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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Is My Hospital Rural?
An infographic that provides a U.S. map showing state-level rural hospital coverage versus total hospital coverage. Includes information on bed availability, access, and economic impact.
Date: 11/2025
Sponsoring organization: American Hospital Association
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Medicare Physician Fee-For-Service Payments: Adjusting for Variation in Geographic Practice Costs and Challenges for Hawaiʻi
Reports on policy approaches to Medicare reimbursement in Hawaii in order to address provider shortages and limited access to care associated with the state's geographic isolation and high cost of living. Discusses how Medicare policy impacts reimbursement and service availability in rural, remote, and frontier areas.
Author(s): Reinie Gerrits-Goh, John Desfor, Diana M.V. Shaw, et al.
Date: 11/2025
Sponsoring organization: University of Hawaiʻi Rural Health Research & Policy Center
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The State of Rural Provider Compensation in 2025: Rural Physician & Advanced Practice Provider Compensation Survey Results
Results of a survey of over 4,697 rural providers, conducted in February and March of 2025 to provide insight into rural healthcare organizations and promote evidence-based, informed decisions when considering physician and advanced practice provider compensation. Features statistics with breakdowns by type of provider, specialty area, health system status, and more. Email address required to access report.
Date: 11/2025
Sponsoring organization: Stroudwater Associates
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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2025 and 2026
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to implementing federal priorities, systems issues, state budget limitations, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2025
Sponsoring organization: KFF
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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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Closing the Distance in Rural Primary Care: Evidence, Stories and Solutions
Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Final CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering the Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Rural Perspectives on Digital Health in Cardiovascular Care: Qualitative Study of Interviews With Rural and Rural-Serving Primary Care Providers and Cardiologists
Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
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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