Rural Health
Resources by Topic: Healthcare business and finance
Risk Adjustment in the Medicare Advantage Population Using Encounter Data
Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
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Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
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Frontiers: A Rural Maternal Health Podcast Series
A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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Scaling Food Is Medicine Through Primary Care: Three Strategies for States
Examines strategies to connect Medicaid recipients to Food is Medicine (FIM) interventions through primary care providers. Discusses how strategies, such as investing in care coordination and partnering with community-based organizations, may be valuable in rural communities.
Author(s): Amanda Bank
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Examines strategies to connect Medicaid recipients to Food is Medicine (FIM) interventions through primary care providers. Discusses how strategies, such as investing in care coordination and partnering with community-based organizations, may be valuable in rural communities.
Author(s): Amanda Bank
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Availability of Real-Time Prescription Benefit Information Among U.S. Hospitals
Describes the availability of real-time prescription benefit (RTPB) information across U.S. hospitals in 2025. Presents data and analysis on RTPB information availability by hospital type, including Critical Access Hospital (CAH) designation, rural location, system affiliation, Accountable Care Organization (ACO) participation, ownership status, and more.
Date: 09/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Describes the availability of real-time prescription benefit (RTPB) information across U.S. hospitals in 2025. Presents data and analysis on RTPB information availability by hospital type, including Critical Access Hospital (CAH) designation, rural location, system affiliation, Accountable Care Organization (ACO) participation, ownership status, and more.
Date: 09/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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What Will It Take to Sustain Maternal Care in Rural Communities? These Strategies Are Helping Keep Care Close to Home
Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Rural Hospital Closures and Mortality From Time-Sensitive Conditions in Texas
Examines the relationship between mortality and rural hospital closures in Texas. Analyzes time-sensitive deaths per 100,000 residents across 175 counties between 2006 and 2019 and observes changes in mortality rates in a county where a rural hospital closed or in a nearby affected area. Includes county-level map showing location of hospital closures.
Author(s): Mark A. Poisler, Kritee Gujral
Citation: JAMA Network Open, 9(9), e2636325
Date: 09/2026
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Examines the relationship between mortality and rural hospital closures in Texas. Analyzes time-sensitive deaths per 100,000 residents across 175 counties between 2006 and 2019 and observes changes in mortality rates in a county where a rural hospital closed or in a nearby affected area. Includes county-level map showing location of hospital closures.
Author(s): Mark A. Poisler, Kritee Gujral
Citation: JAMA Network Open, 9(9), e2636325
Date: 09/2026
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2026 Medicare Annual Wellness Visits: Strategies for Rural Health Clinic Success
Recording of a September 22, 2026, webinar discussing Medicare Annual Wellness Visits (AWVs) and Rural Health Clinics (RHCs). Discusses the history of AWVs; why AWVs are important for patients, RHCs, and accountable care organizations (ACOs); billing AWVs in RHCs; and more.
Additional links: Annual Wellness Visit Form, Annual Wellness Visit Prep List, Annual Wellness Visits Packet, Call Us First Handout, Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 22, 2026, webinar discussing Medicare Annual Wellness Visits (AWVs) and Rural Health Clinics (RHCs). Discusses the history of AWVs; why AWVs are important for patients, RHCs, and accountable care organizations (ACOs); billing AWVs in RHCs; and more.
Additional links: Annual Wellness Visit Form, Annual Wellness Visit Prep List, Annual Wellness Visits Packet, Call Us First Handout, Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Mental Health Care Access in Rural Communities amid the Expansion of Telehealth
Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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The Integrated Vulnerability Measure a Novel Financial Distress Index for US Hospitals
Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Rural Hospitals: Policy and Infrastructure Opportunities in the Rural Health Transformation Program
Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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