Rural Health
Resources by Topic: Health insurance
Trends Among Medicare Special Needs Plan Enrollment in Metropolitan and Nonmetropolitan Areas
Examines enrollment trends from 2016-2025 in Medicare Advantage plans that provide benefits and services to people with specific conditions or healthcare needs, or who also have Medicaid. Features statistics with breakdowns by year and by metropolitan or nonmetropolitan location.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 04/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines enrollment trends from 2016-2025 in Medicare Advantage plans that provide benefits and services to people with specific conditions or healthcare needs, or who also have Medicaid. Features statistics with breakdowns by year and by metropolitan or nonmetropolitan location.
Author(s): Edmer Lazaro, Fred Ullrich, Keith Mueller
Date: 04/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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April 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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The State of Medicare Supplement Coverage: Trends in Enrollment and Demographics
Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies in 2024 and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders in 2023.
Date: 04/2026
Sponsoring organization: AHIP
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Provides an overview of Medicare Supplement, or Medigap, coverage and coverage options. Examines the demographics of Medicare enrollees with Medicare Supplement policies in 2024 and enrollment trends. Includes demographic data on rural Medicare Supplement policyholders in 2023.
Date: 04/2026
Sponsoring organization: AHIP
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Is Medicare Home Health Care Utilization Substituting for Long-Term Care? Evidence From Dual Eligible Beneficiaries
Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Examines the relationship between Medicaid home and community-based services (HCBS) and Medicare community-initiated home health care (CIHHC). Utilizes 2016-2019 national Medicare and Medicaid claims data of dually enrolled older adults and analyzes the effects of Medicaid HCBS use on the utilization of Medicare CIHHC. Includes comparisons of HCBS users and non-HCBS users with breakdowns by demographics and rural versus urban county classification.
Author(s): Mingyu Qi, Rachel M. Werner, Megan Huisingh-Scheetz, R. Tamara Konetzka
Citation: Health Services Research, 61(2), e70109
Date: 04/2026
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Merit-based Incentive Payment System (MIPS): Traditional MIPS Scoring Guide for the 2026 Performance Year
Provides details on how scores are calculated for the Merit-based Incentive Payment System (MIPS), one of two tracks under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes information for small practices.
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides details on how scores are calculated for the Merit-based Incentive Payment System (MIPS), one of two tracks under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes information for small practices.
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Assessing Access to Cardiologists and Endocrinologists in the Texas ACA Market
Uses secret shopper surveys to assess patient access to cardiologists and endocrinologists in the Texas Affordable Care Act marketplace. Includes breakdown of data by rurality of both patient and provider. Discusses appointment wait times and distance to care for rural patients.
Author(s): Simon F. Haeder, Yuqin Lou, Wendy Xu
Citation: Health Affairs Scholar, 4(4)
Date: 03/2026
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Uses secret shopper surveys to assess patient access to cardiologists and endocrinologists in the Texas Affordable Care Act marketplace. Includes breakdown of data by rurality of both patient and provider. Discusses appointment wait times and distance to care for rural patients.
Author(s): Simon F. Haeder, Yuqin Lou, Wendy Xu
Citation: Health Affairs Scholar, 4(4)
Date: 03/2026
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Merit-based Incentive Payment System (MIPS): 2026 Merit-Based Incentive Payment (MIPS) Value Pathways (MVPs) Implementation Guide
Provides an overview of the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), a voluntary reporting option that can be used to meet MIPS reporting requirements for the 2026 performance year. Describes subgroup reporting, reporting requirements, scoring, performance feedback and public reporting, and how to register to report an MVP. Includes information on considerations and exceptions for small practices.
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), a voluntary reporting option that can be used to meet MIPS reporting requirements for the 2026 performance year. Describes subgroup reporting, reporting requirements, scoring, performance feedback and public reporting, and how to register to report an MVP. Includes information on considerations and exceptions for small practices.
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Growth in Medicare Advantage by Organizational Size Across Rural and Urban Counties
Explores changes in the Medicare Advantage (MA) markets in rural and urban counties. Draws findings from enrollment data from 2019-2026. Breaks down findings by rural, micropolitan, and metropolitan counties.
Author(s): Dan M Shane, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70134
Date: 03/2026
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Explores changes in the Medicare Advantage (MA) markets in rural and urban counties. Draws findings from enrollment data from 2019-2026. Breaks down findings by rural, micropolitan, and metropolitan counties.
Author(s): Dan M Shane, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70134
Date: 03/2026
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Understanding Upcoming Deadlines of New Section 504 Requirements
Recording of a March 30, 2026, webinar reviewing updates to Section 504 of the Rehabilitation Act of 1973, titled "Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance," that take effect for Medicare and Medicaid providers, including Rural Health Clinics, in summer 2026. Describes new requirements for the accessibility of medical treatment, kiosks, web content, mobile applications, medical equipment and facilities, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 30, 2026, webinar reviewing updates to Section 504 of the Rehabilitation Act of 1973, titled "Nondiscrimination on the Basis of Disability in Programs or Activities Receiving Federal Financial Assistance," that take effect for Medicare and Medicaid providers, including Rural Health Clinics, in summer 2026. Describes new requirements for the accessibility of medical treatment, kiosks, web content, mobile applications, medical equipment and facilities, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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Effect of Medicaid Audio-Only Telehealth Coverage Policy on Mental Health Visits in Federally Qualified Health Centers
Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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