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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers
Examines the availability of behavioral health providers in selected Medicare Advantage (MA) and Medicaid managed care networks in 2023. Analyzes provider network lists and MA and Medicaid encounter data for four MA and two Medicaid managed care plans from 10 selected urban and rural counties across five states. Describes the proportion of the behavioral health workforce in each county included in the plans' networks. Discusses the extent to which managed care plans had inactive providers in their network and why these providers did not deliver services to enrollees. Includes data on the percentage of inactive providers in rural and urban counties. Offers recommendations to monitor and improve the accuracy of provider networks.
Additional links: Report Highlights
Date: 10/2025
Sponsoring organization: Office of Inspector General (HHS)
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Investing in Primary Care: The Nurse Practitioner Will See You Now
Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Trends in Opioid Prescribing by Oncologists for Medicare Beneficiaries from 2014 to 2022
Examines trends in opioid prescribing among oncologists before and after the FDA's 2018 Risk Evaluation and Mitigation Strategy for opioids revision, utilizing 2014-2022 Medicare Part D Prescriber Public Use Files data. Breaks down data by opioid type, oncologist subspecialty, geographic region, and rurality.
Author(s): Shaimaa Elshafie, Lorenzo Villa Zapata
Citation: Journal of Managed Care & Specialty Pharmacy, 31(10), 991-996
Date: 10/2025
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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On the Road to Early Detection: Woman's Hospital's Mobile Mammography
A podcast episode discussing a mobile mammography unit in Louisiana. Discusses differences in rural and urban breast cancer incidence and how a mobile unit increases access to preventive care.
Date: 10/2025
Sponsoring organization: American Hospital Association
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Drone-Based Medication Delivery for Rural, Flood-Prone Coastal Communities
Discusses access to essential medical services and healthcare for rural communities in Virginia's flood-prone Eastern Shore. Utilizes geospatial data to examine the impact of drone-based medication delivery to overcome transportation barriers in these communities.
Author(s): Yin-Hsuen Chen, Amro M. El-Adle, Kevin J. O'Brien, Taylor Wentworth, Heather G. Richter
Citation: PLoS One, 20(10), e0333696
Date: 10/2025
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Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Pennsylvania Common Procedures Report 2024
Provides information about the performance and utilization of Pennsylvania hospitals and ambulatory surgery centers for spinal fusion, total hip replacement, and total knee replacement, using data from October 2023 through September 2024. Includes hospitalization rates for each procedure by urban and rural areas, among other breakdowns.
Additional links: Summary and Highlights
Date: 10/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Cost of Implementing Evidence-Based Practices to Reduce Opioid Overdose Fatalities in New York State Communities
Presents a study on the cost of implementing an intervention to deploy opioid education, naloxone distribution, and medication for opioid use disorder (MOUD) during the COVID-19 pandemic in rural and urban locations in New York. Evaluates data from two time periods, or waves, from January 2020 to June 2022 and July 2022 to December 2023.
Author(s): Jazmine M. Li, Dawn Gruss, Timothy Hunt, et al.
Citation: Addiction Science & Clinical Practice, 20, 77
Date: 10/2025
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Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway
Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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