Rural Health
Resources by Type: Document
Impact of COVID-19 on Clinical Trials Costs to Patients
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
view details
Examines the direct and indirect costs of COVID-19 clinical trial participation to patients and the impact of utilizing remote technologies. Presents an environmental scan of articles published between 2010 and 2023 and discusses barriers to clinical trial participation experienced by underrepresented and rural populations.
Author(s): Keri Calkins, Emily Crabtree, Emily Harrison, Nyna Williams, Kirsten Barrett
Date: 06/2025
Sponsoring organization: Mathematica
view details
MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban, rural, and frontier freestanding SNFs in 2023.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 7
Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2023 with breakdowns by urban and rural areas, a comparison of patient-experience quality measures by urban and rural status, and the number of home health periods provided to rural beneficiaries.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Discusses payment adequacy for home health care services. Features statistics on Medicare margins for home health agencies between 2019-2023 with breakdowns by urban and rural areas, a comparison of patient-experience quality measures by urban and rural status, and the number of home health periods provided to rural beneficiaries.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 9
Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2023. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2023. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Human Cases of Highly Pathogenic Avian Influenza A(H5N1) — California, September–December 2024
Reports on increased risk for infection from highly pathogenic avian influenza (HPAI) A(H5N1) among people who work closely with dairy cows, poultry, or other animals with suspected or confirmed infection. Includes data on investigations that led to identification of 38 people who tested positive for HPAI A(H5N1) viruses in California, including 37 dairy farm workers with exposure to sick cows, and one child with an undetermined exposure.
Author(s): Sophie Zhu, Kathleen Harriman, Caterina Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(8), 127–133
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on increased risk for infection from highly pathogenic avian influenza (HPAI) A(H5N1) among people who work closely with dairy cows, poultry, or other animals with suspected or confirmed infection. Includes data on investigations that led to identification of 38 people who tested positive for HPAI A(H5N1) viruses in California, including 37 dairy farm workers with exposure to sick cows, and one child with an undetermined exposure.
Author(s): Sophie Zhu, Kathleen Harriman, Caterina Liu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(8), 127–133
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details
MedPAC Report to the Congress: Medicare Payment Policy, 2025
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Report to Congress on Medicaid and CHIP, March 2025
Reports on three aspects of Medicaid of interest to Congress: 1) improving the usability and transparency of the managed care external quality review process, 2) improvements on timely access to home- and community-based services (HCBS), and 3) ways to streamline Medicaid Section 1915 authorities for home-and community-based services and reduce the administrative burden.
Date: 03/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Reports on three aspects of Medicaid of interest to Congress: 1) improving the usability and transparency of the managed care external quality review process, 2) improvements on timely access to home- and community-based services (HCBS), and 3) ways to streamline Medicaid Section 1915 authorities for home-and community-based services and reduce the administrative burden.
Date: 03/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
March 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2025 meeting. Covers research and proposals related to reforming physician fee schedule updates and improving the accuracy of relative payment rates, reducing beneficiary cost-sharing for outpatient services at Critical Access Hospitals, Medicare insurance agents, Medigap, payment for ground ambulance services, home healthcare use among Medicare Advantage enrollees, and institutional special needs plans. Includes rural references and considerations throughout.
Additional links: Mandated Report: Payment for Ground Ambulance Services, Reducing Beneficiary Cost-Sharing for Outpatient Services at Critical Access Hospitals
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2025 meeting. Covers research and proposals related to reforming physician fee schedule updates and improving the accuracy of relative payment rates, reducing beneficiary cost-sharing for outpatient services at Critical Access Hospitals, Medicare insurance agents, Medigap, payment for ground ambulance services, home healthcare use among Medicare Advantage enrollees, and institutional special needs plans. Includes rural references and considerations throughout.
Additional links: Mandated Report: Payment for Ground Ambulance Services, Reducing Beneficiary Cost-Sharing for Outpatient Services at Critical Access Hospitals
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
view details
Disparities in Cardiovascular Disease Prevalence by Race and Ethnicity, Socioeconomic Status, Urbanicity, and Social Determinants of Health Among Medicare Beneficiaries With Diabetes
Examines demographic disparities in cardiovascular disease prevalence among people with diabetes, utilizing 2015–2019 Medicare Current Beneficiary Survey data. Includes sociodemographic data, including rural-urban comparisons, on crude and adjusted prevalence of myocardial infarction, stroke, and heart failure.
Author(s): Xilin Zhou, Joohyun Park, Deborah B. Rolka, et al.
Citation: Preventing Chronic Disease, 22, 240270
Date: 03/2025
view details
Examines demographic disparities in cardiovascular disease prevalence among people with diabetes, utilizing 2015–2019 Medicare Current Beneficiary Survey data. Includes sociodemographic data, including rural-urban comparisons, on crude and adjusted prevalence of myocardial infarction, stroke, and heart failure.
Author(s): Xilin Zhou, Joohyun Park, Deborah B. Rolka, et al.
Citation: Preventing Chronic Disease, 22, 240270
Date: 03/2025
view details
Idiopathic Pulmonary Fibrosis Mortality by Industry and Occupation — United States, 2020–2022
Reports on mortality due to idiopathic pulmonary fibrosis (IPF), a progressive lung disease, for men and women by industry and occupation. Includes data on IPF mortality in industries and occupations common in rural areas, such as farming, fishing, and forestry work.
Author(s): Jacek M. Mazurek, Girija Syamlal, David N. Weissman
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(7), 109-115
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on mortality due to idiopathic pulmonary fibrosis (IPF), a progressive lung disease, for men and women by industry and occupation. Includes data on IPF mortality in industries and occupations common in rural areas, such as farming, fishing, and forestry work.
Author(s): Jacek M. Mazurek, Girija Syamlal, David N. Weissman
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(7), 109-115
Date: 03/2025
Sponsoring organization: Centers for Disease Control and Prevention
view details