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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Rural Value-Based Care and Payment: From Payment Fundamentals to Rural Design
Slides presented to Federal Office of Rural Health Policy (FORHP) staff during a two-day seminar in October 2026. Provides an overview of Medicare payment systems and mechanisms for rural healthcare providers. Explores the difference between fee-for-service and value-based payment systems and the applicability of value-based care and payment (VBC/P) models to rural providers. Discusses factors that influence whether a rural VBC/P approach is likely to succeed.
Date: 10/2026
Sponsoring organization: Rural Health Value
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January 2027 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
Presents the Rural Emergency Hospital (REH) monthly facility payment amount for Calendar Year 2027.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Oklahoma Rural Health Transformation Program Legislative Quarterly Report: Q3 July 1 - Sept. 30, 2026
Provides a brief overview of the 29 programs that comprise Oklahoma's Rural Health Transformation Program (RHTP), including budget allocation, obligated funds, and implementation status through September 30, 2026. Includes highlights of activities conducted with RHTP funding between July 1 - September 30, 2026.
Date: 10/2026
Sponsoring organization: Oklahoma State Department of Health
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Rural Health Transformation Program State Programmatic Snapshots: 2026 Release
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Health Transformation Program Planned State Initiatives: Budget Period 1
Presents an overview of initiatives planned by states as part of the Rural Health Transformation Program organized across eight categories: population health, workforce, payment and service models, health system innovation, accessible care, technology, disease prevention and care, and health promotion.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural Emergency Hospital Revenue Cycle: Building a Strong Billing Foundation
Describes essential elements of Rural Emergency Hospital (REH) revenue cycle readiness. Covers post-conversion REH enrollment and compliance; outpatient claim, coding, and documentation accuracy; and collaboration across the revenue cycle.
Date: 10/2026
Sponsoring organization: Rural Health Redesign Center
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Building on the 2025 National Academies Pharmacy Workshop: Pharmacy Deserts in the United States
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
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October 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Strengthening Telehealth Skills for the Rural Healthcare Workforce
Provides links to training materials, tools, and technical assistance resources to help rural healthcare organizations build telehealth workforce capacity. Covers telehealth fundamentals, workforce development, clinical best practices, patient engagement, technology and innovation, emergency preparedness, reimbursement and sustainability, and regional support.
Date: 10/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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