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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Unapologetically Built Backwards: ONU HealthWise, Pharmacist-Driven Healthcare Access in Rural Ohio
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
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Small Area Health Insurance Estimates: 2022
Reports on health insurance coverage in the U.S. in 2022 and changes between 2021 and 2022, as well as changes between 2019 and 2022. Includes maps showing county-level uninsured rates.
Date: 03/2026
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Health Insurance Coverage and Rural–Urban Differences in Maternal Health Care Among Postpartum Women—National Health Interview Survey
Examines rural versus urban differences in health insurance coverage and postpartum healthcare. Utilizes 2013-2018 National Health Interview Survey data from 2,664 women and analyzes rural versus urban differences according to demographics, insurance type, sleep problems, acute care utilization, dissatisfaction with care, and delayed or forgone care.
Author(s): Julia D. Interrante, Alyssa H. Fritz, Sara C. Handley, Clara E. Busse, Katy B. Kozhimannil
Citation: Birth Issues in Perinatal Care
Date: 03/2026
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The Importance of Long-Term Services and Supports to a High-Performance Rural Health System: Demographic, Policy and Economic Challenges
Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Examination of All-Payer Inpatient Rural Hospital Bypass
Examines the extent to which rural patients bypassed their nearest rural hospital for inpatient care in eight states. Analyzes data on inpatient hospital admissions for rural residents of these states using the 2018 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID). Identifies factors associated with hospital-level bypass rates by patient and hospital characteristics.
Author(s): Craig D. Holden, Shena Popat, Alana Knudson, Marilyn G. Klug
Date: 03/2026
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Health Insurance Coverage in Rural and Urban Missouri: Update
Reports on 2024 health insurance coverage in Missouri, comparing both rural and urban residents within the state and against national averages. Includes analysis of health insurance type, by age groups, and changes since 2023.
Author(s): Sarah A. Eisenstein, Timothy D. McBride
Date: 03/2026
Sponsoring organization: Washington University in St. Louis Center for Advancing Health Services, Policy & Economics Research
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Where Medicaid Finances Births in Arkansas
Provides a map showing what percent of births were financed via Medicaid by county in Arkansas. Discusses the role of Medicaid in supporting maternal health.
Author(s): Elizabeth (Izzy) Montgomery
Date: 03/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Transforming Rural Health: Strategies from the Field - Collaborating for Financial Viability
A brief that provides strategies for rural hospital and clinic financial viability. Discusses examples of health facility collaborations that improve access to healthcare services, address workforce shortages, and enhance quality of care.
Date: 03/2026
Sponsoring organization: Georgia Health Policy Center
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 10
Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2024. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2026
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 7
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2024.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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