Rural Health
Resources by Topic: Service delivery models
Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Measuring the Association of Medicaid Accountable Care Organizations on Total Cost of Care Across the Perinatal Period
Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Five Milestones to Addressing Rural Veteran Care Coordination, Care Management, and Case Management Needs: An Integrated Case Management Practice Framework
Explores the implementation of the Veterans Health Administration (VHA) Care Coordination and Integrated Case Management (CCICM) program into rural facilities. Highlights the goals of the CCICM program and outlines the challenges of implementing it in rural areas. Breaks down the implementation process into five milestones – leadership awareness, facility readiness, preparing to implement, systems and clinical integration, and establishment of a governance structure.
Author(s): Christine Melillo, Heidi Sjoberg, Marcie Lee, et al.
Citation: Journal of Rural Health, 42(3), e70190
Date: 08/2026
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Explores the implementation of the Veterans Health Administration (VHA) Care Coordination and Integrated Case Management (CCICM) program into rural facilities. Highlights the goals of the CCICM program and outlines the challenges of implementing it in rural areas. Breaks down the implementation process into five milestones – leadership awareness, facility readiness, preparing to implement, systems and clinical integration, and establishment of a governance structure.
Author(s): Christine Melillo, Heidi Sjoberg, Marcie Lee, et al.
Citation: Journal of Rural Health, 42(3), e70190
Date: 08/2026
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Rural West Virginia Health Center Helps Patients Access Prescriptions
Features Mountain Laurel Integrated Healthcare (MLIH), which started its own onsite pharmacy to help patients fill prescriptions the same day they see their provider. MLIH offers medication management, compliance packaging, and assistance addressing access barriers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Features Mountain Laurel Integrated Healthcare (MLIH), which started its own onsite pharmacy to help patients fill prescriptions the same day they see their provider. MLIH offers medication management, compliance packaging, and assistance addressing access barriers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Expansion of Access to Rheumatology Care for Rural Veterans: Program Development and Initial Feasibility of the National Tele-Rheumatology Program Using the RE-AIM Framework
Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Integrating Physical and Behavioral Health: Addressing Co-Occurring Mental Health and Substance Use Disorders with Chronic Physical Illnesses
Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Bridging Gaps in Acute Care Access for Rural Veterans: The Reach and Impact of VA's Virtual Emergency and Urgent Care Programs
Examines how the Veterans Health Administration's (VA) tele-emergency care (TEC) and virtual care visits (VCV) programs influenced short-term care utilization, mortality and other health outcomes, and costs among rural veterans, using Jan 2022-Sept 2024 national call center data linked with VA administrative and community care records.
Author(s): Anita A. Vashi, Linda Diem Tran, Tracy Urech, Allison Engstrom Buggaveeti, Liam Rose
Citation: Journal of Rural Health, 42(3), e70197
Date: 08/2026
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Examines how the Veterans Health Administration's (VA) tele-emergency care (TEC) and virtual care visits (VCV) programs influenced short-term care utilization, mortality and other health outcomes, and costs among rural veterans, using Jan 2022-Sept 2024 national call center data linked with VA administrative and community care records.
Author(s): Anita A. Vashi, Linda Diem Tran, Tracy Urech, Allison Engstrom Buggaveeti, Liam Rose
Citation: Journal of Rural Health, 42(3), e70197
Date: 08/2026
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Reimagining Rural Maternal and Child Health
Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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2026 CCBHC Impact Report
Discusses the impact certified community behavioral health clinics (CCBHCs) have had on expanding access to mental and substance use healthcare, supporting the well-being of children and families, and coordinating with primary care providers, among other measures. Explores national CCBHC implementation status, utilization of services, collaboration with other providers, and workforce support. Includes a breakdown of clientele expansions in rural CCBHCs.
Date: 08/2026
Sponsoring organization: National Council for Mental Wellbeing
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Discusses the impact certified community behavioral health clinics (CCBHCs) have had on expanding access to mental and substance use healthcare, supporting the well-being of children and families, and coordinating with primary care providers, among other measures. Explores national CCBHC implementation status, utilization of services, collaboration with other providers, and workforce support. Includes a breakdown of clientele expansions in rural CCBHCs.
Date: 08/2026
Sponsoring organization: National Council for Mental Wellbeing
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