Rural Health
Resources by Topic: Healthcare business and finance
Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries
Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Integrated Care for Kids (InCK) Model: Evaluation Report 3
Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Merit-based Incentive Payment System (MIPS): 2026 MIPS Promoting Interoperability Performance Category Hardship Exception Application Guide
Provides guidance on how clinicians can apply for a MIPS hardship exception. Highlights guidance for having your MIPS Promoting Interoperability performance category reweighted to 0% in cases of insufficient internet connectivity, decertified electronic health record technology, or other circumstances out of the clinicians' control.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides guidance on how clinicians can apply for a MIPS hardship exception. Highlights guidance for having your MIPS Promoting Interoperability performance category reweighted to 0% in cases of insufficient internet connectivity, decertified electronic health record technology, or other circumstances out of the clinicians' control.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Telehealth Resource Center Skills Matrix
Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 05/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Outlines the technical assistance and subject matter expertise of the 14 federally funded Telehealth Resource Centers in specific telehealth topics, clinical specialties, and areas of telehealth implementation.
Date: 05/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Boosting Oral Health Care in Rural Communities
Provides a brief overview of the state of oral healthcare in rural areas. Highlights state and federal actions taken to improve access to oral healthcare and support and expand the dental health workforce.
Date: 04/2026
Sponsoring organization: National Conference of State Legislatures
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Provides a brief overview of the state of oral healthcare in rural areas. Highlights state and federal actions taken to improve access to oral healthcare and support and expand the dental health workforce.
Date: 04/2026
Sponsoring organization: National Conference of State Legislatures
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 30 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Presents state and national median values of 30 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Whole Health, Whole Communities — Dialogues to Reduce Rural Health Disparities
Summarizes discussions from the 2025 Whole Health, Whole Communities: Dialogues to Reduce Rural Health Disparities symposium on the short, intermediate, and long-term policy, financing, workforce, and data infrastructure reforms needed to implement Whole Health principles across rural health systems.
Author(s): Jyoti Savla, Taryn Pelletier, Karen A. Roberto, et al.
Citation: NEJM Catalyst Innovations in Care Delivery, 7(s2)
Date: 04/2026
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Summarizes discussions from the 2025 Whole Health, Whole Communities: Dialogues to Reduce Rural Health Disparities symposium on the short, intermediate, and long-term policy, financing, workforce, and data infrastructure reforms needed to implement Whole Health principles across rural health systems.
Author(s): Jyoti Savla, Taryn Pelletier, Karen A. Roberto, et al.
Citation: NEJM Catalyst Innovations in Care Delivery, 7(s2)
Date: 04/2026
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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MedPAC Comment on CMS's Proposed Rule on Inpatient Rehabilitation Facility for FY 2027
Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment for Rural or Geographically Isolated Hospitals, 2026
Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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Displays data on Medicare payment adjustments for Sole Community Hospitals, Medicare-Dependent Hospitals, Low-Volume Hospitals, and Critical Access Hospitals. Includes information on the number of qualifying hospitals by state and eligibility criteria.
Date: 04/2026
Sponsoring organization: Congressional Research Service
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