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Rural Health Information Hub

Rural Health
Resources by Type: Document

Testing Oral Nicotine Pouches Versus Nicotine Replacement Therapy for Cigarette Harm Reduction in Appalachia: The ARISE Study Protocol
Study protocol for the Appalachian Research to Impact Smoking's Effects (ARISE) study, which will examine the provision of oral nicotine pouches versus nicotine replacement therapy among adult smokers living in rural Appalachian counties across 11 states.
Author(s): Amy Wermert, Theodore M. Brasky, Alison M. Newton, et al.
Citation: PLOS ONE, 20(12), e0338503
Date: 12/2025
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Rural Health Transformation 50 State Spotlights
Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-based Incentive Payment System (MIPS): 2026 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2026 performance year. Includes information on performance category redistribution policies for small practices.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-Based Incentive Payment System (MIPS): 2025 Opt-in and Voluntary Reporting Election Guide
Discusses the eligibility of clinicians, groups, and Alternative Payment Model (APM) participants that exceed some low-volume threshold criteria to opt-in to the Merit-Based Incentive Payment System (MIPS) and the APM Performance Pathway (APP) for the 2025 performance period. Compares opting in and voluntarily reporting MIPS data and provides an overview of the election process.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Resilience and Stroke Outcomes in Older Adults: Beyond Rural-Urban Classifications
Examines the impact of community resilience and stroke burden across rural and urban U.S. counties. Utilizes data from Medicare fee-for-service beneficiaries aged 65 or older as well as the Baseline Resilience Indicators for Communities (BRIC) index to examine county-level social determinants of health that measure resilience. Provides rural versus urban breakdowns of stroke burden and BRIC resilience metrics.
Author(s): Ruaa Al Juboori, Emily Welker, Marie Barnard, Keith Anderson
Citation: Frontiers in Public Health, 13
Date: 12/2025
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RHT Program State Project Abstracts
Presents the one-page project abstracts submitted by each state as part of their applications for the Rural Health Transformation Program.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Use of Telehealth in Nonmetropolitan and Metropolitan Areas, United States 2021-2023
Statistical brief on differences in telehealth use in nonmetropolitan and metropolitan areas, utilizing 2021-2023 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Breaks down rural and urban frequency of telehealth use by specialty, primary source of payment, and more.
Author(s): Sandra Decker
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Multidimensional Approaches to Ranking State-Level Rurality to Enhance Comparisons Across States
Provides a rurality index for all 50 U.S. states, utilizing measures of rural population percentage, rural land area percentage, and rural population density. Discusses the need for a multidimensional measure of rurality to provide an accurate tool for health policy research.
Author(s): Daniel Baslock, Nari Yoo
Citation: The Milbank Quarterly: A Multidisciplinary Journal of Population and Health Policy
Date: 12/2025
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Rural Health Transformation Program: Summary of State RHTP Applications
Provides an overview of the publicly available state applications for the Rural Health Transformation Program. Identifies national themes from across state applications.
Date: 12/2025
Sponsoring organization: Sellers Dorsey
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Graduate Medical Education: Information on Initial Distributions of New Medicare-Funded Physician Residency Positions
Explores the distribution of 1,000 new Medicare-funded graduate medical education (GME) residency positions as outlined in Section 126 of the Consolidated Appropriations Act, 2021. Describes the number of hospitals that applied for and received additional positions from 2023 through 2025, their characteristics, and benefits and challenges related to the application for and distribution of these additional positions as identified by selected stakeholders.
Additional links: Full Report
Date: 12/2025
Sponsoring organization: Government Accountability Office
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