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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP codes, and ambulance fee schedules.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Critical Access Hospitals Payment System
Presents an overview of Medicare payments for Critical Access Hospitals (CAHs). Compares differences in Medicare payments for CAHs, Sole Community Hospitals, and Medicare-Dependent Hospitals.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Maternity Deserts: The Equality State's Growing Crisis
Highlights maternity healthcare deserts in Wyoming and nationally. Discusses the impact of labor and delivery department closures, maternal mortality and morbidity, and more on access to care. Notes opportunities to improve outcomes including increasing access to care, additional workforce training and facility protocols to improve healthcare quality, and promote networking opportunities to share knowledge. Offers policy recommendations based on report findings. Discusses rural throughout.
Date: 10/2025
Sponsoring organization: Wyoming Women's Action Network
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Time to Build: How Do We Develop More (Affordable) Housing in Rural America?
Provides discussion on housing policy, statistics on rural housing supply, and potential solutions to provide more rural housing options, such as utilizing public lands, manufactured homes, and more. Includes county-level data on housing unit changes and metro versus nonmetro trends in new single family homes.
Additional links: Housing Unit Change, 2013-2023 Infographic
Date: 10/2025
Sponsoring organization: Housing Assistance Council
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On Demand: Mark Holmes on Public Policy, Health Care Financing and Rural Places
A recorded webinar featuring Mark Holmes, Director of the University of North Carolina (UNC) Sheps Center for Health Services Research. Focuses on public policy, research and data, and rural healthcare financing.
Author(s): Mark Holmes, Wyatt Beckman
Date: 10/2025
Sponsoring organization: Kansas Health Institute
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Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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State Strategies for the Rural Health Transformation Program (RHTP): A Milbank State Leadership Network Convening Recap
Summarizes discussions held by representatives from 24 states regarding opportunities and strategies related to the federal Rural Health Transformation (RHT) Program and identifies areas for priority action. Includes links to resources shared during the discussions.
Author(s): Sofia Espinosa, Mary Louise Gilburg, Morgan McDonald
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Transformation Program: Themes Emerging From Stakeholder Input
Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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