Rural Health
Resources by Topic: Sustainability of programs

Increasing Access to Rural Behavioral Health Care Through a Community-Based Workforce
Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Planning with Purpose: Leveraging FORHP's Rural Health Network Development Planning Program for Lasting Community Impact
Webinar recording highlighting the one-year Rural Health Network Development Planning Program (Network Planning Program) grant from the Federal Office of Rural Health Policy (FORHP). Speakers include former Network Planning Program grantees discussing their experiences and work as part of this grant program, including a focus on partnerships, strengthening infrastructure, and improving access to care.
Additional links: Audio Recording, Webinar Slides
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Evaluation of a Minigrant Program for Multilevel Interventions to Promote Human Papillomavirus Vaccination in Rural Communities in Georgia
Examines 4 health department minigrant programs related to human papillomavirus (HPV) vaccine uptake in rural communities. Analyzes program results according to reach of patients, intervention levels, HPV vaccination effectiveness, implementation barriers, and sustainability.
Author(s): Cam Escoffery, Courtney Petagna, Rithika Chari, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Collaboration to Contracting: A Guide to Rural Clinically Integrated Networks
Identifies 5 pillars of successful rural clinically integrated network (CIN) development. Covers legal matters, governance, care delivery, data infrastructure, and financial sustainability. Includes action steps for administrators of CINs.
Date: 07/2026
Sponsoring organization: Rural Health Value
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Practical Guide to Supporting Innovation in Rural Health
Strategies, tools, and examples that rural health programs, practitioners, and partners can use to design, implement, and scale innovative approaches that build on local realities and strengths. Highlights promising practices that support innovation in rural health systems and community-based organizations.
Date: 06/2026
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Building Collaborative Contracts With Health Care: A Social Connection Partnership Between Senior Connection, Inc., and UnitedHealthcare Community Plan of Massachusetts
Highlights a mobile outreach program for older adults in rural Massachusetts. Describes the program's focus on the 4Ms Framework of Age-Friendly Care, demonstrated impact, lessons learned, and sustainability plan.
Date: 06/2026
Sponsoring organizations: Aging and Disability Business Institute, The John A. Hartford Foundation, USAging
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2026 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2025 report.
Additional links: Tables and Figures
Date: 06/2026
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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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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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.
Additional links: Presentation Slides
Author(s): Eric Shell, Kristin L. Reiter, Madeleine Pick
Date: 05/2026
Sponsoring organization: Stroudwater Associates
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