Rural Health Insurance & Coverage
Medicaid and Medicare are an important sources of health care coverage for the over 60 million Americans living in rural areas. Nearly a quarter of individuals under age 65 who live in rural areas are covered by Medicaid, as well as 22 percent of people dually enrolled in Medicaid and Medicare. Overall, rural residents have worse health outcomes and tend to be older, poorer, and sicker than those in urban areas. These communities heavily rely on Medicaid and Medicare programs to support insurance coverage individually, and as a whole for their health care system and healthcare workforce. On average, over 70 percent of rural hospital revenue comes from public payers. We encourage you to utilize the following advocacy materials and external resources when you are advocating for rural healthcare coverage.
Medicaid
- Medicaid and CHIP Managed Care Access, Finance, and Quality - 2023
- Letter to Congress on Medicaid cuts - 2022
- Ensuring Access to Medicaid Services proposed rule - 2023
- Access to Coverage and Care in Medicaid & CHIP Request for Information - 2022
- Medicaid Fiscal Accountability Regulation proposed rule - 2020
Medicare
- Congressional RFI on proposed oral health benefits under Medicare
- Letter to MedPAC on March 7, 2024 meeting - 2024
- Letter of support to MedPAC on draft 2024 payment recommendations - 2022
- MedPAC vote on payment recommendations for 2023 - 2022
Medicare Regulations and Requests for Information
- CY 2026 Medicare Advantage and Part D proposed rule
- FY 2024 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - 2023
- NRHA response to Episode-Based Payment Model Request for Information - 2023
- CY 2024 Medicare Advantage Policy and Technical Changes proposed rule - 2023
- CY 2024 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - 2023
- CY 2024 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - 2023
- CY 2024 Home Health Prospective Payment System proposed rule - 2023
- CY 2023 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - 2022
- FY 2023 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - 2022
- HHS Request for Information on Medicare Advantage - 2022
- CY 2023 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - 2022
- CY 2022 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - 2021
- FY 2022 addendum Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - 2021
- CY 2022 Medicare Physician Fee Schedule and Other Changes to Part B Payment Policies - 2021
- FY 2021 Medicare IPPS for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System - 2020
- CY 2021 Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs - 2020