Rural Health
Resources by Type: Document
How Has Insurer Participation in the ACA Marketplaces Changed in 2026?
Presents data on health insurer participation in the ACA Marketplace, including the average number of ACA Marketplace insurers by state between 2014 and 2026. Includes interactive maps displaying state- and county-level data on the number of participating Marketplace insurers in 2026 and the change in the number of insurers between 2025 and 2026.
Author(s): Jared Ortaliza, Justin Lo, Matt McGough, Cynthia Cox
Date: 06/2026
Sponsoring organization: KFF
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Presents data on health insurer participation in the ACA Marketplace, including the average number of ACA Marketplace insurers by state between 2014 and 2026. Includes interactive maps displaying state- and county-level data on the number of participating Marketplace insurers in 2026 and the change in the number of insurers between 2025 and 2026.
Author(s): Jared Ortaliza, Justin Lo, Matt McGough, Cynthia Cox
Date: 06/2026
Sponsoring organization: KFF
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2025 Indiana Physician License Renewal Data Report: 2025-2027 Biennium
Provides information on the 2025 physician workforce in Indiana. Includes county-level data on total actively practicing physicians, primary care physicians, and psychiatrists as well as provider to population ratios.
Additional links: Physician Workforce Snapshot, Primary Care Physician Snapshot, Psychiatrist Snapshot
Author(s): Aaron Brehm, Sierra Vaughn, Brittany Daulton
Date: 06/2026
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides information on the 2025 physician workforce in Indiana. Includes county-level data on total actively practicing physicians, primary care physicians, and psychiatrists as well as provider to population ratios.
Additional links: Physician Workforce Snapshot, Primary Care Physician Snapshot, Psychiatrist Snapshot
Author(s): Aaron Brehm, Sierra Vaughn, Brittany Daulton
Date: 06/2026
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Research Brief: Supporting Indian Tribal Organizations To Expand Summer EBT Access
Analyzes Indian Tribal Organization (ITO) participation in the the Summer Electronic Benefit Transfer (Summer EBT) program. Discusses the history of Summer EBT, ITOs and federal nutrition programs, inclusion of culturally relevant foods, and benefits and barriers of ITO participation in Summer EBT. Includes a U.S. map showing area where states and Tribes administer Summer EBT.
Date: 06/2026
Sponsoring organization: Food Research & Action Center
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Analyzes Indian Tribal Organization (ITO) participation in the the Summer Electronic Benefit Transfer (Summer EBT) program. Discusses the history of Summer EBT, ITOs and federal nutrition programs, inclusion of culturally relevant foods, and benefits and barriers of ITO participation in Summer EBT. Includes a U.S. map showing area where states and Tribes administer Summer EBT.
Date: 06/2026
Sponsoring organization: Food Research & Action Center
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Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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Texas Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Texas 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Texas 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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'Good Stewards': Rural Healthcare Experts Discuss Governance Board Best Practices
Provides an overview of hospital and health center boards, with insights from rural CEOs and board members in Colorado, Missouri, North Dakota, and Oklahoma and experts from national organizations. Discusses board orientation and ongoing education, as well as ways to improve board governance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2026
Sponsoring organization: Rural Health Information Hub
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Provides an overview of hospital and health center boards, with insights from rural CEOs and board members in Colorado, Missouri, North Dakota, and Oklahoma and experts from national organizations. Discusses board orientation and ongoing education, as well as ways to improve board governance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2026
Sponsoring organization: Rural Health Information Hub
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Texas Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Texas 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: 06/2026
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 Texas 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Texas Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Texas 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Texas 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: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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2026 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 2025 report.
Additional links: Tables and Figures
Date: 06/2026
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 2025 report.
Additional links: Tables and Figures
Date: 06/2026
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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