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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
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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Advancing Diagnostic Excellence in Rural Areas: A Workshop
Recording of a workshop exploring potential improvements in diagnosis in rural areas of the United States. Topics discussed include the state of diagnosis in rural areas, access to diagnosis and diagnosis-related health disparities, applications of new technologies and innovations, healthcare workforce training, education, and support, and other aspects of service delivery innovation in rural areas. A video transcript is accessible through video control bar. Meeting materials are available for download below the video player, including workshop agenda, presentation slides, and public briefing materials.
Date: 10/2025
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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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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Nurse-Directed Coordination of Cancer Survivorship Care in a Tribal Primary Care Clinic
Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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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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State Telehealth Laws and Reimbursement Policies Report, Fall 2025
Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Rural Transformation Program State Legislative Resources
Provides an overview of the Rural Health Transformation Program, including how states approached seeking public input for the application. Describes how states have successfully implemented policies related to the allowable uses of Rural Health Transformation Program funds.
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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On the Road to Early Detection: Woman's Hospital's Mobile Mammography
A podcast episode discussing a mobile mammography unit in Louisiana. Discusses differences in rural and urban breast cancer incidence and how a mobile unit increases access to preventive care.
Date: 10/2025
Sponsoring organization: American Hospital Association
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