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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

The Association of Hospital Characteristics With Medicaid Managed Care Hospital Prices
Examines the relationship between hospital characteristics and Medicaid facility prices for routine procedures. Utilizes 2021-2023 facility claims data from Elevance Health-affiliated Medicaid plans, alongside American Hospital Directory data, to compare prices by Critical Access Hospital (CAH) and children's hospital status, ownership (for-profit, religiously affiliated, or government), teaching status, system affiliation, rurality, and size.
Author(s): Brett Alfrey, Benjamin Ukert, Aliza S. Gordon
Citation: Health Services Research, 61(6), e70178
Date: 12/2026
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2024: A State-by-State Report
Provides national-, state-, and county-specific information on changes in obstetric care availability between 2010-2024. Includes maps and statistics with breakdowns by rural and urban counties, including rural micropolitan and rural noncore counties.
Author(s): Kevan O'Hanlon, Katy B. Kozhimannil, Julia D. Interrante
Date: 11/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Solving Georgia's Healthcare Staffing Crisis Locally
A recorded podcast featuring Jim Matney, president and CEO of Colquitt Regional Health System in rural Georgia. Discusses workforce development and rural healthcare pathways, focusing on physician residency programs, a high school practical nursing program, and collaboration with local colleges.
Author(s): Tom Haederle, Elisa Arespacochaga, Jim Matney
Date: 11/2026
Sponsoring organization: American Hospital Association
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Differential Effects of Social Determinants on Cancer Survival by Age at Diagnosis: A Population-Based Study in Alabama
Examines whether the impact of social determinants of health (SDOH) on cancer survival differs by age at diagnosis. Utilizes 2010-2019 Alabama Statewide Cancer Registry data on adults diagnosed with breast, prostate, colorectal, or lung cancers and analyzes survival rate alongside social vulnerability, rurality, and insurance status.
Author(s): Mackenzie E. Fowler, Geetanjali Saini, Elizabeth Baker, Mahak Bhargava, Ritu Aneja
Citation: Journal of Geriatric Oncology, 17(8), 103094
Date: 11/2026
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Rural-Urban Disparities in the Delivery and Intensity of the Medicare Hospice Benefit
Analyzes how receipt, duration, location, and frequency of hospice care vary by rural or urban dwelling among Medicare-enrolled decedents aged 66 years or older, using 2013-2022 Master Beneficiary Summary File (MBSF) data.
Author(s): Claire Ankuda, Ken Covinsky, Bocheng Jing, et al.
Citation: JAMA, 336(13), 1167-1169
Date: 10/2026
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Aligning Payment Strategy with Community Need: A Framework for Rural Healthcare Leaders
Describes a framework for rural health providers to build partnerships with payers. Discusses what payers need, knowing the true cost of access, defining services needed for each community, and using data and transformation planning as contracting tools.
Date: 10/2026
Sponsoring organization: Rural Health Redesign Center
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Merit-Based Incentive Payment System (MIPS): 2025 Performance Year/2027 MIPS Payment Year - Payment Adjustment User Guide
Provides information on Merit-Based Incentive Payment System (MIPS) payment adjustments for calendar year 2027. Describes how 2025 MIPS scores relate to 2027 payment adjustments and how payment adjustments are applied. Offers answers to frequently asked questions.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Paying for Clinical AI: Principles for Policymakers
Provides an overview of clinical applications of artificial intelligence (clinical AI) tools and use cases. Describes payment challenges related to the use of clinical AI. Outlines seven principles that should guide payment policies for clinical AI.
Author(s): Allison Kwon, Maya Sandalow
Date: 10/2026
Sponsoring organization: Bipartisan Policy Center
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Rural Value-Based Care and Payment: From Payment Fundamentals to Rural Design
Slides presented to Federal Office of Rural Health Policy (FORHP) staff during a two-day seminar in October 2026. Provides an overview of Medicare payment systems and mechanisms for rural healthcare providers. Explores the difference between fee-for-service and value-based payment systems and the applicability of value-based care and payment (VBC/P) models to rural providers. Discusses factors that influence whether a rural VBC/P approach is likely to succeed.
Date: 10/2026
Sponsoring organization: Rural Health Value
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January 2027 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
Presents the Rural Emergency Hospital (REH) monthly facility payment amount for Calendar Year 2027.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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