changes made by FQHCs and RHCs, and the need for more healthcare providers.
Date: 03/2017
Type: Document
Sponsoring organization: Louisiana Public Health Institute
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Reports on interviews with Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Louisiana to analyze the impact of Medicaid expansion. Describes the impact on health care access, changes made by FQHCs and RHCs, and the need for more healthcare providers.
Date: 03/2017
Type: Document
Sponsoring organization: Louisiana Public Health Institute
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Disruptive Innovation in Medicaid Non-Emergency Transportation
Discusses the current state of Medicaid's non-emergency medical transportation (NEMT) benefit, focusing on challenges, potential improvements, and state-level reforms. Includes an overview and table of NEMT service models by state and touches on the structural inefficiencies faced by rural communities.
Author(s): Adam Ganuza, Rachel Davis
Date: 02/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Discusses the current state of Medicaid's non-emergency medical transportation (NEMT) benefit, focusing on challenges, potential improvements, and state-level reforms. Includes an overview and table of NEMT service models by state and touches on the structural inefficiencies faced by rural communities.
Author(s): Adam Ganuza, Rachel Davis
Date: 02/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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