Rural Health
Resources by Topic: Elderly population
PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Paying Family Caregivers: Self-direction in Medicaid Personal Care
Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Geriatric Emergency Department Accreditation for Rural Providers, with Kevin Biese and Natalie Elder
An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kevin Biese, MD, Chair of the Board of the American College of Emergency Physicians Geriatric Emergency Accreditation program, and Natalie Elder, MD, Director of Geriatric Emergency Medicine for the University of Vermont Health Network. Focuses on the Geriatric Emergency Department Accreditation and the standards of rural geriatric care that it ensures.
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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Older Americans Act: Greatest Economic and Social Needs of Rural Older Adults
Policy brief discussing the economic and social needs for rural older adults. Offers policy and action recommendations for the reauthorization of the Older Americans Act, discussing rural aging programs, affordable housing, access to nutrition, social isolation, healthcare workforce shortages, and caregiver support.
Author(s): Kathy Greenlee, Abby Cox, L. Carter Florence, Josh Protas, and Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Policy brief discussing the economic and social needs for rural older adults. Offers policy and action recommendations for the reauthorization of the Older Americans Act, discussing rural aging programs, affordable housing, access to nutrition, social isolation, healthcare workforce shortages, and caregiver support.
Author(s): Kathy Greenlee, Abby Cox, L. Carter Florence, Josh Protas, and Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Healthcare Access and Health Related Quality of Life of New Mexican Adults: Results from the 2023 New Mexico Behavioral Risk Factor Surveillance System
Reports on healthcare access and health-related quality of life in New Mexico using New Mexico Behavioral Risk Factor Survey (NM BRFSS) data. Covers topics including self-reported quality of mental and physical health, health insurance coverage, routine healthcare check-ups, flu vaccination among older adults, and likelihood of having a personal healthcare provider. Provides data breakdowns for each topic by level of rurality and other demographics.
Date: 10/2025
Sponsoring organization: New Mexico Department of Health
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Reports on healthcare access and health-related quality of life in New Mexico using New Mexico Behavioral Risk Factor Survey (NM BRFSS) data. Covers topics including self-reported quality of mental and physical health, health insurance coverage, routine healthcare check-ups, flu vaccination among older adults, and likelihood of having a personal healthcare provider. Provides data breakdowns for each topic by level of rurality and other demographics.
Date: 10/2025
Sponsoring organization: New Mexico Department of Health
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More Than 5 Million Older Adults Are Eligible for Both the Supplemental Nutrition Assistance Program (SNAP) and a Medicare Savings Program (MSP)
Examines characteristics of older adults who are eligible for both Medicare Savings Programs (MSPs) and the Supplemental Nutrition Assistance Program (SNAP). Provides data on eligibility, with data broken down by state, demographics, household size, income, and urban versus rural location.
Author(s): Olivia Dean, Tobey Oliver
Date: 10/2025
Sponsoring organization: AARP Public Policy Institute
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Examines characteristics of older adults who are eligible for both Medicare Savings Programs (MSPs) and the Supplemental Nutrition Assistance Program (SNAP). Provides data on eligibility, with data broken down by state, demographics, household size, income, and urban versus rural location.
Author(s): Olivia Dean, Tobey Oliver
Date: 10/2025
Sponsoring organization: AARP Public Policy Institute
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Participation in Cancer Survivorship Survey Research: Differences by Rurality and Age
Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Analyzes rural and urban and age-based differences in cancer survivorship research participation among 1,679 cancer survivors who recently received diagnosis or treatment at the University of Arkansas for Medical Sciences. Provides data on likelihood of participation by mail, internet, or telephone, and discusses the importance of improving access to research participation among rural and older cancer survivors.
Author(s): Emily Hallgren, Aaron R. Caldwell, Jennifer A. Andersen, et al.
Citation: Journal of Clinical and Translational Science, 9(1), e200
Date: 09/2025
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Supporting Older-Adult Behavioral Health: Building the First State Center of Excellence for Behavioral Health and Aging
Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Comprehensive Analysis of the Supply, Demand, and Affordability of Senior Housing in Rural Pennsylvania
Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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