Rural Health
Resources by Topic: Healthcare business and finance
Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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MBQIP Quality Measures National Annual Report - 2024
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2024. Presents data on the five Medicare Beneficiary Quality Improvement Project (MBQIP) domains: global measures, patient safety, patient engagement, care coordination, and emergency department.
Date: 06/2026
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2024. Presents data on the five Medicare Beneficiary Quality Improvement Project (MBQIP) domains: global measures, patient safety, patient engagement, care coordination, and emergency department.
Date: 06/2026
Sponsoring organization: Flex Monitoring Team
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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: 06/2026
Sponsoring organization: RAND Corporation
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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: 06/2026
Sponsoring organization: RAND Corporation
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 06/2026
Sponsoring organization: Missouri Department of Social Services
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Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 06/2026
Sponsoring organization: Missouri Department of Social Services
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Community Health Workers: An Overview
Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
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The Costs of Cancer in Rural Communities
Explores the health and financial impacts cancer has on individuals in rural communities. Includes information and data related to health insurance, income levels, and how cost is connected to healthcare access and deferred treatment.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network
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Explores the health and financial impacts cancer has on individuals in rural communities. Includes information and data related to health insurance, income levels, and how cost is connected to healthcare access and deferred treatment.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network
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Medicare Advantage Enrollment Update 2025
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2015-2025.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2015-2025.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Sustaining Rural Labor & Delivery Programs: Strategies & Considerations Webinar
A recorded webinar that discusses strategies to improve financial sustainability of rural hospitals and Critical Access Hospitals (CAHs). Focuses on financial performance, reimbursement opportunities, and operational models identified in the Sustaining Rural Labor & Delivery Programs report. Transcript available below transcription.
Author(s): Eric Shell, Kristin L. Reiter, Madeleine Pick
Date: 05/2026
Sponsoring organization: Stroudwater Associates
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A recorded webinar that discusses strategies to improve financial sustainability of rural hospitals and Critical Access Hospitals (CAHs). Focuses on financial performance, reimbursement opportunities, and operational models identified in the Sustaining Rural Labor & Delivery Programs report. Transcript available below transcription.
Author(s): Eric Shell, Kristin L. Reiter, Madeleine Pick
Date: 05/2026
Sponsoring organization: Stroudwater Associates
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Billing of Distant Site Telehealth Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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The Decentralized Academic Health Center: A 21st-Century Model for Rural Health Innovation
Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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