Rural Health
Resources by Topic: Outpatient care
Outpatient Care Fragmentation and Patient Satisfaction With Care
Examines the relationship between outpatient care fragmentation and Medicare patient satisfaction. Utilizes 2020-2022 survey data from 2,294 Medicare beneficiaries to analyze physician and practice-level fragmentation alongside patient satisfaction, measured by perceived accessibility, communication, coordination, and quality as experienced by rural, suburban, and urban Medicare populations.
Author(s): Isabella Ratto, Neelam Ahmed, Mengyuan Chen, et al.
Citation: Journal of Rural Health, 42(3), e70220
Date: 09/2026
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Examines the relationship between outpatient care fragmentation and Medicare patient satisfaction. Utilizes 2020-2022 survey data from 2,294 Medicare beneficiaries to analyze physician and practice-level fragmentation alongside patient satisfaction, measured by perceived accessibility, communication, coordination, and quality as experienced by rural, suburban, and urban Medicare populations.
Author(s): Isabella Ratto, Neelam Ahmed, Mengyuan Chen, et al.
Citation: Journal of Rural Health, 42(3), e70220
Date: 09/2026
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September 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for CY 2027
Comment on the July 7, 2026, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027. Includes considerations for expansion of site-neutral payments for imaging without contrast services under the OPPS, the continued use of the hospital market basket to update ASC payment rates, the reduction of OPPS payment rates for 340B-acquired drugs, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 7, 2026, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027. Includes considerations for expansion of site-neutral payments for imaging without contrast services under the OPPS, the continued use of the hospital market basket to update ASC payment rates, the reduction of OPPS payment rates for 340B-acquired drugs, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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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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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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Reported Receipt of Mental Health Services by Adolescents Aged 12 to 17 in the Rural and Urban U.S., 2021
Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the mental health services received by adolescents in rural and urban counties nationwide in 2021. Presents data on the percentage of adolescents that received mental health services by rurality. Includes data on rural and urban adolescents' receipt of inpatient and outpatient mental health services across Census regions; services provided in specialty mental health settings; and services provided by a therapist or counselor, in a general medical setting, or via telehealth.
Author(s): Janessa M. Graves, Gina A. Keppel, Lisa A. Garberson, C. Holly A. Andrilla
Date: 04/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — United States, 2024–25 Respiratory Virus Season
Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza and COVID-19 vaccination coverage during the 2024-2025 respiratory virus season among healthcare personnel working in hospitals, ambulatory care, long-term care/home health, and other clinical settings. Includes data by workplace location for rural and urban areas.
Author(s): Mehreen Meghani, Zhuping Garacci, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(12), 164-171
Date: 04/2026
Sponsoring organization: Centers for Disease Control and Prevention
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MedPAC Report to the Congress: Medicare Payment Policy, 2026
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19 Antiviral Prescription Receipt Among Outpatients Aged ≥65 Years — United States, June 1, 2023–September 30, 2025
Reports on factors associated with receiving an antiviral prescription among adults aged 65 years or older diagnosed with COVID-19 in an outpatient setting. Includes data for urban and rural locations.
Author(s): Julia Raykin, Ilia Rochin, Ryan Wiegand, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(6), 69-76
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on factors associated with receiving an antiviral prescription among adults aged 65 years or older diagnosed with COVID-19 in an outpatient setting. Includes data for urban and rural locations.
Author(s): Julia Raykin, Ilia Rochin, Ryan Wiegand, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 75(6), 69-76
Date: 02/2026
Sponsoring organization: Centers for Disease Control and Prevention
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