Rural Health
Resources by Topic: Healthcare business and finance
Medicare Payment Basics: Outpatient Hospital Services Payment System
Outlines Medicare's payments for outpatient hospital services, including considerations for rural sole community hospitals.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Outlines Medicare's payments for outpatient hospital services, including considerations for rural sole community hospitals.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Part D Payment System
Overview of the Medicare Part D prescription drug benefit, including subsidy amounts, payments to plans, how enrollee premiums are calculated, and benefit and payment updates.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of the Medicare Part D prescription drug benefit, including subsidy amounts, payments to plans, how enrollee premiums are calculated, and benefit and payment updates.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Physician and Other Health Professional Payment System
Overview of Medicare payments for physician services conducted in a variety of settings including physicians' offices, hospitals, ambulatory surgical centers, skilled nursing facilities and other post-acute care settings, hospices, outpatient dialysis facilities, clinical laboratories, and beneficiaries' homes.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments for physician services conducted in a variety of settings including physicians' offices, hospitals, ambulatory surgical centers, skilled nursing facilities and other post-acute care settings, hospices, outpatient dialysis facilities, clinical laboratories, and beneficiaries' homes.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and Critical Access Hospitals (CAHs) may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and Critical Access Hospitals (CAHs) may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Medicare Advantage Program Payment System
Overview of Medicare payments to Medicare Advantage (MA) local and regional plans discussing the methods for determining Medicare payments to both plans.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments to Medicare Advantage (MA) local and regional plans discussing the methods for determining Medicare payments to both plans.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Report to the Secretary of Health and Human Services: Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on reducing barriers to participation in alternative payment models (APMs). Discusses key issues relating to reducing barriers to participation in APMs and value-based care transformation, areas where additional research is needed, and potential next steps.
Date: 10/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Maternity Deserts: The Equality State's Growing Crisis
Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status, Version 2 with Addendum
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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State Strategies for the Rural Health Transformation Program (RHTP): A Milbank State Leadership Network Convening Recap
Summarizes discussions held by representatives from 24 states regarding opportunities and strategies related to the federal Rural Health Transformation (RHT) Program and identifies areas for priority action. Includes links to resources shared during the discussions.
Author(s): Sofia Espinosa, Mary Louise Gilburg, Morgan McDonald
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Summarizes discussions held by representatives from 24 states regarding opportunities and strategies related to the federal Rural Health Transformation (RHT) Program and identifies areas for priority action. Includes links to resources shared during the discussions.
Author(s): Sofia Espinosa, Mary Louise Gilburg, Morgan McDonald
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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State Telehealth Laws and Reimbursement Policies Report, Fall 2025
Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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