Rural Health
Resources by Topic: Inpatient care
MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Inpatient Rehabilitation Facilities Payment System
Overview of Medicare's payment system for inpatient rehabilitation services in freestanding facilities or within acute care hospitals. Demonstrates how payment rates are adjusted to account for certain facility characteristics, including facilities in rural areas.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient rehabilitation services in freestanding facilities or within acute care hospitals. Demonstrates how payment rates are adjusted to account for certain facility characteristics, including facilities in rural areas.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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FY 2027 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Final Rule (CMS-1849-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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National Burden of Bicyclist Hospitalizations in the United States by Rurality, 2016–2020
Examines bicycle injuries and hospitalizations in the United States by geography. Utilizes 2016-2020 HCUP-NIS data to analyze 124,000 rural versus urban bicycle hospitalizations, with data further broken down according to patient demographics, hospital region, admission and discharge characteristics, motor vehicle crash (MVC) involvement, and injury severity and/or death.
Author(s): Amir Ghanbari, Ryan M. Carnahan, Joseph E. Cavanaugh, et al.
Citation: Journal of Rural Health, 42(3), e70194
Date: 07/2026
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Examines bicycle injuries and hospitalizations in the United States by geography. Utilizes 2016-2020 HCUP-NIS data to analyze 124,000 rural versus urban bicycle hospitalizations, with data further broken down according to patient demographics, hospital region, admission and discharge characteristics, motor vehicle crash (MVC) involvement, and injury severity and/or death.
Author(s): Amir Ghanbari, Ryan M. Carnahan, Joseph E. Cavanaugh, et al.
Citation: Journal of Rural Health, 42(3), e70194
Date: 07/2026
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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A Rural Solution to the Geriatric Mental Health Crisis
Podcast episode featuring leaders from two rural New England hospitals, discussing their behavioral health programs for older adults. Describes how these specialized behavioral health programs are helping older adults receive mental healthcare close to home.
Date: 06/2026
Sponsoring organization: American Hospital Association
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Podcast episode featuring leaders from two rural New England hospitals, discussing their behavioral health programs for older adults. Describes how these specialized behavioral health programs are helping older adults receive mental healthcare close to home.
Date: 06/2026
Sponsoring organization: American Hospital Association
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Differential Impact of the Supportive Services for Veteran Families (SSVF) Program on Veterans Affairs Healthcare Utilization and Costs among Rural and Urban Veterans Experiencing Housing Instability
Presents a study examining differences in the impact of the VA's Supportive Services for Veteran Families (SSVF) program on both healthcare utilization and costs for rural and urban veterans experiencing housing instability. Breaks down data by inpatient, outpatient, and emergency department utilization and costs for rural and urban, and SSVF and non-SSVF cohorts.
Author(s): Minkyoung Yoo, Alec B. Chapman, Ying Suo, et al.
Citation: Journal of Rural Health, 42(2), e70167
Date: 05/2026
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Presents a study examining differences in the impact of the VA's Supportive Services for Veteran Families (SSVF) program on both healthcare utilization and costs for rural and urban veterans experiencing housing instability. Breaks down data by inpatient, outpatient, and emergency department utilization and costs for rural and urban, and SSVF and non-SSVF cohorts.
Author(s): Minkyoung Yoo, Alec B. Chapman, Ying Suo, et al.
Citation: Journal of Rural Health, 42(2), e70167
Date: 05/2026
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MedPAC Comment on CMS's Proposed Rule on Inpatient Rehabilitation Facility for FY 2027
Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2026, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential creation of an IRF-specific wage index and refinements to the IRF payment system, such as changes to IRF patient clinical classification. Includes rural considerations throughout.
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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2025 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the September-November 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; median swing bed admissions and swing bed length of stay; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; CAH quality payment model participation; and CAH quality improvement topic priorities.
Author(s): Madeleine Pick, Robert Barclay
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the September-November 2025 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; median swing bed admissions and swing bed length of stay; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; CAH quality payment model participation; and CAH quality improvement topic priorities.
Author(s): Madeleine Pick, Robert Barclay
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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