Rural Health
Resources by Topic: Healthcare business and finance
Rural Hospital Bypass by Patients With Commercial Health Insurance
Results of a study examining rural hospital bypass rates among commercially insured patients, and hospital payments from patients who bypassed their nearest hospitals. Features statistics with breakdowns by clinical category and 4 levels of population density.
Author(s): Jessica Y. Chang, Caitlin E. Carroll
Citation: JAMA Network Open, 9(1), e2555017
Date: 01/2026
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Results of a study examining rural hospital bypass rates among commercially insured patients, and hospital payments from patients who bypassed their nearest hospitals. Features statistics with breakdowns by clinical category and 4 levels of population density.
Author(s): Jessica Y. Chang, Caitlin E. Carroll
Citation: JAMA Network Open, 9(1), e2555017
Date: 01/2026
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Small Practices Guide: Getting Started with Electronic Clinical Quality Measure (CQM) Reporting
Provides an overview of electronic clinical quality measures (eCQMs) under the Merit-based Incentive Payment System (MIPS). Describes how small practices can report eCQMs, whether participating as an individual clinician, group, subgroup, or Alternative Payment Model (APM) Entity.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of electronic clinical quality measures (eCQMs) under the Merit-based Incentive Payment System (MIPS). Describes how small practices can report eCQMs, whether participating as an individual clinician, group, subgroup, or Alternative Payment Model (APM) Entity.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Advancing Medicaid Primary Care Population-Based Payment Models: Four Lessons for States
Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Doula Services for Medicaid Beneficiaries in Virginia: Access, Utilization, and Policy Lessons
Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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"The Crux of the Community": A Qualitative Focus Group Study of the Impact of Community Pharmacy Closures in Colorado and Utah
Discusses themes identified in focus groups of pharmacy workforce that had experienced a community pharmacy closure in Colorado or Utah. Themes discussed include community impacts, pharmacy operations, job experience, and patient impact. Highlights rural considerations throughout.
Author(s): Michael J. DiStefano, Nai-Chia Chen, Carl V. Asche, Kelly E. Anderson, T. Joseph Mattingly, II
Citation: Journal of the American Pharmacists Association, 66(1)
Date: 01/2026
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Discusses themes identified in focus groups of pharmacy workforce that had experienced a community pharmacy closure in Colorado or Utah. Themes discussed include community impacts, pharmacy operations, job experience, and patient impact. Highlights rural considerations throughout.
Author(s): Michael J. DiStefano, Nai-Chia Chen, Carl V. Asche, Kelly E. Anderson, T. Joseph Mattingly, II
Citation: Journal of the American Pharmacists Association, 66(1)
Date: 01/2026
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Use of Preventive Services by Rurality, Disability Status, and Health Insurance
Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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January 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2026 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as mandated reports on changes to the home health prospective payment system and dual-eligible special needs plans. Includes rural references and considerations throughout.
Date: 01/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2026 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as mandated reports on changes to the home health prospective payment system and dual-eligible special needs plans. Includes rural references and considerations throughout.
Date: 01/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Providing Accountable Care Organizations the Ability to Expand the Use of Telehealth: Report to Congress
Analyzes the telehealth use and spending among fee-for-service (FFS) Medicare beneficiaries assigned to accountable care organizations (ACOs). Compares the rate of telehealth use across ACO and non-ACO providers between 2020 and 2023, as well as across provider types, dual eligibility, HPSA-status of patient residence, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Analyzes the telehealth use and spending among fee-for-service (FFS) Medicare beneficiaries assigned to accountable care organizations (ACOs). Compares the rate of telehealth use across ACO and non-ACO providers between 2020 and 2023, as well as across provider types, dual eligibility, HPSA-status of patient residence, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Emergency Hospitals: Emerging Patterns of Adaptation and Community Perception
Examines characteristics of Rural Emergency Hospitals (REHs) and their impact on the community. Utilizes Centers for Medicare & Medicaid Services cost report data to compare hospitals that converted to REHs to hospitals that did not convert. Analyzes issues such as hospital finances, local healthcare access, economic stabilization, REH reputation and use, community perceptions of quality, and more.
Author(s): Anders Van Sandt, Kaitlyn Line, Anja Gruber, et al.
Citation: Journal of Rural Health, 42(1), e70112
Date: 01/2026
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Examines characteristics of Rural Emergency Hospitals (REHs) and their impact on the community. Utilizes Centers for Medicare & Medicaid Services cost report data to compare hospitals that converted to REHs to hospitals that did not convert. Analyzes issues such as hospital finances, local healthcare access, economic stabilization, REH reputation and use, community perceptions of quality, and more.
Author(s): Anders Van Sandt, Kaitlyn Line, Anja Gruber, et al.
Citation: Journal of Rural Health, 42(1), e70112
Date: 01/2026
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Merit-based Incentive Payment System (MIPS) 2026 Small Practice Eligibility and Participation Frequently Asked Questions
Provides answers to frequently asked questions regarding small practice participation and eligibility for the Merit-based Incentive Payment System (MIPS) for the 2026 performance year. Covers individual and group eligibility, the low-volume threshold, changes to group composition during the performance year, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides answers to frequently asked questions regarding small practice participation and eligibility for the Merit-based Incentive Payment System (MIPS) for the 2026 performance year. Covers individual and group eligibility, the low-volume threshold, changes to group composition during the performance year, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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