Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Payment Basics: Critical Access Hospitals Payment System
Presents an overview of Medicare eligibility and payments for Critical Access Hospitals (CAHs).
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Presents an overview of Medicare eligibility and payments for Critical Access Hospitals (CAHs).
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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September 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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2025 Merit-based Incentive Payment System (MIPS) Performance Feedback FAQs for Small Practices
Provides answers to frequently asked questions about the 2025 Merit-based Incentive Payment System (MIPS) performance feedback for small practices. Includes information on how to access and navigate performance feedback, as well as performance category reweighting and redistribution.
Date: 09/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides answers to frequently asked questions about the 2025 Merit-based Incentive Payment System (MIPS) performance feedback for small practices. Includes information on how to access and navigate performance feedback, as well as performance category reweighting and redistribution.
Date: 09/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Telehealth and Federally Qualified Health Centers
Provides an overview of state policies relating to Medicaid fee-for-service coverage and reimbursement of telehealth services at Federally Qualified Health Centers (FQHCs) as of May 2026. Includes state-by-state information on FQHC eligibility for reimbursement for being originating and distant sites, store-and-forward services, audio-only services, remote patient monitoring, and more.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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Provides an overview of state policies relating to Medicaid fee-for-service coverage and reimbursement of telehealth services at Federally Qualified Health Centers (FQHCs) as of May 2026. Includes state-by-state information on FQHC eligibility for reimbursement for being originating and distant sites, store-and-forward services, audio-only services, remote patient monitoring, and more.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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What Will It Take to Sustain Maternal Care in Rural Communities? These Strategies Are Helping Keep Care Close to Home
Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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RHC Cost Reporting Fall 2026
Recording of a September 14, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report drivers, including allowable costs, RHC visits and provider productivity, Medicare vaccine reimbursement, and Medicare bad debt. Discusses RHC benchmarking and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a September 14, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report drivers, including allowable costs, RHC visits and provider productivity, Medicare vaccine reimbursement, and Medicare bad debt. Discusses RHC benchmarking and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Numerous Overlapping Programs Add Complexity, Unpredictability to Rural Hospital Finances
Analyzes payments between 1997 and 2024 to 2,942 rural hospitals participating in at least one Medicare-specific payment program, including the Sole Community Hospital, Medicare-Dependent Hospital, Critical Access Hospital, or Low-Volume Hospital programs. Discusses the impact of the programs and policy changes throughout the study period on hospital finances.
Author(s): Carolyn San Soucie, Michael E. Chernew, Benjamin D. Sommers
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Analyzes payments between 1997 and 2024 to 2,942 rural hospitals participating in at least one Medicare-specific payment program, including the Sole Community Hospital, Medicare-Dependent Hospital, Critical Access Hospital, or Low-Volume Hospital programs. Discusses the impact of the programs and policy changes throughout the study period on hospital finances.
Author(s): Carolyn San Soucie, Michael E. Chernew, Benjamin D. Sommers
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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September 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Advantage: Plan Options and Enrollment Trends in Arkansas
Explains how Medicare Advantage plans affect healthcare delivery, Medicare enrollment, and payment practices in Arkansas. Includes discussion of reimbursement challenges in rural hospitals.
Author(s): Jennifer Wessel, Chris Ray
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Explains how Medicare Advantage plans affect healthcare delivery, Medicare enrollment, and payment practices in Arkansas. Includes discussion of reimbursement challenges in rural hospitals.
Author(s): Jennifer Wessel, Chris Ray
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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