Rural Health
Resources by Topic: Medicaid
State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, accountable care organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Date: 07/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014, under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014, under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A Second Look
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
view details
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
view details
Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Sponsoring organization: Congressional Research Service
view details
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Sponsoring organization: Congressional Research Service
view details
Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Sponsoring organization: Urban Institute
view details
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Sponsoring organization: Urban Institute
view details
Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
view details
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
view details
Examination of the Relative Importance of Hospital Employment in Non-Metropolitan Counties Using Location Quotients
Examines hospital employment in rural counties compared to the nation. Draws conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations.
Author(s): Jon Smith
Citation: Rural and Remote Health, 13(3), 2497
Date: 07/2013
view details
Examines hospital employment in rural counties compared to the nation. Draws conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations.
Author(s): Jon Smith
Citation: Rural and Remote Health, 13(3), 2497
Date: 07/2013
view details
Telemedical Cervical Cancer Screening to Bridge Medicaid Service Care Gap for Rural Women
Describes how telecolposcopy services can fill a gap in healthcare by increasing access to cervical cancer screenings for rural women in Arkansas. Includes implications for models for improving access to care among vulnerable populations using telemedicine.
Author(s): Wilbur C. Hitt, Gordon Low, Tommy Mac Bird, Rachel Ott
Citation: Telemedicine Journal and e-Health, 19(5), 403-408
Date: 05/2013
view details
Describes how telecolposcopy services can fill a gap in healthcare by increasing access to cervical cancer screenings for rural women in Arkansas. Includes implications for models for improving access to care among vulnerable populations using telemedicine.
Author(s): Wilbur C. Hitt, Gordon Low, Tommy Mac Bird, Rachel Ott
Citation: Telemedicine Journal and e-Health, 19(5), 403-408
Date: 05/2013
view details
Care Management for Medicaid Enrollees Through Community Health Teams
Presents data from a 2011-2012 review of state Medicaid medical home programs in 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Sponsoring organization: Commonwealth Fund
view details
Presents data from a 2011-2012 review of state Medicaid medical home programs in 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Sponsoring organization: Commonwealth Fund
view details