Rural Health
Resources by Topic: Healthcare business and finance
Merit-based Incentive Payment System (MIPS): 2026 Reporting Options Comparison Resource
Provides an overview of the similarities and differences among the three Merit-based Incentive Payment System (MIPS) reporting options: Traditional MIPS, MIPS Value Pathways (MVP), and Alternative Payment Model (APM) Performance Pathway (APP)/APP Plus. Designed to help providers understand which reporting options may be best for their practice. Includes information on reporting flexibilities and scoring for small and rural practices.
Additional links: 2026 Merit-Based Incentive Payment System (MIPS) Reporting Options At-A-Glance for Small Practices
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the similarities and differences among the three Merit-based Incentive Payment System (MIPS) reporting options: Traditional MIPS, MIPS Value Pathways (MVP), and Alternative Payment Model (APM) Performance Pathway (APP)/APP Plus. Designed to help providers understand which reporting options may be best for their practice. Includes information on reporting flexibilities and scoring for small and rural practices.
Additional links: 2026 Merit-Based Incentive Payment System (MIPS) Reporting Options At-A-Glance for Small Practices
Date: 03/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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An Early Look at Profitability Before and After Conversion to Rural Emergency Hospital
Examines the impact of the Rural Emergency Hospital (REH) designation on profitability of hospitals. Analyzes Medicare Cost Reports (MCRs) from 32 REHs before and after conversion and provides information on REH total and operating margins.
Author(s): Aditya Pillutla, George Pink, Kristie Thompson, Mark Holmes
Date: 03/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the impact of the Rural Emergency Hospital (REH) designation on profitability of hospitals. Analyzes Medicare Cost Reports (MCRs) from 32 REHs before and after conversion and provides information on REH total and operating margins.
Author(s): Aditya Pillutla, George Pink, Kristie Thompson, Mark Holmes
Date: 03/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Metropolitan and Nonmetropolitan Medicare Advantage Enrollment 2025
Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the percentage of rural and urban Medicare beneficiaries enrolled in Medicare Advantage (MA) plans between 2021-2025. Presents data on the changes in MA penetration rates in urban and rural counties during this time. Includes data on MA penetration rates in 2025 in urban and rural counties by state.
Author(s): Fred Ullrich, Keith Mueller
Date: 03/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Unapologetically Built Backwards: ONU HealthWise, Pharmacist-Driven Healthcare Access in Rural Ohio
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Small Area Health Insurance Estimates: 2022
Reports on health insurance coverage in the U.S. in 2022 and changes between 2021 and 2022, as well as changes between 2019 and 2022. Includes maps showing county-level uninsured rates.
Date: 03/2026
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Reports on health insurance coverage in the U.S. in 2022 and changes between 2021 and 2022, as well as changes between 2019 and 2022. Includes maps showing county-level uninsured rates.
Date: 03/2026
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Health Insurance Coverage and Rural–Urban Differences in Maternal Health Care Among Postpartum Women—National Health Interview Survey
Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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The Importance of Long-Term Services and Supports to a High-Performance Rural Health System: Demographic, Policy and Economic Challenges
Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Examination of All-Payer Inpatient Rural Hospital Bypass
Examines the extent to which rural patients bypassed their nearest rural hospital for inpatient care in eight states. Analyzes data on inpatient hospital admissions for rural residents of these states using the 2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Identifies factors associated with hospital-level bypass rates by patient and hospital characteristics.
Author(s): Craig D. Holden, Shena Popat, Alana Knudson, Marilyn G. Klug
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Examines the extent to which rural patients bypassed their nearest rural hospital for inpatient care in eight states. Analyzes data on inpatient hospital admissions for rural residents of these states using the 2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Identifies factors associated with hospital-level bypass rates by patient and hospital characteristics.
Author(s): Craig D. Holden, Shena Popat, Alana Knudson, Marilyn G. Klug
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Health Insurance Coverage in Rural and Urban Missouri: Update
Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Where Medicaid Finances Births in Arkansas
Provides a map showing what percent of births were financed via Medicaid by county in Arkansas. Discusses the role of Medicaid in supporting maternal health.
Author(s): Elizabeth (Izzy) Montgomery
Date: 03/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Provides a map showing what percent of births were financed via Medicaid by county in Arkansas. Discusses the role of Medicaid in supporting maternal health.
Author(s): Elizabeth (Izzy) Montgomery
Date: 03/2026
Sponsoring organization: Arkansas Center for Health Improvement
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