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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Rural Health Transformation Program: Themes Emerging From Stakeholder Input
Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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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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2025 Cybersecurity Year in Review, Part Two: Mitigating Third-Party Risk, Ensuring Clinical Continuity and Addressing AI Risk
Explains steps healthcare organizations should take to address cybersecurity risks. Discusses the need to prepare for interruption to services of 30 days or longer and the importance of focusing on clinical continuity. Also provides examples of how AI is being used in cyberattacks.
Author(s): John Riggi, Scott Gee
Date: 10/2025
Sponsoring organization: American Hospital Association
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Community Health Workers and Rural Age-Friendly Care
Discusses the roles of community health workers (CHWs) in enhancing access, quality, and affordability of healthcare for older adults in rural areas. Describes challenges and opportunities for integrating CHWs into rural health systems. Offers policy and action recommendations to enable and support CHWs in improving healthcare for rural older adults.
Author(s): Elizabeth Eckstrom, Denise A. Hernadez, Lindsay Miller, Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Financial Challenges of Providing Obstetric Services at Rural US Hospitals
Presents a study on the financial challenges faced by rural hospitals operating obstetric units. Bases findings on survey data from hospital administrators detailing financial factors such as payer mix, fixed costs, and workforce, among other measures.
Author(s): C.E. Busse, K. O'Hanlon, K.B. Kozhimannil, J.D. Interrante
Citation: Journal of Rural Health, 41(4), e70082
Date: 10/2025
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Barriers to Health Care among Rural Adults by Disability Status
Examines various barriers to healthcare access for rural adults with a disability. Utilizes 2022 National Health Interview Survey data to analyze rural adults with disabilities compared to rural adults without disabilities, with further breakdowns by demographic and socioeconomic variables as well as delayed healthcare due to cost, inability to afford prescription medication, clinic hours or availability, transportation, travel time, or insurance status.
Author(s): Alexis Swendener, Mariana Tuttle, Ingrid Jacobson, et al.
Citation: Journal of Rural Health, 41(2), e70086
Date: 10/2025
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Rural Transformation Program State Legislative Resources
Provides an overview of the Rural Health Transformation Program, including how states approached seeking public input for the application. Describes how states have successfully implemented policies related to the allowable uses of Rural Health Transformation Program funds.
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Healthcare Access and Health Related Quality of Life of New Mexican Adults: Results from the 2023 New Mexico Behavioral Risk Factor Surveillance System
Reports on healthcare access and health-related quality of life in New Mexico using New Mexico Behavioral Risk Factor Survey (NM BRFSS) data. Covers topics including self-reported quality of mental and physical health, health insurance coverage, routine healthcare check-ups, flu vaccination among older adults, and likelihood of having a personal healthcare provider. Provides data breakdowns for each topic by level of rurality and other demographics.
Date: 10/2025
Sponsoring organization: New Mexico Department of Health
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Merit-Based Incentive Payment System (MIPS): 2024 Performance Year/2026 MIPS Payment Year - Payment Adjustment User Guide
Provides information on Merit-Based Incentive Payment System (MIPS) payment adjustments for calendar year 2026. Describes how 2024 MIPS scores relate to 2026 payment adjustments and how payment adjustments are applied. Offers answers to frequently asked questions.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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The New Rural Emergency Hospital Designation Program: Will It Improve Access to Care for Rural Americans?
Discusses rural hospital closures and the potential impact of the Rural Emergency Hospital (REH) designation. Provides U.S. maps showing Medicaid Expansion states and rural hospital closures as well as data specific to REHs in Texas.
Author(s): Suzanne B. Daly, Wei You, Elizabeth I. Merwin
Citation: Journal of Rural Health, 41(4)
Date: 10/2025
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