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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Home Health Care Chartbook 2025
Provides an overview of home health, including patient demographics and clinical profiles, organizational trends, the economic contribution of home health agencies, and patient outcomes. Includes charts and graphs throughout, as well as state-by-state data. Slide 11 highlights the rural-urban distribution of home health users.
Date: 02/2026
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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NACH Facts and Figures: 2025 Edition
Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 02/2026
Sponsoring organization: National Alliance for Care at Home
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Rural Health Value Virtual Summit: Designing Rural Value-Based Care for the Future
Summarizes a June 2025 summit of rural value-based care (VBC) thought leaders regarding the current state and future opportunities of rural VBC and payment. Describes summit participants' experiences related to the adoption of VBC initiatives. Identifies strategies to accelerate rural healthcare provider participation and success in VBC and value-based payment.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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2025-2026 Pre-Rulemaking Measure Review Final Recommendations Report
Reviews the 24 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2025-2026 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2026
Sponsoring organization: Partnership for Quality Measurement
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State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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TA Webinar: RHC Billing 101
Recording of a February 24, 2026, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2026
Sponsoring organization: National Association of Rural Health Clinics
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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State Medicaid & CHIP Toolkit for Children's Behavioral Health Services and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Requirements
Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fourteen of Thirty Selected Indian Health Service and Rural Providers Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments
Examines whether 30 selected Indian Health Service (IHS) and rural providers that received Provider Relief Fund (PRF) payments spent funds in accordance with Federal and program requirements. Describes unallowable and potentially unallowable expenditures and inaccurately calculated or unsupported lost revenues and their causes. Presents recommendations for the Health Resources and Services Administration (HRSA) and HRSA's response.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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