Rural Health
Resources by Topic: Service delivery models
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, Raphaël Colard
Date: 05/2026
Sponsoring organizations: Brookings-AEI Commission on U.S. Rural Prosperity, The Brookings Institution
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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, Raphaël 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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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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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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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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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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Sustaining Rural Labor & Delivery Programs: Strategies & Considerations Webinar
A recorded webinar that discusses strategies to improve financial sustainability of rural hospitals and Critical Access Hospitals (CAHs). Focuses on financial performance, reimbursement opportunities, and operational models identified in the Sustaining Rural Labor & Delivery Programs report. Transcript available below transcription.
Author(s): Eric Shell, Kristin L. Reiter, Madeleine Pick
Date: 05/2026
Sponsoring organization: Stroudwater Associates
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A recorded webinar that discusses strategies to improve financial sustainability of rural hospitals and Critical Access Hospitals (CAHs). Focuses on financial performance, reimbursement opportunities, and operational models identified in the Sustaining Rural Labor & Delivery Programs report. Transcript available below transcription.
Author(s): Eric Shell, Kristin L. Reiter, Madeleine Pick
Date: 05/2026
Sponsoring organization: Stroudwater Associates
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Billing of Distant Site Telehealth Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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The Decentralized Academic Health Center: A 21st-Century Model for Rural Health Innovation
Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Discusses the role of academic health centers in addressing rural health needs and proposes the Decentralized Academic Health Center (D-AHC) model. Compares the traditional model with D-AHC and discusses implementation through teaching and workforce, research and data, clinical partnerships and digital health, community engagement and policy, financial sustainability, and provider and community readiness. Includes a 5-phase roadmap for implementation.
Author(s): Patrick C. Hardigan, Johannes Vieweg
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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A New Network of Rural Providers in Arkansas Looks to Take On The 'Needs and Pain Points' of Behavioral Healthcare
Features the Arkansas Rural Behavioral Health Access Network, a network of primary care providers working to improve regional access to mental and behavioral health resources.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2026
Sponsoring organization: Rural Health Information Hub
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Features the Arkansas Rural Behavioral Health Access Network, a network of primary care providers working to improve regional access to mental and behavioral health resources.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2026
Sponsoring organization: Rural Health Information Hub
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Governors' Policy Actions on Behavioral Health Access
Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
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Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
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