Rural Health
Resources by Topic: Access
Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Accelerating Better Health Outcomes in Rural America with Mindy Cook and Kallie Provost
Podcast episode discussing the American Heart Association's Rural Health Care Outcomes Accelerator Program and cardiovascular healthcare in rural hospitals. Profiles Cox Monett Hospital, a Critical Access Hospital in southwest Missouri, and its adoption and implementation of two initiatives as part of the Rural Health Care Outcomes Accelerator Program.
Date: 06/2025
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the American Heart Association's Rural Health Care Outcomes Accelerator Program and cardiovascular healthcare in rural hospitals. Profiles Cox Monett Hospital, a Critical Access Hospital in southwest Missouri, and its adoption and implementation of two initiatives as part of the Rural Health Care Outcomes Accelerator Program.
Date: 06/2025
Sponsoring organization: Impact! Communications, Inc.
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Preventing Medical Debt among Rural Residents: Example Programs from Hospitals in Minnesota and Montana
Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Impacts of Transportation and Travel Access on Rural Health in Hawai'i
Reports on transportation and travel access as barriers to healthcare in rural Hawaii, utilizing a literature review and interviews with stakeholders, and provides policy suggestions for improving access to care. Includes a detailed review of the use of telehealth for rural maternal-fetal health.
Additional links: Overview
Author(s): John Desfor, Keilyn Kawakami, Monica Ho, et al.
Date: 06/2025
Sponsoring organization: University of Hawaiʻi Rural Health Research & Policy Center
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Reports on transportation and travel access as barriers to healthcare in rural Hawaii, utilizing a literature review and interviews with stakeholders, and provides policy suggestions for improving access to care. Includes a detailed review of the use of telehealth for rural maternal-fetal health.
Additional links: Overview
Author(s): John Desfor, Keilyn Kawakami, Monica Ho, et al.
Date: 06/2025
Sponsoring organization: University of Hawaiʻi Rural Health Research & Policy Center
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The Opioid Epidemic in Rural Communities: Can Telehealth Increase Access to Medication for Opioid Use Disorder and Offset Barriers to Care?
Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Annual Insurance Update 2025: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, including 2009-2023 trends in coverage. Presents 2022 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S. Wu, Kaci Cink, Viktoria Sterkhova, et al.
Date: 05/2025
Sponsoring organization: Kansas Health Institute
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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National Elder Abuse Victim Services Needs Assessment
A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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Inpatient Care Experiences Are Better in Critical Access Hospitals than in Other Hospitals
Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Examines the inpatient care experiences of patients in Critical Access Hospitals (CAHs) and inpatient prospective payment system (IPPS) hospitals. Utilizes Hospital Consumer Assessment of Hospitals, Providers, and Systems (HCAHPS) survey scores of CAHs and IPPs to evaluate patient experience according to hospital characteristics, patient characteristics, and rural versus urban location. Discusses the importance of CAHs to rural community healthcare access.
Author(s): Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott
Citation: Health Affairs Scholar, 3(5)
Date: 05/2025
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Disability Pride and Community Connection in Eastern Virginia: The disAbility Resource Center of the Rappahannock Area, Inc.
Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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