Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Medicare

Rural Residence and Postsurgical Outcomes Among Medicare Beneficiaries
Explores the post-surgical outcomes of Medicare beneficiaries undergoing four common inpatient general surgery operations: appendectomy, cholecystectomy, colectomy, or incisional hernia repair. Compares quality outcomes including mortality, complications, 30-day readmissions, and discharge disposition for rural and nonrural Medicare beneficiaries using Medicare Provider Analysis and Review (MEDPAR) data from 2016 to 2023.
Author(s): Cody Lendon Mullens, Adrian Diaz, Brooke C. Bredbeck, et al.
Citation: JAMA Network Open, 9(8), e2626959
Date: 08/2026
view details
MVP Transition Toolkit for Small Practices
Provides resources for small practices that participate in the Merit-based Incentive Payment System (MIPS) to support the transition from traditional MIPS reporting to MIPS Value Pathways (MVP) reporting. Includes an MVP Transition Guide for Small Practices and a Measure Mapping Tool.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Merit-based Incentive Payment System (MIPS): Small Practice Countdown to 2026 Performance Year (PY) Data Submission
Checklist outlining the steps small practices must follow to submit Merit-based Incentive Payment System (MIPS) 2026 performance year data. Highlights key dates and links to key resources for small practices.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Federal Policy Priorities to Strengthen Rural Health and Maximize Rural Health Transformation Program Investments
Presents policy recommendations for Congressional and CMS actions to bolster rural health and ensure Rural Health Transformation Program investments are transparent, durable, and effective. Covers recommendations related to telehealth and health information technology investments, the rural healthcare workforce, and rural hospital programs and eligibility.
Author(s): Daisy Kim, Maya Sandalow
Date: 08/2026
Sponsoring organization: Bipartisan Policy Center
view details
Health Care Access, Preventive Care, and Affordability Among Rural Adults With Cardiometabolic Conditions: Medicare Advantage Versus Traditional Medicare
Examines the differences in healthcare experiences for rural adults with cardiometabolic conditions who are enrolled in Medicare Advantage (MA) versus traditional Medicare. Utilizes 2021-2022 Medicare Current Beneficiary Survey data from 4,274 rural beneficiaries and analyzes MA versus traditional Medicare coverage related to issues such as healthcare access, preventive care, and affordability.
Author(s): Nicholas Chiu, Andrew Oseran, Archana P. Tale, Rishi K. Wadhera
Citation: Journal of the American Heart Association, 15, 15
Date: 07/2026
view details
Calendar Year 2026 Medicare Promoting Interoperability Program Guide for Eligible Hospitals and Critical Access Hospitals
Provides an overview of the requirements of the Medicare Promoting Interoperability Program for calendar year 2026. Covers information about participation requirements, measures, data submission, and helpful resources.
Additional links: Infographic
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, Health Services Advisory Group
view details
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
view details
Association Between the Declining Conversion Factor and Access to Care for Medicare Beneficiaries
Examines the impact of the inflation-adjusted conversion factor and reduced reimbursement on Medicare beneficiaries' access to care. Utilizes 2005-2023 Medicare fee-for-service data from 4,662,729 unique beneficiaries and provides data breakdowns on conversion factor values and care utilization according to community income, area deprivation index, and urbanicity.
Author(s): Eric W. Christensen, Alexandra R. Drake, Gregory N. Nicola, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 07/2026
view details
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
view details
A Profile of Dual-Eligible Individuals
Presents data on the demographic, socioeconomic, and health characteristics of dual-eligible individuals in 2023. Compares dual-eligible individuals' characteristics with those of Medicare beneficiaries without Medicaid. Includes data on urban and rural residence.
Author(s): Abby Wolk, Nancy Ochieng, Jeannie Fuglesten Biniek, Alice Burns
Date: 07/2026
Sponsoring organization: KFF
view details