Rural Health
Resources by Topic: Policy
CMS Innovation Center: Obligations and Model Testing Progress
Discusses the Centers for Medicare & Medicaid Innovation Center's (Innovation Center) financial obligations from 2011 through 2024 and how it used the funds to develop and test new healthcare payment and service delivery models. Describes the outcomes of model testing, highlighting four models that CMS certified for expansion. Explores the extent to which the Innovation Center uses selected performance management practices to regularly assess its efforts.
Additional links: Full Report
Date: 03/2026
Sponsoring organization: Government Accountability Office
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Discusses the Centers for Medicare & Medicaid Innovation Center's (Innovation Center) financial obligations from 2011 through 2024 and how it used the funds to develop and test new healthcare payment and service delivery models. Describes the outcomes of model testing, highlighting four models that CMS certified for expansion. Explores the extent to which the Innovation Center uses selected performance management practices to regularly assess its efforts.
Additional links: Full Report
Date: 03/2026
Sponsoring organization: Government Accountability Office
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Healthcare Priorities in Governors' 2026 State of the State Addresses
Summarizes common themes from governors' 2026 legislative addresses regarding healthcare. Highlights rural healthcare access, the Rural Health Transformation Program, workforce, healthcare technology, licensing reform, affordability, and more.
Date: 03/2026
Sponsoring organization: National Governors Association
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Summarizes common themes from governors' 2026 legislative addresses regarding healthcare. Highlights rural healthcare access, the Rural Health Transformation Program, workforce, healthcare technology, licensing reform, affordability, and more.
Date: 03/2026
Sponsoring organization: National Governors Association
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Effect of Medicaid Audio-Only Telehealth Coverage Policy on Mental Health Visits in Federally Qualified Health Centers
Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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Examines the impact of Medicaid audio-only coverage (MAOC) and telehealth policy on mental health usage at Federally Qualified Health Centers (FQHCs). Utilizes 2016-2022 FQHC-level Uniform Data Systems (UDS) data to analyze mental health visit rates and MAOC policy implementation according to rural versus urban location as well as presence or absence of a primary telemental health service.
Author(s): Khyathi Gadag, Kanika Arora, Brian Kaskie, Whitney E. Zahnd
Citation: Health Services Research, 61(2), e70107
Date: 03/2026
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An Early Look at Profitability Before and After Conversion to Rural Emergency Hospital
Examines the impact of the Rural Emergency Hospital (REH) designation on profitability of hospitals. Analyzes Medicare Cost Reports (MCRs) from 32 REHs before and after conversion and provides information on REH total and operating margins.
Author(s): Aditya Pillutla, George Pink, Kristie Thompson, Mark Holmes
Date: 03/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the impact of the Rural Emergency Hospital (REH) designation on profitability of hospitals. Analyzes Medicare Cost Reports (MCRs) from 32 REHs before and after conversion and provides information on REH total and operating margins.
Author(s): Aditya Pillutla, George Pink, Kristie Thompson, Mark Holmes
Date: 03/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Dentist Workforce and Dental Care Utilization in the Rural and Urban U.S.
Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the supply of general and specialist dentists in rural and urban counties in 2022. Explores dental care utilization and outcomes in 2019 by degree of rurality and patient characteristics. Discusses the implication of these findings on policies and interventions related the supply of dentists in rural areas.
Author(s): C. Holly A. Andrilla, Sara C. Woolcock, Lisa A. Garberson, et al.
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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The Importance of Long-Term Services and Supports to a High-Performance Rural Health System: Demographic, Policy and Economic Challenges
Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Explores the potential impact of The One Big Beautiful Bill Act of 2025 (HR 1) on sustaining long-term services and supports (LTSS) in rural areas as an important element of a high performing rural health system. Describes how the policy landscape affecting LTSS in rural America is undergoing changes in population characteristics, healthcare resources, and financing. Discusses the potential impact of federal policy changes on rural LTSS.
Date: 03/2026
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Advancing Technology Innovation through the Rural Health Transformation Program
Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Rural Health Transformation Program: State Focus on Primary Care
Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes primary care initiatives addressed in state Rural Health Transformation Program applications. Covers payment and delivery systems, the primary care workforce, community partners, technology upgrades to reduce barriers to care, and infrastructure and seed funding.
Author(s): Maddy Hraber, Katie Green
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Regional Partnership Program: A Community-Led Approach
Discusses the role of voluntary regional partnerships in supporting small and rural water and wastewater systems, highlights priority topics and challenges in rural water systems, presents data on water system inventory and health violations by size of population served, and provides federal policy recommendations to support regional partnerships.
Date: 03/2026
Sponsoring organizations: National Rural Water Association, Rural Community Assistance Partnership
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Discusses the role of voluntary regional partnerships in supporting small and rural water and wastewater systems, highlights priority topics and challenges in rural water systems, presents data on water system inventory and health violations by size of population served, and provides federal policy recommendations to support regional partnerships.
Date: 03/2026
Sponsoring organizations: National Rural Water Association, Rural Community Assistance Partnership
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 8
Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2024 with breakdowns by urban and rural areas, rates of successful discharge and potentially preventable readmissions in urban and rural areas, and the number of home health periods provided to rural beneficiaries.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2024 with breakdowns by urban and rural areas, rates of successful discharge and potentially preventable readmissions in urban and rural areas, and the number of home health periods provided to rural beneficiaries.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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