Rural Health
Resources by Topic: Healthcare business and finance
Advancing Behavioral Health Integration in Community Health Centers: Policy Pathways to Whole Person Care
Explores how high-performing community health centers (CHCs) implement behavioral health integration as well as the policy and financing factors that influence these efforts. Summarizes interviews with leaders from 10 CHCs and six experts on Medicaid, payment reform, and community-based care. Discusses the state of behavioral health integration in CHCs nationwide and the impact of integration across patient populations. Offers policy recommendations to strengthen and sustain behavioral health integration within CHCs.
Author(s): Erin Prendergast, Amy Flowers, Peter Shin
Date: 06/2026
Sponsoring organizations: Commonwealth Fund, National Association of Community Health Centers
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Explores how high-performing community health centers (CHCs) implement behavioral health integration as well as the policy and financing factors that influence these efforts. Summarizes interviews with leaders from 10 CHCs and six experts on Medicaid, payment reform, and community-based care. Discusses the state of behavioral health integration in CHCs nationwide and the impact of integration across patient populations. Offers policy recommendations to strengthen and sustain behavioral health integration within CHCs.
Author(s): Erin Prendergast, Amy Flowers, Peter Shin
Date: 06/2026
Sponsoring organizations: Commonwealth Fund, National Association of Community Health Centers
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Report to Congress on Medicaid and CHIP, June 2026
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2026
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Closures Increase Emergency Care Travel Time: Rural-Urban Disparities
Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
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Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
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2026 County-Level Health Insurance Marketplace Enrollment in Kansas
Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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How Has Insurer Participation in the ACA Marketplaces Changed in 2026?
Presents data on health insurer participation in the ACA Marketplace, including the average number of ACA Marketplace insurers by state between 2014 and 2026. Includes interactive maps displaying state- and county-level data on the number of participating Marketplace insurers in 2026 and the change in the number of insurers between 2025 and 2026.
Author(s): Jared Ortaliza, Justin Lo, Matt McGough, Cynthia Cox
Date: 06/2026
Sponsoring organization: KFF
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Presents data on health insurer participation in the ACA Marketplace, including the average number of ACA Marketplace insurers by state between 2014 and 2026. Includes interactive maps displaying state- and county-level data on the number of participating Marketplace insurers in 2026 and the change in the number of insurers between 2025 and 2026.
Author(s): Jared Ortaliza, Justin Lo, Matt McGough, Cynthia Cox
Date: 06/2026
Sponsoring organization: KFF
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Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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2026 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2025 report.
Additional links: Tables and Figures
Date: 06/2026
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2025 report.
Additional links: Tables and Figures
Date: 06/2026
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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'Good Stewards': Rural Healthcare Experts Discuss Governance Board Best Practices
Provides an overview of hospital and health center boards, with insights from rural CEOs and board members in Colorado, Missouri, North Dakota, and Oklahoma and experts from national organizations. Discusses board orientation and ongoing education, as well as ways to improve board governance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2026
Sponsoring organization: Rural Health Information Hub
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Provides an overview of hospital and health center boards, with insights from rural CEOs and board members in Colorado, Missouri, North Dakota, and Oklahoma and experts from national organizations. Discusses board orientation and ongoing education, as well as ways to improve board governance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2026
Sponsoring organization: Rural Health Information Hub
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