Rural Health
Resources by Topic: Sustainability of programs
Pathways to Sustainability: A Road Map for Child Psychiatry Access Programs
Discusses the adolescent mental health crisis in Indiana with a focus on workforce shortages and access to mental health treatment. Provides county-level data on geographic distribution of Indiana's child psychiatry workforce as well as the Be Happy mental health program. Includes information on various workforce program models, their effectiveness and level of sustainability, and potential application in Indiana.
Author(s): Mykayla Moore, Madison Bott, Hannah Maxey
Date: 07/2025
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Discusses the adolescent mental health crisis in Indiana with a focus on workforce shortages and access to mental health treatment. Provides county-level data on geographic distribution of Indiana's child psychiatry workforce as well as the Be Happy mental health program. Includes information on various workforce program models, their effectiveness and level of sustainability, and potential application in Indiana.
Author(s): Mykayla Moore, Madison Bott, Hannah Maxey
Date: 07/2025
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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2025 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 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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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 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Negotiated Prices for Care at Independent and System-Affiliated Rural Hospitals
Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Rural Healthcare Provider Transition Project (RHPTP) Webinar: Quality Improvement (QI) Alignment Across the Hospital and Clinics is Key to Value-Based Payment (VBP) Success
A recorded webinar that discusses strategies to align quality improvement (QI) projects with value-based payment (VBP) across organizational settings. Discusses clinical quality measures and sustainability of QI. Transcript available below description.
Additional links: Slides
Author(s): Lisa Olson, Candy Hanson
Date: 05/2025
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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A recorded webinar that discusses strategies to align quality improvement (QI) projects with value-based payment (VBP) across organizational settings. Discusses clinical quality measures and sustainability of QI. Transcript available below description.
Additional links: Slides
Author(s): Lisa Olson, Candy Hanson
Date: 05/2025
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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Profile in Innovation: Rural Hospital Participation in Missouri HealthNet's Transformation of Rural Community Health (ToRCH) Program
Provides an overview of ToRCH, a Missouri Medicaid program designed to improve health outcomes and overall well-being in rural Missouri communities by addressing both medical and health-related social needs through a comprehensive, integrated care model. Discusses how hospitals, primary care teams, and community-based organizations implemented the model and funding strategy for the program.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Provides an overview of ToRCH, a Missouri Medicaid program designed to improve health outcomes and overall well-being in rural Missouri communities by addressing both medical and health-related social needs through a comprehensive, integrated care model. Discusses how hospitals, primary care teams, and community-based organizations implemented the model and funding strategy for the program.
Date: 04/2025
Sponsoring organization: Rural Health Value
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A Guide to Working with Rural Philanthropy
Strategies for rural communities and organizations to help build and sustain partnerships with philanthropies. Includes background information on rural philanthropy and identifies actions and characteristics that may make a program successful in seeking funding from a philanthropy that wants to invest in rural health.
Date: 03/2025
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Strategies for rural communities and organizations to help build and sustain partnerships with philanthropies. Includes background information on rural philanthropy and identifies actions and characteristics that may make a program successful in seeking funding from a philanthropy that wants to invest in rural health.
Date: 03/2025
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Rural Hospital Stabilization Program Introduction
A recorded webinar that provides an overview on the Rural Hospital Stabilization Program. Focuses on the program's purpose and services as well as participation eligibility and the application/selection process. Transcript available below description.
Date: 02/2025
Sponsoring organization: National Rural Health Resource Center
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A recorded webinar that provides an overview on the Rural Hospital Stabilization Program. Focuses on the program's purpose and services as well as participation eligibility and the application/selection process. Transcript available below description.
Date: 02/2025
Sponsoring organization: National Rural Health Resource Center
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Implementation of Mobile Medication Units: Findings from a Qualitative Study
Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Sustainability Resources for Rural Public Health Workforce Training Network (RPHWTN) Program Awardees
Offers guidance to awardees of the Rural Public Health Workforce Training Network (RPHWTN) on creating sustainability for funded projects. Lists resources and funding opportunities for awarded projects at the national and state levels.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Offers guidance to awardees of the Rural Public Health Workforce Training Network (RPHWTN) on creating sustainability for funded projects. Lists resources and funding opportunities for awarded projects at the national and state levels.
Date: 01/2025
Sponsoring organization: Rural Health Information Hub
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Strategies and Interventions to Strengthen Support for Family Caregivers for Individuals with Serious Illness or Disability: Proceedings of a Workshop - In Brief
Summarizes a workshop discussing issues related to caregiving including successful interventions and strategies addressing burdens placed on caregivers, the needs of specific caregiver populations, how to scale successful programs, and policies for supporting caregivers. Discuses rural specific caregiving challenges.
Additional links: Read Online
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes a workshop discussing issues related to caregiving including successful interventions and strategies addressing burdens placed on caregivers, the needs of specific caregiver populations, how to scale successful programs, and policies for supporting caregivers. Discuses rural specific caregiving challenges.
Additional links: Read Online
Date: 2025
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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