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Rural Health
Resources by Topic: Service delivery models

Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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Preventing Death and Supporting Recovery, with Ray Antonacci and Sarah Czarnecki
An episode of the Exploring Rural Health podcast featuring Lincoln County Ambulance District Chief Ray Antonacci and Battalion Chief Sarah Czarnecki. Focuses on a new initiative allowing them to administer buprenorphine to incarcerated individuals experiencing opioid withdrawal symptoms. Part 1 in a 3-part series featuring the 2026 Rural Communities Opioid Response Program (RCORP) Innovation Tank finalists.
Date: 06/2026
Sponsoring organization: Rural Health Information Hub
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Pursuing Cultural Competence in Rural Mental Health
Offers best practices for mental health practitioners treating patients in rural communities, particularly through telehealth. Discusses rural culture and stereotypes, patient and provider trust, access to resources, broadband access, and provider burnout.
Author(s): Ashley Abramson
Citation: Monitor on Psychology, 57(4), 74
Date: 06/2026
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Rural Housing: Weaknesses in Data Quality and Use Limit HUD's Ability to Assess Effectiveness of Service Coordinators
Provides an overview of service coordinators in rural federally assisted housing that link residents to healthcare, transportation, and other supportive services. Describes the availability and quality of data on these service coordinators and evidence of their effects on residents' well-being. Offers recommendations for collecting data on service coordinators and analyzing performance.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 06/2026
Sponsoring organization: Missouri Department of Social Services
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Rural Health Care Infrastructure: Trends and Considerations for the Future - Research Summary of America's Rural Future Symposium
Presents findings from a rural health symposium hosted by the Brookings-AEI Commission on U.S. Rural Prosperity in March 2026 examining the state of rural healthcare infrastructure, identifying rural healthcare policy challenges and opportunities, and strategies for service delivery innovations and strengthening the financial viability of rural healthcare systems.
Author(s): Anthony F. Pipa, Brent Orrell, Adam Aley, Raphaƫl Colard
Date: 05/2026
Sponsoring organizations: Brookings-AEI Commission on U.S. Rural Prosperity, The Brookings Institution
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A Pilot Evaluation of a Telemedicine Pharmacist-Physician Management Model to Increase Access to Medication for Alcohol and Opioid Use Disorders for Rural Veterans
Explores the efficacy of a pilot project connecting rural veterans with alcohol and opioid use disorder to evidence-based treatment via a telehealth-based pharmacist-physician management model (PPMM). Program was administered by six Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs). Breaks down data by participant age, sex, substances used, and mental health disorders, among other measures.
Author(s): Amy J. Kennedy, Madeline C. Frost, Carol A. Malte, et al.
Citation: Journal of Rural Health, 42(2), e70158
Date: 05/2026
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"If I Have Any Problems, I Just Want to See My [Primary Care] Doctor": Perspectives on a Proposed Collaborative RUral PALliative Care Intervention (RuPal)
Explores perspectives on a proposed palliative care intervention among 26 heart failure patients, caregivers, and primary care providers in rural Maine. Discusses perspectives on trust in primary care versus specialist-delivered palliative care and facilitators of effective palliative care collaborations.
Author(s): Eric C. Anderson, Susan DeSanto-Madeya, Nicole Hudak, et al.
Citation: BMC Palliative Care, 25, 199
Date: 05/2026
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Transforming Diabetes Management in Rural America: A Qualitative Exploration of a Diabetes Coaching Program Delivered via Telehealth
Details the experiences of 27 rural participants in a telehealth-based Diabetes Self-Management Education and Support Services (DSMES) intervention which took place in 2023 and 2024. Covers topics including program structure, impacts on quality of life, program engagement, lifestyle changes, participant motivations, and more.
Author(s): Catherine Moring, Caroline Brock, Katharine L. Brown, Allison Ford-Wade
Citation: International Journal of Environmental Research and Public Health, 23(6), 696
Date: 05/2026
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Nurse-Led Mobile Clinics to Improve Rural Health Access and Disaster Preparedness: A Mixed-Methods Evaluation of a Texas Program
Examines the impact of nurse-led mobile clinics on healthcare access, continuity of care, and disaster preparedness in rural Texas. Provides a program evaluation of the mobile clinic model using mixed methods and describes mobile clinic structure, interprofessional education (IPE), disaster preparedness and response, rural health access, sustainability, and policy implications.
Author(s): Nicole Peters Kroll, Sharon L. Dormire, Kelly L. Wilson
Citation: International Journal of Environmental Research and Public Health, 23(6), 702
Date: 05/2026
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