Rural Health
Resources by Topic: Access
How Do Changes in Medicare Reimbursement for Mental Health Services Impact Access for Rural Older Adults?
Examines how policies allowing marriage and family therapists (MFTs) and mental health counselors (MHCs) to independently bill Medicare have impacted mental healthcare access among Medicare beneficiaries living in rural areas. Utilizes interview data from 14 leaders representing rural health systems and mental health organizations regarding their perceptions on mental healthcare access, Medicare reimbursement policy, and the inclusion of MFTs and MHCs as mental health providers for Medicare recipients.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Signe Burchim, Janessa M. Graves
Citation: Journal of Rural Health, 42(2), e70162
Date: 05/2026
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Examines how policies allowing marriage and family therapists (MFTs) and mental health counselors (MHCs) to independently bill Medicare have impacted mental healthcare access among Medicare beneficiaries living in rural areas. Utilizes interview data from 14 leaders representing rural health systems and mental health organizations regarding their perceptions on mental healthcare access, Medicare reimbursement policy, and the inclusion of MFTs and MHCs as mental health providers for Medicare recipients.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Signe Burchim, Janessa M. Graves
Citation: Journal of Rural Health, 42(2), e70162
Date: 05/2026
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Broadband Access and Ophthalmologist Density in the United States: Cross-Sectional Questionnaire Study
Examines the relationship between broadband access and ophthalmologist density according to urbanicity and county-level demographic variables. Utilizes 2019 data from multiple national data sources and provides county-level U.S. maps showing ophthalmologist density, broadband access, and counties with both low broadband and ophthalmologist access.
Author(s): Patrick Akarapimand, John C. Lin, Ingrid U. Scott, Sally L. Baxter
Citation: JMIR Public Health and Surveillance, 12, e88473
Date: 05/2026
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Examines the relationship between broadband access and ophthalmologist density according to urbanicity and county-level demographic variables. Utilizes 2019 data from multiple national data sources and provides county-level U.S. maps showing ophthalmologist density, broadband access, and counties with both low broadband and ophthalmologist access.
Author(s): Patrick Akarapimand, John C. Lin, Ingrid U. Scott, Sally L. Baxter
Citation: JMIR Public Health and Surveillance, 12, e88473
Date: 05/2026
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Differential Impact of the Supportive Services for Veteran Families (SSVF) Program on Veterans Affairs Healthcare Utilization and Costs among Rural and Urban Veterans Experiencing Housing Instability
Presents a study examining differences in the impact of the VA's Supportive Services for Veteran Families (SSVF) program on both healthcare utilization and costs for rural and urban veterans experiencing housing instability. Breaks down data by inpatient, outpatient, and emergency department utilization and costs for rural and urban, and SSVF and non-SSVF cohorts.
Author(s): Minkyoung Yoo, Alec B. Chapman, Ying Suo, et al.
Citation: Journal of Rural Health, 42(2), e70167
Date: 05/2026
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Presents a study examining differences in the impact of the VA's Supportive Services for Veteran Families (SSVF) program on both healthcare utilization and costs for rural and urban veterans experiencing housing instability. Breaks down data by inpatient, outpatient, and emergency department utilization and costs for rural and urban, and SSVF and non-SSVF cohorts.
Author(s): Minkyoung Yoo, Alec B. Chapman, Ying Suo, et al.
Citation: Journal of Rural Health, 42(2), e70167
Date: 05/2026
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Transforming Rural Health: Strategies from the Field - Rural Telehealth
A brief that discusses telehealth access, policy considerations, and barriers for rural communities, such as lack of digital infrastructure. Provides strategies for integrating telehealth into healthcare delivery models, initiating collaborative opportunities, and building digital access points in rural communities.
Date: 05/2026
Sponsoring organization: Georgia Health Policy Center
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A brief that discusses telehealth access, policy considerations, and barriers for rural communities, such as lack of digital infrastructure. Provides strategies for integrating telehealth into healthcare delivery models, initiating collaborative opportunities, and building digital access points in rural communities.
Date: 05/2026
Sponsoring organization: Georgia Health Policy Center
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs
Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries
Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Integrated Care for Kids (InCK) Model: Evaluation Report 3
Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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