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The Health Equity & Access for Rural Dually Eligible Individuals Toolkit: Raising Rural Voices

A public health crisis is growing more acute in rural America, disproportionately impacting individuals with both Medicaid and Medicare (the “dually eligible”). Dually eligible individuals residing in rural areas represent about 5 percent of all rural residents. They reside at the intersection of a public health crisis and a fragmented Medicaid and Medicare care delivery system. As HMA wrote in Health Affairs, this small population is at risk of falling through the cracks of this crisis and suffering a steep rural mortality penalty.

With support from Arnold Ventures, HMA prepared “The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit: Raising Rural Voices from New Mexico, North Dakota, and Tennessee to Create Action. The toolkit contains eight actionable solutions for federal and state policymakers to use and tailor to states’ needs. Ellen Breslin, Samantha Di Paola, and Susan McGeehan authored the toolkit, with research contributions from Rebecca Kellenberg and Andrea Maresca.

Meet the featured experts

Headshot of Ellen Breslin

Ellen Breslin, MPP

Principal
Boston, MA
Headshot of Samantha Di Paola

Samantha Di Paola, MHA, PMP

Senior Consultant
New York, NY
Headshot of Susan McGeehan

Susan McGeehan

Associate Principal
St. Paul, MN
Headshot of Rebecca Kellenberger

Rebecca Kellenberg, MPP

Principal
Denver, CO
Headshot of Andrea Maresca

Andrea Maresca, MPH

Managing Director, Information Services
Washington, DC