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Rural Health
Resources by Type: Document

Medicare Payment Basics: Hospice Services Payment System
Overview of the Medicare hospice benefit and Medicare payments to hospice providers. Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Home Health Care Services Payment System
Overview of Medicare payments for home health care services. Includes information on rate-setting and payments for quality reporting and performance. Describes the Patient-Driven Groupings Model (PDGM) and the home health resource groups (HHRGs) based on clinical and functional status.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Durable Medical Equipment Payment System
Overview of Medicare payments for medical equipment used to treat beneficiaries at home. Defines durable medical equipment (DME), details the DME fee schedule, and discusses the competitive bidding program (CBP) for DME. Includes information on adjustments to fee schedule payment rates outside of competitive bidding areas (CBAs).
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP codes, and ambulance fee schedules.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Critical Access Hospitals Payment System
Presents an overview of Medicare payments for Critical Access Hospitals (CAHs). Compares differences in Medicare payments for CAHs, Sole Community Hospitals, and Medicare-Dependent Hospitals.
Date: 11/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity
Examines neighborhood socioeconomic status (NSES) variables by census tract and their relationship to public health. Provides data on poverty, use of public assistance, employment characteristics, transportation insecurity, education, and more, by higher density urban, lower density urban, suburban/small town, and rural location.
Author(s): S. S. A. De Silva, Melissa A. Meeker, Tara P. McAlexander, et al.
Citation: Journal of Urban Health, 102, 1094-1103
Date: 10/2025
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The Unspoken Struggles from Mental Health Stigma in a Rural Community: A Qualitative Exploration of Clubhouse Members' Lived Experiences
Explores the efficacy of the clubhouse model at overcoming stigma around mental health conditions and receiving mental healthcare in rural communities. Bases findings on semi-structured interviews with participants and staff of the Clubhouse in Wyoming. Details the Clubhouse's efforts to address stigma and overcome mental health prejudices.
Author(s): Ruth Korankye, Gloria Oladeji, Lauren Gilbert
Citation: International Journal of Environmental Research and Public Health, 22(11), 1626
Date: 10/2025
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Housing Production in Rural America: Where Have We Been, and Where Are We Now?
Provides information on rural housing supply from 2013 to 2023. Includes data on houses built and houses lost as well as a U.S. map showing housing change in rural counties.
Author(s): Keith Wiley, Lance George
Date: 10/2025
Sponsoring organization: Housing Assistance Council
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Benzodiazepine Use Among Older Adults: Any Use and Concurrent Use With Opioids
Statistical brief examining rates of prescription benzodiazepine use by demographic group, insurance type, and health status, using 2021-2022 Medical Expenditure Panel Survey Household Component (MEPS-HC) data. See Figure 6 for metro-nonmetro comparison data on benzodiazepine use and concurrent benzodiazepine-opioid use.
Author(s): Salam Abdus, G. Edward Miller
Date: 10/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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