Rural Health
Resources by Topic: Reimbursement and payment models
Rural Health Transformation Program Planned State Initiatives: Budget Period 1
Presents an overview of initiatives planned by states as part of the Rural Health Transformation Program organized across eight categories: population health, workforce, payment and service models, health system innovation, accessible care, technology, disease prevention and care, and health promotion.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Presents an overview of initiatives planned by states as part of the Rural Health Transformation Program organized across eight categories: population health, workforce, payment and service models, health system innovation, accessible care, technology, disease prevention and care, and health promotion.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Rural Health Transformation Program State Programmatic Snapshots: 2026 Release
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Provides an overview of each state's Rural Health Transformation Program initiatives and focus areas, as well as policy action commitments outlined in states' applications.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
October 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Building on the 2025 National Academies Pharmacy Workshop: Pharmacy Deserts in the United States
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
view details
Describes pharmacy access in the United States, including discussions of "pharmacy desert" definitions by rurality, drivers of recent pharmacy desert trends, and the impact of pharmacy deserts on health outcomes. Highlights potential policy strategies for addressing pharmacy deserts with a focus on the pharmacy workforce, reimbursement and payment models, new technologies, and service delivery models.
Author(s): Lucas A. Berenbrok, Delesha Carpenter, Teresa M. Salgado, et al.
Citation: Health Affairs Scholar, 4(10)
Date: 10/2026
view details
Strengthening Telehealth Skills for the Rural Healthcare Workforce
Provides links to training materials, tools, and technical assistance resources to help rural healthcare organizations build telehealth workforce capacity. Covers telehealth fundamentals, workforce development, clinical best practices, patient engagement, technology and innovation, emergency preparedness, reimbursement and sustainability, and regional support.
Date: 10/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
view details
Provides links to training materials, tools, and technical assistance resources to help rural healthcare organizations build telehealth workforce capacity. Covers telehealth fundamentals, workforce development, clinical best practices, patient engagement, technology and innovation, emergency preparedness, reimbursement and sustainability, and regional support.
Date: 10/2026
Sponsoring organization: National Consortium of Telehealth Resource Centers
view details
Survival Versus Scale: The Effects of Critical Access Hospital Designation
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
view details
Explores whether designation-based hospital subsidies, specifically the Critical Access Hospital (CAH) program, preserve meaningful access to care. Describes the effects of CAH designation on hospital finances, capacity, and organizational outcomes between 1995-2010. Discusses the implications of hospital preservation and reduced operational scale on access to care and patient health.
Author(s): Ian M. McCarthy, Katie Leinenbach
Date: 10/2026
Sponsoring organization: National Bureau of Economic Research
view details
Rural and Urban Health Center Patients and Financing
Reports on rural and urban community health centers' revenue sources, patient demographics, and patient health insurance coverage using 2025 Uniform Data System (UDS) data. Includes an interactive map showing shares of child and adult rural health center patients covered by Medicaid by state.
Author(s): Akash Pillai, Jennifer Tolbert
Date: 10/2026
Sponsoring organization: KFF
view details
Reports on rural and urban community health centers' revenue sources, patient demographics, and patient health insurance coverage using 2025 Uniform Data System (UDS) data. Includes an interactive map showing shares of child and adult rural health center patients covered by Medicaid by state.
Author(s): Akash Pillai, Jennifer Tolbert
Date: 10/2026
Sponsoring organization: KFF
view details
Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 10/2026
Sponsoring organization: National Conference of State Legislatures
view details
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 10/2026
Sponsoring organization: National Conference of State Legislatures
view details
Risk Adjustment in the Medicare Advantage Population Using Encounter Data
Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
view details
Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
view details
Telehealth FAQ
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 10/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
view details