Rural Health
Resources by Type: Document
The Integrated Vulnerability Measure a Novel Financial Distress Index for US Hospitals
Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tests the effectiveness of the integrated vulnerability measure (IVM) in identifying hospitals at risk of experiencing financial distress within 2 years. Discusses using IVM in decision-making and compares IVM to other distress indicators.
Author(s): Julianna Bernadi, Paul Ursino, Kevin Gormley, et al.
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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Tribal Water Infrastructure: Opportunities Exist to Improve Federal Assistance
Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Building a Robust Primary Care Workforce: Diffusing Lessons Across States
Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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A Community-Focused Rural Academic Health Department Model in North Carolina: Elevating Community Engagement, Rural Public Health Practice and Research
Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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The 21st Century ROAD to Housing Act (P.L. 119-101)
Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Provides an overview of the 21st Century ROAD to Housing Act (P.L. 119-101), which became law on July 11, 2026, and aims to address housing supply and affordability. Summarizes each provision of the law, as well as deadlines applicable to federal agencies. Includes references to rural programs throughout.
Date: 09/2026
Sponsoring organization: Congressional Research Service
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Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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A Closer Look at the $50 Billion Rural Health Transformation Program
Provides an overview of the Rural Health Transformation Program, including the structure of the program, how funding can be used, how funding is distributed across and within states, and more. Includes data on the first year of RHTP funding awarded by state and by measure of state need.
Author(s): Zachary Levinson, Scott Hulver
Date: 09/2026
Sponsoring organization: KFF
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Provides an overview of the Rural Health Transformation Program, including the structure of the program, how funding can be used, how funding is distributed across and within states, and more. Includes data on the first year of RHTP funding awarded by state and by measure of state need.
Author(s): Zachary Levinson, Scott Hulver
Date: 09/2026
Sponsoring organization: KFF
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Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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An Academic-Community Partnership Model for the Virtual Dental Home
Describes the University of California San Francisco (UCSF)-Smile Keepers virtual dental home program, a collaboration which operated from 2021-2025 and offered school-based teledentistry services. Explores ways in which similar programs can help close access gaps for children in rural and underserved areas.
Author(s): Manwa Hegde, Katie Conklin, Rachel Howard, et al.
Citation: Journal of the California Dental Association, 54(1), 2719416
Date: 09/2026
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Describes the University of California San Francisco (UCSF)-Smile Keepers virtual dental home program, a collaboration which operated from 2021-2025 and offered school-based teledentistry services. Explores ways in which similar programs can help close access gaps for children in rural and underserved areas.
Author(s): Manwa Hegde, Katie Conklin, Rachel Howard, et al.
Citation: Journal of the California Dental Association, 54(1), 2719416
Date: 09/2026
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