Rural Health
Resources by Topic: Hospitals
Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
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Providing Care to the Surprisingly Large Rural Population in the US: A Healthy Dialogue With Julie Donohue and Mark Holmes
Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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Summarizes a podcast episode featuring a discussion with Mark Holmes, director of The Cecil G. Sheps Center for Health Services Research at The University of North Carolina at Chapel Hill, and Julie Donohue, professor and chair of health policy and management at the University of Pittsburgh and deputy editor at JAMA Health Forum. Describes challenges facing rural health and the potential impacts of the One Big Beautiful Bill Act (OBBBA).
Additional links: Providing Rural Health Care Is Really Hard; 60 Million Americans Rely on It, Transcript
Author(s): Derek C. Angus, Matthew B. O'Connor
Citation: JAMA
Date: 10/2026
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Cardiometabolic Outcomes and Program Participation in Prescription for Your Health: A Rural Hospital-Based Wellness Program in Appalachia
Examines the impact of a hospital-based wellness program on participant health in rural West Virginia. Analyzes data from 585 participants related to changes in selected cardiometabolic measures such as weight, blood pressure, cholesterol, and more. Discusses how locally developed hospital-based wellness models can address population health in rural Appalachia.
Author(s): Adam Baus, Anthony Yeager, Julie Carr, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 10/2026
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Examines the impact of a hospital-based wellness program on participant health in rural West Virginia. Analyzes data from 585 participants related to changes in selected cardiometabolic measures such as weight, blood pressure, cholesterol, and more. Discusses how locally developed hospital-based wellness models can address population health in rural Appalachia.
Author(s): Adam Baus, Anthony Yeager, Julie Carr, et al.
Citation: Journal of Primary Care & Community Health, 17
Date: 10/2026
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South Dakota Department of Health - Maternal and Infant Health Task Force Strategic Plan
Report provides an overview of maternal and infant health outcomes and needs in South Dakota. Discusses access challenges in rural counties, particularly in counties with hospitals that lack obstetric units, and compares obstetric services in rural and urban hospitals. Details maternal and infant health initiatives throughout the state.
Date: 10/2026
Sponsoring organization: South Dakota Department of Health
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Report provides an overview of maternal and infant health outcomes and needs in South Dakota. Discusses access challenges in rural counties, particularly in counties with hospitals that lack obstetric units, and compares obstetric services in rural and urban hospitals. Details maternal and infant health initiatives throughout the state.
Date: 10/2026
Sponsoring organization: South Dakota Department of Health
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Regional Highlights: Changes in Hospital-Based Obstetric Care in the US, 2010-2024
Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy Backes Kozhimannil
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes changes in availability of obstetric services at hospitals in the 4 U.S. census regions, including hospitals that lost obstetric services and the percentage of all hospitals without obstetric services. Features statistics with breakdowns by urban and rural areas.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Emily C. Sheffield, Katy Backes Kozhimannil
Date: 10/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Location of Critical Access Hospitals
U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 10/2026
Sponsoring organization: Flex Monitoring Team
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U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 10/2026
Sponsoring organization: Flex Monitoring Team
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September 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Power of Partnerships Between Health Centers & Rural Hospitals
Provides a brief overview of the rural healthcare landscape. Presents case studies describing partnerships between health centers and rural hospitals in New Hampshire, North Dakota, and Pennsylvania that aim to strengthen access, improve outcomes, and build long-term sustainability. Identifies key themes and actionable strategies that can be adapted across rural communities.
Additional links: Case Studies at a Glance, July 2026
Date: 09/2026
Sponsoring organizations: Impact! Communications, Inc., National Association of Community Health Centers
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Provides a brief overview of the rural healthcare landscape. Presents case studies describing partnerships between health centers and rural hospitals in New Hampshire, North Dakota, and Pennsylvania that aim to strengthen access, improve outcomes, and build long-term sustainability. Identifies key themes and actionable strategies that can be adapted across rural communities.
Additional links: Case Studies at a Glance, July 2026
Date: 09/2026
Sponsoring organizations: Impact! Communications, Inc., National Association of Community Health Centers
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Frontiers: A Rural Maternal Health Podcast Series
A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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A podcast series that examines strategies hospitals use to improve access to maternal healthcare and connect rural areas with clinical expertise.
Additional links: Episode 1 - Frontiers: Committing to Rural Maternal Care, Episode 2 - Frontiers: The People Powering Rural Maternal Care, Episode 3 - Connected Rural Maternal Care, Closer to Home
Date: 09/2026
Sponsoring organization: American Hospital Association
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Availability of Real-Time Prescription Benefit Information Among U.S. Hospitals
Describes the availability of real-time prescription benefit (RTPB) information across U.S. hospitals in 2025. Presents data and analysis on RTPB information availability by hospital type, including Critical Access Hospital (CAH) designation, rural location, system affiliation, Accountable Care Organization (ACO) participation, ownership status, and more.
Date: 09/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Describes the availability of real-time prescription benefit (RTPB) information across U.S. hospitals in 2025. Presents data and analysis on RTPB information availability by hospital type, including Critical Access Hospital (CAH) designation, rural location, system affiliation, Accountable Care Organization (ACO) participation, ownership status, and more.
Date: 09/2026
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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