Rural Health
Resources by Topic: Healthcare business and finance
Federal Policy Priorities to Strengthen Rural Health and Maximize Rural Health Transformation Program Investments
Presents policy recommendations for Congressional and CMS actions to bolster rural health and ensure Rural Health Transformation Program investments are transparent, durable, and effective. Covers recommendations related to telehealth and health information technology investments, the rural healthcare workforce, and rural hospital programs and eligibility.
Author(s): Daisy Kim, Maya Sandalow
Date: 08/2026
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations for Congressional and CMS actions to bolster rural health and ensure Rural Health Transformation Program investments are transparent, durable, and effective. Covers recommendations related to telehealth and health information technology investments, the rural healthcare workforce, and rural hospital programs and eligibility.
Author(s): Daisy Kim, Maya Sandalow
Date: 08/2026
Sponsoring organization: Bipartisan Policy Center
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FY 2027 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Final Rule (CMS-1849-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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How Medicaid Directors Stay Connected to Members: Lessons from Pennsylvania, Nevada, and Wisconsin
Examines how Medicaid leaders field feedback from their members and stay engaged with their communities. Includes information from a Medicaid director in Nevada who toured the state to learn about local perspectives of Medicaid providers and members living in rural and frontier areas. Wisconsin example shows how feedback was used to inform the state's Rural Health Transformation proposal, while Pennsylvania focused on providing better coordination of services to members.
Author(s): Disha Williams
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Examines how Medicaid leaders field feedback from their members and stay engaged with their communities. Includes information from a Medicaid director in Nevada who toured the state to learn about local perspectives of Medicaid providers and members living in rural and frontier areas. Wisconsin example shows how feedback was used to inform the state's Rural Health Transformation proposal, while Pennsylvania focused on providing better coordination of services to members.
Author(s): Disha Williams
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Mobile Health Operations: A Foundational Planning Guide for Health Centers
Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
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Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
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An Exploratory Analysis of U.S. Health System Workforce Trends
Examines the impact of hospital mergers and acquisitions (M&As) and changes in health system affiliations on workforce availability. Utilizes 2018 and 2020-2023 Agency for Healthcare Research and Quality (AHRQ) Compendium of U.S. Health Systems data to examine hospital system membership and system workforce characteristics. Provides breakdowns of primary care physician, all physician, nurse practitioner, and physician assistant workforce supply per bed according to hospital characteristics such as census region, ownership, operating margin, and rurality.
Author(s): Deborah Odihi, Tyler Malone
Date: 07/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the impact of hospital mergers and acquisitions (M&As) and changes in health system affiliations on workforce availability. Utilizes 2018 and 2020-2023 Agency for Healthcare Research and Quality (AHRQ) Compendium of U.S. Health Systems data to examine hospital system membership and system workforce characteristics. Provides breakdowns of primary care physician, all physician, nurse practitioner, and physician assistant workforce supply per bed according to hospital characteristics such as census region, ownership, operating margin, and rurality.
Author(s): Deborah Odihi, Tyler Malone
Date: 07/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Association Between the Declining Conversion Factor and Access to Care for Medicare Beneficiaries
Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
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Rural Hospital Financial Performance: Tools for Data-Driven Decision Making
Webinar recording featuring speakers from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the North Carolina Rural Health Research Center discussing two data-driven tools, the Rural Hospital Financial Performance Dashboard and the Hospital Financial Distress Index, that can provide valuable insights into the financial health of rural hospitals.
Additional links: Audio Recording, Webinar Slides
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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Webinar recording featuring speakers from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the North Carolina Rural Health Research Center discussing two data-driven tools, the Rural Hospital Financial Performance Dashboard and the Hospital Financial Distress Index, that can provide valuable insights into the financial health of rural hospitals.
Additional links: Audio Recording, Webinar Slides
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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How Small Rural Hospital Networks Are Leveling the Playing Field with Larger Health Systems
Describes rural hospital networks in Minnesota, North Dakota, and Ohio that have developed to preserve their independence and improve their economies of scale. Discusses how participating hospitals are expanding rural healthcare access and changing how payers recognize and reward rural providers for delivering high-quality care.
Author(s): Sarah Klein
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Describes rural hospital networks in Minnesota, North Dakota, and Ohio that have developed to preserve their independence and improve their economies of scale. Discusses how participating hospitals are expanding rural healthcare access and changing how payers recognize and reward rural providers for delivering high-quality care.
Author(s): Sarah Klein
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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MACPAC Comment Letter on Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments
Comments on a May 22, 2026, Federal Register proposed rule regarding Medicaid managed care state directed payments (SDPs) and fee-for-service (FFS) targeted practitioner payments. Discusses state flexibility in payment policy, Medicare as a benchmark for Medicaid, monitoring and compliance, establishing appropriate SDP limits, and more.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Comments on a May 22, 2026, Federal Register proposed rule regarding Medicaid managed care state directed payments (SDPs) and fee-for-service (FFS) targeted practitioner payments. Discusses state flexibility in payment policy, Medicare as a benchmark for Medicaid, monitoring and compliance, establishing appropriate SDP limits, and more.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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