Rural Health
Resources by Topic: Access
WIC Participant and Local Agency Staff Perspectives on Increased Cash-Value Benefits for Fruits and Vegetables Within an American Indian Tribal Organization
Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Strengthening California's Primary Care Team Workforce: Data and Recommendations for Action
Reports on the state of California's primary care workforce and provides policy recommendations. Provides data and discussion on topics including workforce-related barriers to care, approaches to payment and reimbursement, workforce training, and support for service delivery models. Discusses rural and underserved areas throughout.
Additional links: Executive Summary, Summary of Policy Recommendations, Technical Appendix
Author(s): Diane Rittenhouse, Katie Coleman, Janet Coffman, et al.
Date: 02/2026
Sponsoring organization: California Health Care Foundation
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Reports on the state of California's primary care workforce and provides policy recommendations. Provides data and discussion on topics including workforce-related barriers to care, approaches to payment and reimbursement, workforce training, and support for service delivery models. Discusses rural and underserved areas throughout.
Additional links: Executive Summary, Summary of Policy Recommendations, Technical Appendix
Author(s): Diane Rittenhouse, Katie Coleman, Janet Coffman, et al.
Date: 02/2026
Sponsoring organization: California Health Care Foundation
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Accountable Health Communities (AHC) Model Evaluation: Final Report
Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Health Care Access from the Rural Perspective: A Narrative Review
Examines rural healthcare access in the dimensions of geographic, temporal, financial, cultural, and virtual. Discusses rural versus urban access challenges and access disparities related to geographic distance and available transportation, broadband internet access and digital literacy, healthcare workforce shortages, and the social determinants of health.
Author(s): Peter Kaboli, Adam Blaine, Jasmine Mares, et al.
Citation: Journal of Rural Health, 42(1), e70119
Date: 02/2026
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Examines rural healthcare access in the dimensions of geographic, temporal, financial, cultural, and virtual. Discusses rural versus urban access challenges and access disparities related to geographic distance and available transportation, broadband internet access and digital literacy, healthcare workforce shortages, and the social determinants of health.
Author(s): Peter Kaboli, Adam Blaine, Jasmine Mares, et al.
Citation: Journal of Rural Health, 42(1), e70119
Date: 02/2026
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REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Availability of Higher-Level Neonatal Care in Rural and Urban US Hospitals, 2010-2022
A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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Chartis Center for Rural Health Research & Resources for the 2026 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Rural Healthcare Challenges Deepen as the Rural Health Transformation Program Ramps Up
Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Meeting the Health Needs of Rural America: A Report of the Aspen Health Strategy Group
Presents a model for addressing rural health disparities and encouraging accessible, sustainable healthcare access through community-centered policy, investment, and healthcare delivery. Discusses topics related to health policy, funding, community development, infrastructure, preventive care, and more.
Date: 02/2026
Sponsoring organization: Aspen Institute
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Presents a model for addressing rural health disparities and encouraging accessible, sustainable healthcare access through community-centered policy, investment, and healthcare delivery. Discusses topics related to health policy, funding, community development, infrastructure, preventive care, and more.
Date: 02/2026
Sponsoring organization: Aspen Institute
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The Economic Burden of Mental Health and Substance Use Disorders: The United States and the Heartland Region
Examines how mental health and substance use disorders (MH/SUDs) affect healthcare spending and lost productivity in the heartland region of the United States, using 2016-2023 AHRQ MEPS data from seven selected states. See page 20 for discussion of rurality as a factor influencing MH/SUD treatment access.
Author(s): Alexandra F. Kritikos, Meg Hefferon, Devi Chelluri, MacKenzie L. Hughes
Date: 02/2026
Sponsoring organization: NORC at the University of Chicago
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Examines how mental health and substance use disorders (MH/SUDs) affect healthcare spending and lost productivity in the heartland region of the United States, using 2016-2023 AHRQ MEPS data from seven selected states. See page 20 for discussion of rurality as a factor influencing MH/SUD treatment access.
Author(s): Alexandra F. Kritikos, Meg Hefferon, Devi Chelluri, MacKenzie L. Hughes
Date: 02/2026
Sponsoring organization: NORC at the University of Chicago
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