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Rural Health
Resources by Topic: Healthcare facilities

Home Healthcare Establishments Serving Rural Areas Increased about 36 Percent from 2010 to 2023
Chart showing the change for home healthcare services, assisted living facilities, and skilled nursing facilities in nonmetropolitan areas between 2010 and 2023.
Author(s): Brandon Genetin
Date: 03/2025
Sponsoring organization: USDA Economic Research Service
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MedPAC Report to the Congress: Medicare Payment Policy, 2025
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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March 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2025 meeting. Covers research and proposals related to reforming physician fee schedule updates and improving the accuracy of relative payment rates, reducing beneficiary cost-sharing for outpatient services at Critical Access Hospitals, Medicare insurance agents, Medigap, payment for ground ambulance services, home healthcare use among Medicare Advantage enrollees, and institutional special needs plans. Includes rural references and considerations throughout.
Additional links: Mandated Report: Payment for Ground Ambulance Services, Reducing Beneficiary Cost-Sharing for Outpatient Services at Critical Access Hospitals
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Quality Improvement Workbook
Outlines seven steps of the quality improvement process. Offers interactive worksheets to help Critical Access Hospitals develop and support quality improvement goals and projects.
Date: 03/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Become a Health Center
Provides information on becoming a Health Center Program awardee or look-alike. Includes details on applying for health center program funding and the benefits of look-alike designation, including Federally Qualified Health Center (FQHC) reimbursement from Medicare and Medicaid.
Date: 03/2025
Sponsoring organization: Bureau of Primary Health Care
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Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Hawaii Community Health Needs Assessment: 2024 Update
Reports on health needs and health-related priorities for the state of Hawaii. Highlighted topics include financial security, food security, mental and behavioral health, housing, access to care, and more. Discusses rural-specific challenges throughout.
Date: 02/2025
Sponsoring organization: Healthcare Association of Hawaii
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Farmworker Health Clinics in North Carolina
County map showing locations and contact information for farmworker health clinics in North Carolina. Includes text in English and Spanish.
Date: 02/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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