Rural Health
Resources by Topic: Policy
10 Things to Know About Rural Hospitals
Presents information and data on rural hospitals and rural hospital finances. Compares insurance coverage of discharges and births, margins, and the impact of Medicaid expansion by hospitals' rural and urban location. Includes information on rural hospital closures and Medicare special payment designations for rural hospitals. Discusses the potential impacts of recent federal spending proposals on rural hospitals.
Author(s): Scott Hulver, Zachary Levinson, Jamie Godwin, Tricia Neuman
Date: 04/2025
Sponsoring organization: KFF
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Presents information and data on rural hospitals and rural hospital finances. Compares insurance coverage of discharges and births, margins, and the impact of Medicaid expansion by hospitals' rural and urban location. Includes information on rural hospital closures and Medicare special payment designations for rural hospitals. Discusses the potential impacts of recent federal spending proposals on rural hospitals.
Author(s): Scott Hulver, Zachary Levinson, Jamie Godwin, Tricia Neuman
Date: 04/2025
Sponsoring organization: KFF
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Strategies for Sustaining Emergency Care in the United States
Assesses the value of emergency care in the United States, evaluates challenges to sustaining emergency care, measures trends in emergency care payment, and identifies alternate funding strategies for emergency care. Features a case study of a hospital-based emergency department closure in a rural community, and mentions rural throughout.
Author(s): Mahshid Abir, Brian Briscombe, Carl T. Berdahl, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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Assesses the value of emergency care in the United States, evaluates challenges to sustaining emergency care, measures trends in emergency care payment, and identifies alternate funding strategies for emergency care. Features a case study of a hospital-based emergency department closure in a rural community, and mentions rural throughout.
Author(s): Mahshid Abir, Brian Briscombe, Carl T. Berdahl, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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The Rural and Urban Supply of Clinicians With a DEA Waiver to Prescribe Buprenorphine in 2022 Prior to the Elimination of the Waiver Requirement
Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Report explores the differences in rates of clinicians with DEA waivers to prescribe buprenorphine in 2022 in rural versus urban counties. Highlights the rural gaps in access to buprenorphine to treat opioid use disorder prior to the elimination of the DEA waiver requirement in 2023. Provides rural, urban, and regional comparisons.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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The Impacts of New York's Balance Billing Regulation on Ground Ambulance Pricing
Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Examines the impact of surprise out-of-network (OON) billing regulations on New York emergency ground ambulances. Analyzes 2012-2019 commercial claims data and discusses the impacts of billing regulations on costs of care, with considerations related to transports from rural, super-rural, and urban locations.
Author(s): Wendy Y. Xu, Christopher Garmon, Sheldon M. Retchin, Yiting Li
Citation: Health Services Research, 60(2)
Date: 04/2025
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Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Farm Bill Primer: Rural Development Title
Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the rural development provisions of the 2018 Farm Bill, including provisions related to rural broadband, water and waste disposal, and business creation and economic development. Offers considerations Congress may consider in the 2025 reauthorization of the Farm Bill related to the ReConnect Program and rural health challenges.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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The National Health Service Corps
Provides an overview of the National Health Service Corps (NHSC) program, including the federal scholarship and loan repayment components, and explains how the program affects rural recruitment and retention. Highlights changes in FY2018 focusing on opioid and substance use disorder treatment providers, as well as the provision of funding to expand the number of scholarship and loan repayment awards through the American Rescue Plan Act of 2021.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of the National Health Service Corps (NHSC) program, including the federal scholarship and loan repayment components, and explains how the program affects rural recruitment and retention. Highlights changes in FY2018 focusing on opioid and substance use disorder treatment providers, as well as the provision of funding to expand the number of scholarship and loan repayment awards through the American Rescue Plan Act of 2021.
Date: 04/2025
Sponsoring organization: Congressional Research Service
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National Health Service Corps Site Reference Guide
Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming an NHSC approved site. Acts as a supplemental resource to the information provided in the online NHSC Site Application.
Date: 04/2025
Sponsoring organization: Health Resources and Services Administration
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Comparative Effectiveness of Buprenorphine Adherence with Telemedicine Versus In-Person for Rural and Urban Patients
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Medicare Learning Network: Hospital Price Transparency
Contains information on federal hospital price transparency regulations and compliance, what patients need to know, and a list of helpful websites.
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Contains information on federal hospital price transparency regulations and compliance, what patients need to know, and a list of helpful websites.
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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