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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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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Association of Medicaid Unwinding With Hospital Financial Outcomes Among General Acute Care and Critical Access Hospitals
Explores the impacts of Medicaid unwinding, the 18-month period during which states reassessed enrollees' eligibility and disenrolled those who no longer qualified for Medicaid coverage at the end of the COVID-19 public health emergency, on general acute care and Critical Access Hospital (CAH) finances. Describes the trends regarding uncompensated care costs and Medicaid revenue between 2021-2024, and compares data from the pre-unwinding (2021-2022) and post-unwinding (2023-2024) periods.
Author(s): Nima Khodakarami, Joel E. Segel
Citation: Health Services Research, 61(6), e70182
Date: 11/2026
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Explores the impacts of Medicaid unwinding, the 18-month period during which states reassessed enrollees' eligibility and disenrolled those who no longer qualified for Medicaid coverage at the end of the COVID-19 public health emergency, on general acute care and Critical Access Hospital (CAH) finances. Describes the trends regarding uncompensated care costs and Medicaid revenue between 2021-2024, and compares data from the pre-unwinding (2021-2022) and post-unwinding (2023-2024) periods.
Author(s): Nima Khodakarami, Joel E. Segel
Citation: Health Services Research, 61(6), e70182
Date: 11/2026
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November 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2026 meeting. Covers changes to the Medicare physician fee schedule that affect primary care, charge-based coinsurance at Rural Health Clinics (RHCs), an analysis of aberrant patterns of care among hospice and home health providers, findings from MedPAC focus groups, and Medicare eligibility notification and the State Health Insurance Assistance Program (SHIP) operations and funding.
Additional links: Charge-based Coinsurance at Rural Health Clinics, Findings from MedPAC's Focus Groups with Medicare Beneficiaries and Physicians, Nurse Practitioners, and Pharmacists
Date: 11/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2026 meeting. Covers changes to the Medicare physician fee schedule that affect primary care, charge-based coinsurance at Rural Health Clinics (RHCs), an analysis of aberrant patterns of care among hospice and home health providers, findings from MedPAC focus groups, and Medicare eligibility notification and the State Health Insurance Assistance Program (SHIP) operations and funding.
Additional links: Charge-based Coinsurance at Rural Health Clinics, Findings from MedPAC's Focus Groups with Medicare Beneficiaries and Physicians, Nurse Practitioners, and Pharmacists
Date: 11/2026
Sponsoring organization: Medicare Payment Advisory Commission
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State Telehealth Laws and Reimbursement Policies Report, Fall 2026
Provides an overview of state telehealth policies as of October 2026. Covers Medicaid reimbursement, private payer laws, professional requirements, and licensing.
Additional links: Infographic, Interstate Licensure Compacts – State Compact Participation Chart, State Summary Chart
Date: 11/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of October 2026. Covers Medicaid reimbursement, private payer laws, professional requirements, and licensing.
Additional links: Infographic, Interstate Licensure Compacts – State Compact Participation Chart, State Summary Chart
Date: 11/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Policy Impact of the Rural Emergency Hospital Designation: A Mixed Methods Study of Leaders' Conversion Experiences and Motivations
Presents a study on the financial profile and other factors affecting the decision to convert rural hospitals to a Rural Emergency Hospital (REH) designation. Explores financial factors like days of cash on hand, total unreimbursed costs, and total capital purchases, among others, and discusses the challenges of converting to an REH.
Author(s): Christopher Wiggs, Dunc Williams Jr., Kevin Wiley
Citation: Journal of Rural Health, 42(4), e70240
Date: 11/2026
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Presents a study on the financial profile and other factors affecting the decision to convert rural hospitals to a Rural Emergency Hospital (REH) designation. Explores financial factors like days of cash on hand, total unreimbursed costs, and total capital purchases, among others, and discusses the challenges of converting to an REH.
Author(s): Christopher Wiggs, Dunc Williams Jr., Kevin Wiley
Citation: Journal of Rural Health, 42(4), e70240
Date: 11/2026
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release - Year 2 Funding
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas. Describes policy action commitments outlined in states' project narratives and the funding states received related to these commitments for budget period 2. Includes overall funding amounts received by states for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas. Describes policy action commitments outlined in states' project narratives and the funding states received related to these commitments for budget period 2. Includes overall funding amounts received by states for budget periods 1 and 2.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Medicare Advantage Enrollment Update, 2026
Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2016-2026. Discusses how policy changes may have influenced MA enrollment dynamics.
Author(s): Fred Ullrich, Keith Mueller
Date: 11/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2016-2026. Discusses how policy changes may have influenced MA enrollment dynamics.
Author(s): Fred Ullrich, Keith Mueller
Date: 11/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Calendar Year (CY) 2027 Medicare Physician Fee Schedule Final Rule (CMS-1848-F) — Medicare Shared Savings Program
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare Shared Savings Program for calendar year 2027. Covers modifications to the Shared Savings Program financial methodology, quality measurement and reporting, advance investment payments to encourage rural participation in Accountable Care Organizations, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare Shared Savings Program for calendar year 2027. Covers modifications to the Shared Savings Program financial methodology, quality measurement and reporting, advance investment payments to encourage rural participation in Accountable Care Organizations, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Calendar Year (CY) 2027 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2027. Summarizes provisions related to remote monitoring, improving care for chronic illness and behavioral health needs, Rural Health Clinic (RHC) Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) services, RHC and Federally Qualified Health Center (FQHC) mental health and telecommunication visits, the Medicare Prescription Drug Inflation Rebate Program, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2027. Summarizes provisions related to remote monitoring, improving care for chronic illness and behavioral health needs, Rural Health Clinic (RHC) Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) services, RHC and Federally Qualified Health Center (FQHC) mental health and telecommunication visits, the Medicare Prescription Drug Inflation Rebate Program, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Calendar Year 2027 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule (CMS-1850-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2027. Summarizes provisions regarding changes to the inpatient only (IPO) list, Intensive Outpatient Program (IOP) rate setting, updates to the Hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs, a cost-of-living adjustment to the nonlabor share of outpatient hospital service payments provided in Alaska and Hawaii, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2027. Summarizes provisions regarding changes to the inpatient only (IPO) list, Intensive Outpatient Program (IOP) rate setting, updates to the Hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs, a cost-of-living adjustment to the nonlabor share of outpatient hospital service payments provided in Alaska and Hawaii, and more.
Date: 11/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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