Rural Health
Resources by Topic: Policy
Medicare Waiver Expiration & Telehealth FAQs
Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Trends in Opioid Prescribing by Oncologists for Medicare Beneficiaries from 2014 to 2022
Examines trends in opioid prescribing among oncologists before and after the FDA's 2018 Risk Evaluation and Mitigation Strategy for opioids revision, utilizing 2014-2022 Medicare Part D Prescriber Public Use Files data. Breaks down data by opioid type, oncologist subspecialty, geographic region, and rurality.
Author(s): Shaimaa Elshafie, Lorenzo Villa Zapata
Citation: Journal of Managed Care & Specialty Pharmacy, 31(10), 991-996
Date: 10/2025
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Examines trends in opioid prescribing among oncologists before and after the FDA's 2018 Risk Evaluation and Mitigation Strategy for opioids revision, utilizing 2014-2022 Medicare Part D Prescriber Public Use Files data. Breaks down data by opioid type, oncologist subspecialty, geographic region, and rurality.
Author(s): Shaimaa Elshafie, Lorenzo Villa Zapata
Citation: Journal of Managed Care & Specialty Pharmacy, 31(10), 991-996
Date: 10/2025
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Investing in Primary Care: The Nurse Practitioner Will See You Now
Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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The Latest Trends in Health Workforce Legislation
Summarizes an August 2025 discussion of the National Conference of State Legislatures' Health Workforce Peer Learning Group regarding state healthcare workforce policy trends. Covers state policy levers to recruit and retain members of the health workforce and promote access to care. Includes rural references throughout.
Author(s): Kelsie George
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Summarizes an August 2025 discussion of the National Conference of State Legislatures' Health Workforce Peer Learning Group regarding state healthcare workforce policy trends. Covers state policy levers to recruit and retain members of the health workforce and promote access to care. Includes rural references throughout.
Author(s): Kelsie George
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers
Examines the availability of behavioral health providers in selected Medicare Advantage (MA) and Medicaid managed care networks in 2023. Analyzes provider network lists and MA and Medicaid encounter data for four MA and two Medicaid managed care plans from 10 selected urban and rural counties across five states. Describes the proportion of the behavioral health workforce in each county included in the plans' networks. Discusses the extent to which managed care plans had inactive providers in their network and why these providers did not deliver services to enrollees. Includes data on the percentage of inactive providers in rural and urban counties. Offers recommendations to monitor and improve the accuracy of provider networks.
Additional links: Report Highlights
Date: 10/2025
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers in selected Medicare Advantage (MA) and Medicaid managed care networks in 2023. Analyzes provider network lists and MA and Medicaid encounter data for four MA and two Medicaid managed care plans from 10 selected urban and rural counties across five states. Describes the proportion of the behavioral health workforce in each county included in the plans' networks. Discusses the extent to which managed care plans had inactive providers in their network and why these providers did not deliver services to enrollees. Includes data on the percentage of inactive providers in rural and urban counties. Offers recommendations to monitor and improve the accuracy of provider networks.
Additional links: Report Highlights
Date: 10/2025
Sponsoring organization: Office of Inspector General (HHS)
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Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Discusses behavioral health, school-based services, and integrated care access. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Discusses behavioral health, school-based services, and integrated care access. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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A Systematic Review and Meta-Analysis of Tobacco 21 Policies and Youth Tobacco Use: Implications for Future Policy Research
Examines the impact of Tobacco 21 (T21) policies that raise the sales age of tobacco to 21 on youth smoking. Utilizes 24 completed studies to analyze T21 regulations on smoking behaviors of respondents aged 11 to 20. Discusses T21 impacts in rural and urban areas.
Author(s): Danyi Li, Shiyou Wu, Steve Sussman, Mary Ann Pentz
Citation: The Lancet Regional Health - Americas, 50, 101208
Date: 10/2025
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Examines the impact of Tobacco 21 (T21) policies that raise the sales age of tobacco to 21 on youth smoking. Utilizes 24 completed studies to analyze T21 regulations on smoking behaviors of respondents aged 11 to 20. Discusses T21 impacts in rural and urban areas.
Author(s): Danyi Li, Shiyou Wu, Steve Sussman, Mary Ann Pentz
Citation: The Lancet Regional Health - Americas, 50, 101208
Date: 10/2025
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Does Caregiver Well-Being Differ by Rurality and State Policy Environment? Identifying a Well-Being Typology for Rural, Suburban, and Urban Caregivers
Results of a study of informal caregiver well-being, exploring ways in which geographic location, individual circumstances, and state-level policies can impact a caregiver's health, comfort, and happiness. Features demographics and statistics with breakdowns by rural, suburban, and urban areas.
Author(s): Elena Maria Pojman, Florence Becot, Zuzana Bednarik, Carrie Henning-Smith
Citation: Rural Sociology, 90(3), e70015
Date: 09/2025
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Results of a study of informal caregiver well-being, exploring ways in which geographic location, individual circumstances, and state-level policies can impact a caregiver's health, comfort, and happiness. Features demographics and statistics with breakdowns by rural, suburban, and urban areas.
Author(s): Elena Maria Pojman, Florence Becot, Zuzana Bednarik, Carrie Henning-Smith
Citation: Rural Sociology, 90(3), e70015
Date: 09/2025
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Building a Sustainable Oral Health Workforce in Pennsylvania: Strategies for Reinvigorating Dental Careers and Strengthening the Pipeline
Features recommendations to guide efforts to build a strong and sustainable dental workforce pipeline for Pennsylvania, by increasing supply of providers and improving retention rates. Mentions rural throughout.
Date: 09/2025
Sponsoring organization: Pennsylvania Department of Health
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Features recommendations to guide efforts to build a strong and sustainable dental workforce pipeline for Pennsylvania, by increasing supply of providers and improving retention rates. Mentions rural throughout.
Date: 09/2025
Sponsoring organization: Pennsylvania Department of Health
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