Rural Health
Resources by Topic: Healthcare facilities
Use of Telebehavioral Health Services by Critical Access Hospitals in the United States: A Qualitative Study of the Impacts of Medicare Flexibilities and Future Opportunities
Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Rural Hospitals and the Rural Health Transformation Program: What Comes Next
Blog post discussing the rural health transformation program established in the July 2025 budget reconciliation law. Describes potential priorities for states' use of the rural health transformation program funding. Outlines additional steps Congress could take to help rural hospitals serve their communities.
Author(s): Emma Sheffert, Maya Sandalow
Date: 07/2025
Sponsoring organization: Bipartisan Policy Center
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Blog post discussing the rural health transformation program established in the July 2025 budget reconciliation law. Describes potential priorities for states' use of the rural health transformation program funding. Outlines additional steps Congress could take to help rural hospitals serve their communities.
Author(s): Emma Sheffert, Maya Sandalow
Date: 07/2025
Sponsoring organization: Bipartisan Policy Center
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The Rapid Growth Of Medicare Advantage Poses Challenges To Rural Hospitals
Commentary describing key features of Medicare Advantage (MA) and how they may interact with the unique limitations of rural hospitals. Offers policy recommendations to align MA expansion with rural hospital sustainability.
Author(s): James D. Lee, Cody L. Mullens, Adam A. Markovitz, Janice Probst
Citation: Health Affairs Forefront
Date: 07/2025
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Commentary describing key features of Medicare Advantage (MA) and how they may interact with the unique limitations of rural hospitals. Offers policy recommendations to align MA expansion with rural hospital sustainability.
Author(s): James D. Lee, Cody L. Mullens, Adam A. Markovitz, Janice Probst
Citation: Health Affairs Forefront
Date: 07/2025
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Understanding and Navigating Commingling - RHC Edition
Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Paula Chatterjee on Rural Hospital Finances Under Pennsylvania's Health Model
A podcast episode that discusses the Pennsylvania Rural Health Model and its impact on rural hospital finances.
Author(s): Rob Lott, Paula Chatterjee
Date: 07/2025
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A podcast episode that discusses the Pennsylvania Rural Health Model and its impact on rural hospital finances.
Author(s): Rob Lott, Paula Chatterjee
Date: 07/2025
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Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals, 2024
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2024 using data from the the 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Describes challenges hospitals face with electronic public health reporting and electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Appendix Table A1 presents data on the methods used to submit data electronically across four data streams - immunization registry, syndromic surveillance, electronic lab reporting, and electronic case reporting - by hospital characteristics.
Date: 07/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2024 using data from the the 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Describes challenges hospitals face with electronic public health reporting and electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Appendix Table A1 presents data on the methods used to submit data electronically across four data streams - immunization registry, syndromic surveillance, electronic lab reporting, and electronic case reporting - by hospital characteristics.
Date: 07/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Obstetric Care Access Declined in Rural and Urban Hospitals Across US States, 2010–22
Examines the number and proportion of hospitals located in rural and urban counties in each state that lost hospital-based obstetric services between 2010 and 2022. Describes the proportion of hospitals without obstetric services for any reason by 2022.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Citation: Health Affairs, 44(7), 806-811
Date: 07/2025
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Examines the number and proportion of hospitals located in rural and urban counties in each state that lost hospital-based obstetric services between 2010 and 2022. Describes the proportion of hospitals without obstetric services for any reason by 2022.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Citation: Health Affairs, 44(7), 806-811
Date: 07/2025
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Rural Emergency Hospitals (REHs)
Printable map that shows the location of Rural Emergency Hospitals (REHs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Printable map that shows the location of Rural Emergency Hospitals (REHs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)
Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that expired at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 07/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that expired at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 07/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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