Rural Health
Resources by State: North Carolina
Evaluation of the Making Care Primary Model
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Expanding Access to Harm Reduction in Rural Communities Through Community-Informed Public Health Vending Machines
Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Molecular and Socioeconomic Characteristics of Inflammatory Breast Cancer in the Carolina Breast Cancer Study
Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Examines associations between the incidence of inflammatory breast cancer (IBC) and demographic and clinical factors, including rurality, utilizing Carolina Breast Cancer Study data of 153 cases of IBC.
Author(s): Qichen Wang, Sarah C. Van Alsten, Xiaojia Ji, et al.
Citation: Breast Cancer Research and Treatment, 215(2), 61
Date: 01/2026
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Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Improving Maternal Mental Health in Women With Serious Mental Illness
Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report highlights gaps in maternal mental healthcare access and highlights promising practices aimed at closing those gaps in several states. Discusses factors that affect maternal mental health access, such as screening, workforce, training, and peer support, among others.
Date: 2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Trends in Non-Emergency Medical Transportation During Medicaid Transformation in North Carolina
Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Community Healers: How Cherokee Indian Hospital Authority Leads in Health and Wellness
Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Co-Creating and Disseminating Substance Use and Vaping Educational Videos, Question Prompt Lists, and Other Resources in Partnership with Community Organizations and Youth in Western North Carolina
Describes the development of and evaluates the social media reach of a youth empowerment program addressing substance use in rural North Carolina. Discusses the inclusion of youth in the development process.
Author(s): Betsy Sleath, Abena A. Adjei, Jeremy Lowery, et al.
Citation: PEC Innovation, 7
Date: 12/2025
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Describes the development of and evaluates the social media reach of a youth empowerment program addressing substance use in rural North Carolina. Discusses the inclusion of youth in the development process.
Author(s): Betsy Sleath, Abena A. Adjei, Jeremy Lowery, et al.
Citation: PEC Innovation, 7
Date: 12/2025
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Leveraging the Rural-Urban Commuting Area Tool to Address Geographic Disparities in Cancer Care: A Dual-Application Framework for Institutional and National Initiatives
Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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FY 2025: HRSA's Rural Health Grants – North Carolina Fact Sheet
HRSA Federal Office of Rural Health Policy investments in North Carolina in Fiscal Year 2025. Lists grant recipients, award amounts, award recipient locations, and congressional district.
Date: 11/2025
Sponsoring organization: Federal Office of Rural Health Policy
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HRSA Federal Office of Rural Health Policy investments in North Carolina in Fiscal Year 2025. Lists grant recipients, award amounts, award recipient locations, and congressional district.
Date: 11/2025
Sponsoring organization: Federal Office of Rural Health Policy
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