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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2026 Medicare Annual Wellness Visits: Strategies for Rural Health Clinic Success
Recording of a September 22, 2026, webinar discussing Medicare Annual Wellness Visits (AWVs) and Rural Health Clinics (RHCs). Discusses the history of AWVs; why AWVs are important for patients, RHCs, and accountable care organizations (ACOs); billing AWVs in RHCs; and more.
Additional links: Annual Wellness Visit Form, Annual Wellness Visit Prep List, Annual Wellness Visits Packet, Call Us First Handout, Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 22, 2026, webinar discussing Medicare Annual Wellness Visits (AWVs) and Rural Health Clinics (RHCs). Discusses the history of AWVs; why AWVs are important for patients, RHCs, and accountable care organizations (ACOs); billing AWVs in RHCs; and more.
Additional links: Annual Wellness Visit Form, Annual Wellness Visit Prep List, Annual Wellness Visits Packet, Call Us First Handout, Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Mental Health Care Access in Rural Communities amid the Expansion of Telehealth
Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Analyzes National Health Interview Survey and Medical Expenditure Panel Survey data to explore how mental healthcare access has changed for rural and urban residents as telehealth services have expanded. Discusses findings regarding publicly insured, privately insured, and self-pay patients.
Author(s): Anja Gruber, Anders Van Sandt, Scott Loveridge, Craig Carpenter, Cris Meier
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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The Integrated Vulnerability Measure a Novel Financial Distress Index for US Hospitals
Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Rural Hospitals: Policy and Infrastructure Opportunities in the Rural Health Transformation Program
Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Urban and Rural Hospital Closures in Georgia, 2022-2024
Results of a study examining postclosure changes in discharge volume, charges, and length of stay at hospitals within 35 miles of a hospital closure in Georgia from 2022-2024. Includes statistics on characteristics of discharges from hospitals that remained open, as well as outcomes associated with a closure, with breakdowns by urban and rural areas.
Author(s): Sara D. Turbow, Kajal Patel, Young-Rock Hong, Jennifer Lom, Mohammed K. Ali
Citation: JAMA Network Open, 9(9), e2635085
Date: 09/2026
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Results of a study examining postclosure changes in discharge volume, charges, and length of stay at hospitals within 35 miles of a hospital closure in Georgia from 2022-2024. Includes statistics on characteristics of discharges from hospitals that remained open, as well as outcomes associated with a closure, with breakdowns by urban and rural areas.
Author(s): Sara D. Turbow, Kajal Patel, Young-Rock Hong, Jennifer Lom, Mohammed K. Ali
Citation: JAMA Network Open, 9(9), e2635085
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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