Rural Health
Resources by Type: Document
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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Geographic Variation in Amputations for Medicare Patients With Diabetic Lower-Extremity Wounds
Examines the factors and geographic variations related to amputations for patients with diabetic lower-extremity (DLE) wounds. Examines 707,971 recorded DLE wounds in Medicare patients according to patient characteristics, area deprivation, rurality, specialty care availability, and more. Includes U.S. heat maps showing percentage of amputations, wound management program availability, and podiatrist supply treating DLE wounds according to hospital referral region (HRR).
Author(s): Ioana Popescu, Helin Hernandez, Gabriela Plasencia, et al.
Citation: JAMA Network Open, 9(5), e2613616
Date: 05/2026
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Examines the factors and geographic variations related to amputations for patients with diabetic lower-extremity (DLE) wounds. Examines 707,971 recorded DLE wounds in Medicare patients according to patient characteristics, area deprivation, rurality, specialty care availability, and more. Includes U.S. heat maps showing percentage of amputations, wound management program availability, and podiatrist supply treating DLE wounds according to hospital referral region (HRR).
Author(s): Ioana Popescu, Helin Hernandez, Gabriela Plasencia, et al.
Citation: JAMA Network Open, 9(5), e2613616
Date: 05/2026
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Equine-Related Injuries in Rural Oklahoma: A 10-Year Experience Emphasizing Genitourinary Trauma
Examines how equine-related injuries differed by mechanism, location, genitourinary injury prevalence, and severity in Oklahoma, using May 2015 through December 2025 trauma registry data on 259 injuries. Discusses how predominantly rural activities including ranching and recreation influence horse-related injury prevalence.
Author(s): James Charles, Vsevolod Shurkhay, Jianqiang Huo, et al.
Citation: World Journal of Urology, 44(1), 378
Date: 05/2026
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Examines how equine-related injuries differed by mechanism, location, genitourinary injury prevalence, and severity in Oklahoma, using May 2015 through December 2025 trauma registry data on 259 injuries. Discusses how predominantly rural activities including ranching and recreation influence horse-related injury prevalence.
Author(s): James Charles, Vsevolod Shurkhay, Jianqiang Huo, et al.
Citation: World Journal of Urology, 44(1), 378
Date: 05/2026
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Why Are Massachusetts Opioid Prescribing Rates Higher in Rural Versus Urban Areas?
Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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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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How Primary Care Associations Can Serve as Champions of Multisector Collaboration
Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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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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Delaware Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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