Rural Health
Resources by Topic: Hospitals
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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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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Rural Hospital Closures and Mortality From Time-Sensitive Conditions in Texas
Examines the relationship between mortality and rural hospital closures in Texas. Analyzes time-sensitive deaths per 100,000 residents across 175 counties between 2006 and 2019 and observes changes in mortality rates in a county where a rural hospital closed or in a nearby affected area. Includes county-level map showing location of hospital closures.
Author(s): Mark A. Poisler, Kritee Gujral
Citation: JAMA Network Open, 9(9), e2636325
Date: 09/2026
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Examines the relationship between mortality and rural hospital closures in Texas. Analyzes time-sensitive deaths per 100,000 residents across 175 counties between 2006 and 2019 and observes changes in mortality rates in a county where a rural hospital closed or in a nearby affected area. Includes county-level map showing location of hospital closures.
Author(s): Mark A. Poisler, Kritee Gujral
Citation: JAMA Network Open, 9(9), e2636325
Date: 09/2026
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AI in Rural Health: Data, Insights, and Discussion on AI's Growing Role in Rural Hospital Operations
Webinar discussing recent research on how artificial intelligence (AI) adoption has varied by rurality and other facility characteristics. Includes discussion from webinar participants on implementation strategies, experiences, and expectations in Oklahoma hospitals.
Author(s): Brian Whitacre
Date: 09/2026
Sponsoring organization: Oklahoma State University Center for Rural Health
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Webinar discussing recent research on how artificial intelligence (AI) adoption has varied by rurality and other facility characteristics. Includes discussion from webinar participants on implementation strategies, experiences, and expectations in Oklahoma hospitals.
Author(s): Brian Whitacre
Date: 09/2026
Sponsoring organization: Oklahoma State University Center for Rural Health
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Critical Access Hospitals and Rural Emergency Hospitals in Oklahoma
Provides a map showing the name and location of Critical Access Hospitals and Rural Emergency Hospitals in Oklahoma as of September 2026.
Date: 09/2026
Sponsoring organization: Oklahoma State University Center for Rural Health
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Provides a map showing the name and location of Critical Access Hospitals and Rural Emergency Hospitals in Oklahoma as of September 2026.
Date: 09/2026
Sponsoring organization: Oklahoma State University Center for Rural Health
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CAH Quality Infrastructure Resources
Provides resources related to the Critical Access Hospital (CAH) Quality Infrastructure measure, which is part of the Flex Program's Medicare Beneficiary Quality Improvement Project (MBQIP) core measures. Covers CAH Quality Infrastructure measure specifications and detailed codebooks from 2023 to 2025.
Author(s): Megan Lahr, Madeleine Pick, Robert Barclay
Date: 09/2026
Sponsoring organization: Flex Monitoring Team
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Provides resources related to the Critical Access Hospital (CAH) Quality Infrastructure measure, which is part of the Flex Program's Medicare Beneficiary Quality Improvement Project (MBQIP) core measures. Covers CAH Quality Infrastructure measure specifications and detailed codebooks from 2023 to 2025.
Author(s): Megan Lahr, Madeleine Pick, Robert Barclay
Date: 09/2026
Sponsoring organization: Flex Monitoring Team
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The Integrated Vulnerability Measure a Novel Financial Distress Index for US Hospitals
Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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