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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Numerous Overlapping Programs Add Complexity, Unpredictability to Rural Hospital Finances
Analyzes payments between 1997 and 2024 to 2,942 rural hospitals participating in at least one Medicare-specific payment program, including the Sole Community Hospital, Medicare-Dependent Hospital, Critical Access Hospital, or Low-Volume Hospital programs. Discusses the impact of the programs and policy changes throughout the study period on hospital finances.
Author(s): Carolyn San Soucie, Michael E. Chernew, Benjamin D. Sommers
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Analyzes payments between 1997 and 2024 to 2,942 rural hospitals participating in at least one Medicare-specific payment program, including the Sole Community Hospital, Medicare-Dependent Hospital, Critical Access Hospital, or Low-Volume Hospital programs. Discusses the impact of the programs and policy changes throughout the study period on hospital finances.
Author(s): Carolyn San Soucie, Michael E. Chernew, Benjamin D. Sommers
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Public Agency Health Center Monograph
Describes the programmatic requirements related to public agency health centers operating within the Health Resources and Services Administration (HRSA) Health Center Program. Covers key HRSA requirements, governance expectations, co-applicant board responsibilities, fiscal and personnel considerations, and common compliance challenges.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Describes the programmatic requirements related to public agency health centers operating within the Health Resources and Services Administration (HRSA) Health Center Program. Covers key HRSA requirements, governance expectations, co-applicant board responsibilities, fiscal and personnel considerations, and common compliance challenges.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Rural Health Value Virtual Summit: Rural Healthcare Information Technology
Summarizes an April 2026 summit of rural value-based care thought leaders regarding the implementation of health information technology (HIT) to support value-based care. Identifies five themes that emerged from discussion and recommendations for healthcare leaders who want to invest in technology to support value-based care and value-based payment.
Date: 09/2026
Sponsoring organization: Rural Health Value
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Summarizes an April 2026 summit of rural value-based care thought leaders regarding the implementation of health information technology (HIT) to support value-based care. Identifies five themes that emerged from discussion and recommendations for healthcare leaders who want to invest in technology to support value-based care and value-based payment.
Date: 09/2026
Sponsoring organization: Rural Health Value
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Outpatient Care Fragmentation and Patient Satisfaction With Care
Examines the relationship between outpatient care fragmentation and Medicare patient satisfaction. Utilizes 2020-2022 survey data from 2,294 Medicare beneficiaries to analyze physician and practice-level fragmentation alongside patient satisfaction, measured by perceived accessibility, communication, coordination, and quality as experienced by rural, suburban, and urban Medicare populations.
Author(s): Isabella Ratto, Neelam Ahmed, Mengyuan Chen, et al.
Citation: Journal of Rural Health, 42(3), e70220
Date: 09/2026
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Examines the relationship between outpatient care fragmentation and Medicare patient satisfaction. Utilizes 2020-2022 survey data from 2,294 Medicare beneficiaries to analyze physician and practice-level fragmentation alongside patient satisfaction, measured by perceived accessibility, communication, coordination, and quality as experienced by rural, suburban, and urban Medicare populations.
Author(s): Isabella Ratto, Neelam Ahmed, Mengyuan Chen, et al.
Citation: Journal of Rural Health, 42(3), e70220
Date: 09/2026
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Risk Factors for Loss of Hospital-Based Obstetric Care in Rural and Urban Hospitals
Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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Examines factors associated with loss of obstetric services in hospitals. Analyzes 3,108 rural and urban hospitals in 2010 and then again in 2023 to observe rates of unit or hospital closure. Includes breakdown of hospital characteristics such as distance to nearest obstetric hospital, birth volume, hospital ownership, county unemployment, and more.
Author(s): Julia D. Interrante, Caitlin Carroll, Kevan O'Hanlon, Emily C. Sheffield, Katy B. Kozhimannil
Citation: JAMA Health Forum, 7(9), e263122
Date: 09/2026
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RHC Compliance 101 - Fall 2026
Recording of a September 9, 2026, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 9, 2026, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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What Telehealth Gets Right and What's Missing: A National Multistakeholder Study of Access and Sustainability
Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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September 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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2026 RHC Billing 101 - Fall
Recording of a September 3, 2026, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 3, 2026, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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