Rural Health
Resources by Topic: Policy

WIC Participant and Local Agency Staff Perspectives on Increased Cash-Value Benefits for Fruits and Vegetables Within an American Indian Tribal Organization
Explores the perceived impacts of increased cash-value benefits for fruits and vegetables through the Special Supplemental Nutrition Program of Women, Infants, and Children (WIC) in tribal communities associated with the Inter Tribal Council of Arizona. Bases findings on a survey of participants and staff on their perceptions about the increase and its effect on their ability to access a more nutritious diet.
Author(s): Emily M Melnick, Francesco Acciai, Nicole Vaudrin O'Reilly, et al.
Citation: Maternal & Child Nutrition, 22(1), e70148
Date: 03/2026
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Rural Emergency Hospital Educational Webinar and Fireside Chat
Recording of a January 8, 2026, webinar for Critical Access Hospitals (CAHs) and other small rural hospitals exploring the Rural Emergency Hospital (REH) designation. Describes the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services and resources. Features a discussion with two hospital executives that led their facilities through the conversion to REH status. Transcript available in the video description.
Date: 01/2026
Sponsoring organization: Rural Health Redesign Center
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Medicare Fee-for-Service Health Care Expenditures among Rural and Urban Beneficiaries During 2009-2019
Examines trends in Medicare Fee-for-Service spending among rural noncore, rural micropolitan, and urban beneficiaries, utilizing 2009-2019 CMS Medicare Geographic Variation Public Use files data. Details rural-urban differences in spending over time on per-patient hospital inpatient, hospital outpatient, physician services, and post-acute care, among other categories. Discusses implications for healthcare access and quality.
Author(s): Peiyin Hung, Theodoros Giannouchos, Xuanzi Qin, et al.
Date: 01/2026
Sponsoring organization: University of South Carolina Rural Health Research Center
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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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From Planning to Action: Tracking Which State Agencies Are Leading RHTP Implementation
Presents an interactive map displaying which state agency is designated to lead each state's implementation of the Rural Health Transformation Program.
Author(s): Rebecca Lopez, Jamila McLean, Heather Howard
Date: 01/2026
Sponsoring organization: State Health & Value Strategies
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January 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2026 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as mandated reports on changes to the home health prospective payment system and dual-eligible special needs plans. Includes rural references and considerations throughout.
Date: 01/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Providing Accountable Care Organizations the Ability to Expand the Use of Telehealth: Report to Congress
Analyzes the telehealth use and spending among fee-for-service (FFS) Medicare beneficiaries assigned to accountable care organizations (ACOs). Compares the rate of telehealth use across ACO and non-ACO providers between 2020 and 2023, as well as across provider types, dual eligibility, HPSA-status of patient residence, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Transformation Program: Funding Amounts and State Policy Actions
Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight
Describes the amounts awarded to each state for the first year of the Rural Health Transformation Program. Presents state-by-state data on award amount per rural resident.
Author(s): Zachary Levinson, Scott Hulver, Tricia Neuman
Date: 01/2026
Sponsoring organization: KFF
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