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Rural Health Information Hub

Rural Health
Resources by Topic: Medicaid

Clinical and Demographic Characteristics of Participants in a Hepatitis C Treatment Trial in Rural Kentucky: How Policies Around Treatment Access May Impact Elimination Efforts in the United States
Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Advancing Medicaid Primary Care Population-Based Payment Models: Four Lessons for States
Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Doula Services for Medicaid Beneficiaries in Virginia: Access, Utilization, and Policy Lessons
Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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Nevada Medicaid Cost Driver Analysis, 2025
Report analyzing 2016-2024 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2025
Sponsoring organization: Nevada Health Authority
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Use of Telehealth in Nonmetropolitan and Metropolitan Areas, United States 2021-2023
Statistical brief on differences in telehealth use in nonmetropolitan and metropolitan areas, utilizing 2021-2023 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Breaks down rural and urban frequency of telehealth use by specialty, primary source of payment, and more.
Author(s): Sandra Decker
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Analysis of the Rural Health Transformation Program
Examines the Rural Health Transportation Program's (RHTP) impacts on rural health funding by state characteristics. Includes data on factors including funding provided per rural inhabitant by state-level rural mortality rate, rural population, estimated loss of funding resulting from Medicaid spending reductions, and more.
Author(s): Paula Chatterjee, Rachel M. Werner
Date: 12/2025
Sponsoring organization: Leonard Davis Institute of Health Economics
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2022 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 15 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 12/2025
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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Prevalence of Diagnosed Mental Health Conditions among US Children with Public and Commercial Insurance
Examines the prevalence of diagnosed mental health conditions, including ADHD, depression, and anxiety, among children (3-17 years) with Medicaid or commercial insurance in rural, suburban, and urban communities. Utilizes 2018 Transformed Medicaid Analytic Files and claims database data of a large commercial insurer.
Author(s): Wanmeng Liu, Yujia Xie, Sarah Vinson, Jiaxi Yu, Nicoleta Serban
Citation: BMC Public Health, 25, 4050
Date: 11/2025
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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2025 and 2026
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to implementing federal priorities, systems issues, state budget limitations, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2025
Sponsoring organization: KFF
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