Rural Health
Resources by Topic: Healthcare business and finance
Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Rural Hospital Financial Distress: Relative Risk in 2025
Infographic with a state-level map showing the number and percent of rural hospitals in each state at highest relative financial distress risk in 2025. Features statistics showing states with multiple hospitals, one hospital, and no hospitals at highest risk. Includes information on states with highest percentage of rural hospitals at highest relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Julie Perry, Mark Holmes
Date: 11/2025
Sponsoring organizations: North Carolina Rural Health Research Program, The Cecil G. Sheps Center for Health Services Research
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Infographic with a state-level map showing the number and percent of rural hospitals in each state at highest relative financial distress risk in 2025. Features statistics showing states with multiple hospitals, one hospital, and no hospitals at highest risk. Includes information on states with highest percentage of rural hospitals at highest relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Julie Perry, Mark Holmes
Date: 11/2025
Sponsoring organizations: North Carolina Rural Health Research Program, The Cecil G. Sheps Center for Health Services Research
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Facilitators of Strong Quality and Financial Outcomes in Critical Access Hospitals
Examines leadership traits, management strategies, and other governance and collaboration-based supports for positive quality and financial outcomes in Critical Access Hospitals (CAHs), utilizing insights from interviews of leaders at 10 CAHs which met high financial and quality benchmarks. Provides interview excerpts and identifies themes.
Author(s): Robert Barclay, Zoe Pringle, Megan Lahr, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Examines leadership traits, management strategies, and other governance and collaboration-based supports for positive quality and financial outcomes in Critical Access Hospitals (CAHs), utilizing insights from interviews of leaders at 10 CAHs which met high financial and quality benchmarks. Provides interview excerpts and identifies themes.
Author(s): Robert Barclay, Zoe Pringle, Megan Lahr, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Third Party Negotiated Hospital Pricing in Rural and Urban Hospitals within 12 U.S. States
Examines the gross and negotiated pricing for common services in rural and urban hospitals. Bases findings on samples from 12 states and focuses on costs of routine care, imaging, and childbirth.
Author(s): Lindsey R. Hammerslag, Aaron P. Smith, Jeffrey C. Talbert
Date: 11/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Examines the gross and negotiated pricing for common services in rural and urban hospitals. Bases findings on samples from 12 states and focuses on costs of routine care, imaging, and childbirth.
Author(s): Lindsey R. Hammerslag, Aaron P. Smith, Jeffrey C. Talbert
Date: 11/2025
Sponsoring organization: Rural and Underserved Health Research Center
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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Characteristics of Critical Access Hospitals with High Financial and Quality Metric Performance
Examines Critical Access Hospital (CAH) financial and quality performance utilizing Medicare Beneficiary Quality Improvement Project (MQBIP) data. Provides characteristics of CAHs and their respective measures according to 5 financial and 5 quality benchmarks.
Author(s): Lauren Wallace, George H Pink, Kristie Thompson, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Examines Critical Access Hospital (CAH) financial and quality performance utilizing Medicare Beneficiary Quality Improvement Project (MQBIP) data. Provides characteristics of CAHs and their respective measures according to 5 financial and 5 quality benchmarks.
Author(s): Lauren Wallace, George H Pink, Kristie Thompson, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Prevalence of Diagnosed Mental Health Conditions among US Children with Public and Commercial Insurance
Examines the prevalence of diagnosed mental health conditions, including ADHD, depression, and anxiety, among children (3-17 years) with Medicaid or commercial insurance in rural, suburban, and urban communities. Utilizes 2018 Transformed Medicaid Analytic Files and claims database data of a large commercial insurer.
Author(s): Wanmeng Liu, Yujia Xie, Sarah Vinson, Jiaxi Yu, Nicoleta Serban
Citation: BMC Public Health, 25, 4050
Date: 11/2025
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Examines the prevalence of diagnosed mental health conditions, including ADHD, depression, and anxiety, among children (3-17 years) with Medicaid or commercial insurance in rural, suburban, and urban communities. Utilizes 2018 Transformed Medicaid Analytic Files and claims database data of a large commercial insurer.
Author(s): Wanmeng Liu, Yujia Xie, Sarah Vinson, Jiaxi Yu, Nicoleta Serban
Citation: BMC Public Health, 25, 4050
Date: 11/2025
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Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Discusses the differences in barriers to care and preventive care utilization for older adults enrolled in traditional Medicare versus Medicare Advantage and makes a rural-urban comparison. Explores barriers to care, such as quality of care and out-of-pocket costs, as well as care utilization, such as regular vaccinations, cancer screenings, and cholesterol tests, among others.
Author(s): Gawain J. Williams, Dan M. Shane, Whitney E. Zahnd, Keith J. Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Funding Rural Health: The Role and Reach of Federal Support
A series of briefs and spotlights focused on how the Federal Office of Rural Health Policy (FORHP) supports population health in rural Kansas and the rural United States. Focuses on FORHP funding processes and organizational structure, distribution of funds, the Medicare Rural Hospital Flexibility Program, the Rural Health Care Services Outreach Program, and Rural Communities Opioid Response Program.
Author(s): Shelby C. Rowell, Wyatt J. Beckman, Viktoria Sterkhova
Date: 11/2025
Sponsoring organization: Kansas Health Institute
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A series of briefs and spotlights focused on how the Federal Office of Rural Health Policy (FORHP) supports population health in rural Kansas and the rural United States. Focuses on FORHP funding processes and organizational structure, distribution of funds, the Medicare Rural Hospital Flexibility Program, the Rural Health Care Services Outreach Program, and Rural Communities Opioid Response Program.
Author(s): Shelby C. Rowell, Wyatt J. Beckman, Viktoria Sterkhova
Date: 11/2025
Sponsoring organization: Kansas Health Institute
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Small Practices Guide: Getting Started with Merit-based Incentive Payment System (MIPS) Clinical Quality Measure (CQM) Reporting
Provides an overview of Merit-based Incentive Payment System (MIPS) clinical quality measures (MIPS CQMs). Describes how small practices can report MIPS CQMs, whether participating as an individual clinician, group, subgroup, or Alternative Payment Model (APM) Entity.
Date: 11/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Merit-based Incentive Payment System (MIPS) clinical quality measures (MIPS CQMs). Describes how small practices can report MIPS CQMs, whether participating as an individual clinician, group, subgroup, or Alternative Payment Model (APM) Entity.
Date: 11/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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