Rural Health
Resources by Topic: Healthcare facilities
Evaluation of the Rural Community Hospital Demonstration: CCA Extension Final Report (Covering 2016-2021)
Provides an overview of the Rural Community Hospital Demonstration (RCHD), focusing on the 26 hospitals that participated during the extension period authorized by the 21st Century Cures Act (2016-2021). Describes the characteristics of active RCHD participants before they joined the demonstration, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures.
Additional links: Appendices, At-A-Glance, Executive Summary
Date: 09/2025
Sponsoring organizations: American Institutes for Research, Centers for Medicare & Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD), focusing on the 26 hospitals that participated during the extension period authorized by the 21st Century Cures Act (2016-2021). Describes the characteristics of active RCHD participants before they joined the demonstration, the Medicare payments received under the program, and the impact of the RCHD on hospital financial measures.
Additional links: Appendices, At-A-Glance, Executive Summary
Date: 09/2025
Sponsoring organizations: American Institutes for Research, Centers for Medicare & Medicaid Services
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Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024
Describes trends in the foundational use, evaluation, and governance of predictive artificial intelligence (AI) in hospitals using data from the 2023 and 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the differences in acute care hospitals' use of predictive AI by hospital size, CAH status, rural/urban location, independent/system affiliation, and electronic health record (EHR) vendor.
Date: 09/2025
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Describes trends in the foundational use, evaluation, and governance of predictive artificial intelligence (AI) in hospitals using data from the 2023 and 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the differences in acute care hospitals' use of predictive AI by hospital size, CAH status, rural/urban location, independent/system affiliation, and electronic health record (EHR) vendor.
Date: 09/2025
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Rural Health Transformation Program Resources
Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Offers data, analysis, and other resources related to the Rural Health Transformation Program (RHTP). Includes links to rural facility and population score estimates by state and an analysis of RHTP funding awarded for the first year by state.
Date: 09/2025
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Nursing Homes Failed to Report 43 Percent of Falls With Major Injury and Hospitalization among Their Medicare-Enrolled Residents
Explores the extent to which falls with major injury that resulted in hospitalization among Medicare-enrolled nursing home residents were accurately reported by nursing homes in Minimum Data Set (MDS) assessments between July 2022 and June 2023. Compares the nursing home and patient characteristics associated with higher rates of unreported falls, including nursing home size, ownership structure, rurality, and overall star rating.
Additional links: Report Highlights
Date: 09/2025
Sponsoring organization: Office of Inspector General (HHS)
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Explores the extent to which falls with major injury that resulted in hospitalization among Medicare-enrolled nursing home residents were accurately reported by nursing homes in Minimum Data Set (MDS) assessments between July 2022 and June 2023. Compares the nursing home and patient characteristics associated with higher rates of unreported falls, including nursing home size, ownership structure, rurality, and overall star rating.
Additional links: Report Highlights
Date: 09/2025
Sponsoring organization: Office of Inspector General (HHS)
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Health Panel Comment Letter – Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule
Comments offered in response to a July 17, 2025, proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment Systems for calendar year 2026. Discusses proposals for the Hospital Outpatient Quality Reporting (OQR), Rural Emergency Hospital Quality Program (REHQR), and Ambulatory Surgical Center Quality Reporting (ASCQR) Programs.
Date: 09/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Comments offered in response to a July 17, 2025, proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment Systems for calendar year 2026. Discusses proposals for the Hospital Outpatient Quality Reporting (OQR), Rural Emergency Hospital Quality Program (REHQR), and Ambulatory Surgical Center Quality Reporting (ASCQR) Programs.
Date: 09/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Tax-Exempt Hospitals Provided Nearly $149 Billion in Total Benefits to Their Communities
Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, medical research, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 09/2025
Sponsoring organization: American Hospital Association
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Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, medical research, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 09/2025
Sponsoring organization: American Hospital Association
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Sustaining Rural Labor & Delivery Programs: Strategies for Financial Analyses and Considerations for Maintaining Services
A guide for Critical Access Hospital and other rural hospital executives to use when assessing the financial viability of their Labor & Delivery programs. Outlines three strategies that may bring a Labor & Delivery program closer to sustainability and prevent unnecessary closure of services in rural areas.
Author(s): Eric Shell, Dahlia McGrath, Jeff Sommer, et al.
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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A guide for Critical Access Hospital and other rural hospital executives to use when assessing the financial viability of their Labor & Delivery programs. Outlines three strategies that may bring a Labor & Delivery program closer to sustainability and prevent unnecessary closure of services in rural areas.
Author(s): Eric Shell, Dahlia McGrath, Jeff Sommer, et al.
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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MedPAC Comment on CMS's Proposed Rule on CY 2026 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B for Payment Policies
Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Expiring Health Provisions of the 119th Congress
Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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