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Rural Health
Resources by Topic: Healthcare needs and services

How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for CY 2027
Comment on the July 7, 2026, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027. Includes considerations for expansion of site-neutral payments for imaging without contrast services under the OPPS, the continued use of the hospital market basket to update ASC payment rates, the reduction of OPPS payment rates for 340B-acquired drugs, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2027
Comments on a July 6, 2026, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding permanent and temporary budget-neutrality adjustments and durable medical equipment and provider enrollment provisions, as well as comments in response to a request for information on the construction of a home health-specific wage index.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Buprenorphine Dispensed by Pharmacies and Administered in Emergency Departments in Urban and Rural Areas — United States, 2019–2025
Reports on how the provision of buprenorphine in pharmacies and emergency departments varied by rural or urban area between 2019 and 2025. Includes rural and urban data comparisons on the frequency of dispensing or administering buprenorphine, dosing, prescribing, availability, and more, including year-by-year comparisons.
Author(s): Gery P. Guy Jr., Yijie Chen, Kun Zhang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(33), 522-528
Date: 08/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Availability of Rural Hospitals Providing Inpatient Maternity Care in Medicaid
Examines the availability of hospitals offering inpatient maternity care in rural areas to Medicaid enrollees. Describes the median drive time between rural hospitals and the next closest in-state hospital that provides inpatient maternity care to Medicaid enrollees by state. Includes data on the number of urban and rural hospitals providing these services in each state in 2023.
Author(s): Rhiannon Euhus, Brittni Frederiksen, Alice Burns
Date: 08/2026
Sponsoring organization: KFF
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ADDIE-Guided Development and Pilot Feasibility Evaluation of a Prototype VR Training Simulation for Suicide Prevention among Rural U.S. Veterans
Explores the feasibility of using virtual reality (VR) workforce training modules to address the lack of specialty-trained mental health professionals serving rural veterans and to improve suicide prevention efforts. Evaluates participants' engagement in the VR environment, realism of VR scenarios, and perception of usability across different workforce groups, among other measures.
Author(s): Donna L. Schuman , Micki Washburn, Regina T. Praetorius, et al.
Citation: PLoS One, 21(8), e0345819
Date: 08/2026
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Rural–Urban Differences in Excessive Alcohol Use and Select Mental Health Conditions
Explores the differences in alcohol use by people with self-reported mental health conditions in rural and urban areas using 2021-2022 National Survey on Drug Use and Health (NSDUH) data. Breaks down data by demographic markers, such as education level, employment, and health insurance status, among others. Compares alcohol use and mental health data by large urban, small urban, and rural areas.
Author(s): Taryn Farrell, Cassie Odahowski, Emma Boswell, et al.
Citation: Journal of Rural Health, 42(3), e70209
Date: 08/2026
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Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Lung Cancer Screening Access and Cancer Stage at Diagnosis Among American Indian and White Patients
Examines the association between geographic access to low-dose computed tomography (LDCT) lung cancer screening facilities and stage at diagnosis among American Indians and Alaska Natives (AI/AN) and non-Hispanic White (NHW) adults in North Carolina. Utilizes 2016-2020 cancer registry and health insurance claims data to analyze 18,154 lung cancer patients according to distance to nearest LDCT, sociodemographic variables, and geography.
Author(s): Bradford E. Jackson, Madison Uhrin, Stephanie B. Wheeler, et al.
Citation: Journal of Rural Health, 42(3), e70207
Date: 08/2026
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State of Oral Health in America: Key Findings from 2026
Details the findings of a survey that aims to identify gaps in dental coverage, barriers to care, and areas that have worse overall oral health outcomes across the country. Compares metro and nonmetro areas by dental insurance coverage, adult dental visits, and overall oral health.
Date: 08/2026
Sponsoring organization: CareQuest Institute for Oral Health
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