Rural Health
Resources by Type: Document
State-level Interstate Medical Licensure Policies for Telehealth From 2018-2022: Assessing Changes Before and After the Onset of the Covid-19 Public Health Emergency
Describes the changes in state telehealth-related policies pertaining to physician medical licensure for the provision of out-of-state telehealth services that occurred between 2018 and 2022. Discusses the Interstate Medical License Compact (IMLC) and states' participation over time.
Author(s): Priyanka Vakkalanka, Tracy Young, Knute D. Carter, et al.
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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Describes the changes in state telehealth-related policies pertaining to physician medical licensure for the provision of out-of-state telehealth services that occurred between 2018 and 2022. Discusses the Interstate Medical License Compact (IMLC) and states' participation over time.
Author(s): Priyanka Vakkalanka, Tracy Young, Knute D. Carter, et al.
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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Trends in Mean Age of Mothers: United States, 2016–2023
Examines trends in maternal age at the time of first birth, second birth, and third birth and higher, as well as by mother's demographics and urbanicity. Utilizes 2016–2023 National Vital Statistics System data to provide the mean maternal age with urbanicity breakdowns according to noncore (nonmetropolitan), micropolitan (nonmetropolitan), small metropolitan, medium metropolitan, large fringe metropolitan, and large central metropolitan.
Author(s): Andrea D. Brown, Brady E. Hamilton, Dmitry M. Kissin, Joyce A. Martin
Date: 06/2025
Sponsoring organization: National Center for Health Statistics
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Examines trends in maternal age at the time of first birth, second birth, and third birth and higher, as well as by mother's demographics and urbanicity. Utilizes 2016–2023 National Vital Statistics System data to provide the mean maternal age with urbanicity breakdowns according to noncore (nonmetropolitan), micropolitan (nonmetropolitan), small metropolitan, medium metropolitan, large fringe metropolitan, and large central metropolitan.
Author(s): Andrea D. Brown, Brady E. Hamilton, Dmitry M. Kissin, Joyce A. Martin
Date: 06/2025
Sponsoring organization: National Center for Health Statistics
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Maintenance of Sugar-Sweetened Beverage Behaviors Among Adolescents and Their Caregivers: A Cluster Randomized Controlled Trial
Examines intake of sugar-sweetened beverages among rural, Central Appalachian students and their caregivers at 19 months after their participation in the Kids SIPsmartER behavior-change intervention, which focused on reducing intake of sugar-sweetened beverages (SSBs) via classroom-based lessons for middle school students and an SMS strategy for their caregivers.
Author(s): Annie Reid, Wen You, Theresa Markwalter, et al.
Citation: Preventing Chronic Disease, 22, 240520
Date: 06/2025
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Examines intake of sugar-sweetened beverages among rural, Central Appalachian students and their caregivers at 19 months after their participation in the Kids SIPsmartER behavior-change intervention, which focused on reducing intake of sugar-sweetened beverages (SSBs) via classroom-based lessons for middle school students and an SMS strategy for their caregivers.
Author(s): Annie Reid, Wen You, Theresa Markwalter, et al.
Citation: Preventing Chronic Disease, 22, 240520
Date: 06/2025
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Health Care Use Preceding Suicide by Firearm Compared with Suicide by Other Means — Alaska, Colorado, and Washington, 2020–2022
Discusses use of healthcare services, including mental health services, in the year prior to suicide for those who died by firearm versus other means, based on data from three healthcare organizations in Alaska, Colorado, and Washington. Includes the number of suicides by location of residence for rural, suburban, and urban areas.
Author(s): Julie E. Angerhofer, Maricela Cruz, Jennifer Shaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(21), 365-371
Date: 06/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Discusses use of healthcare services, including mental health services, in the year prior to suicide for those who died by firearm versus other means, based on data from three healthcare organizations in Alaska, Colorado, and Washington. Includes the number of suicides by location of residence for rural, suburban, and urban areas.
Author(s): Julie E. Angerhofer, Maricela Cruz, Jennifer Shaw, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(21), 365-371
Date: 06/2025
Sponsoring organization: Centers for Disease Control and Prevention
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2025
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers proposed reforms to the physician fee schedule updates and the accuracy of relative payment rates; supplemental benefits in Medicare Advantage; home healthcare use among Medicare Advantage enrollees; Part D prescription drug plans for beneficiaries in fee-for-service Medicare and Medicare Advantage; Medicare beneficiaries in nursing homes; the inclusion of rural providers in current Medicare fee-for-service quality reporting programs; and recommendations related to reducing beneficiary cost sharing for outpatient services at Critical Access Hospitals. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers proposed reforms to the physician fee schedule updates and the accuracy of relative payment rates; supplemental benefits in Medicare Advantage; home healthcare use among Medicare Advantage enrollees; Part D prescription drug plans for beneficiaries in fee-for-service Medicare and Medicare Advantage; Medicare beneficiaries in nursing homes; the inclusion of rural providers in current Medicare fee-for-service quality reporting programs; and recommendations related to reducing beneficiary cost sharing for outpatient services at Critical Access Hospitals. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Addendum to HCUP Statistical Brief #308: Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021, Addition of 2022 Data
Explores inpatient hospital stays related to sepsis using the 2019 and 2022 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation. Updates an August 2024 report to include data for 2022.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 06/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores inpatient hospital stays related to sepsis using the 2019 and 2022 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation. Updates an August 2024 report to include data for 2022.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 06/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Addendum to HCUP Statistical Brief #309: Racial and Ethnic Differences in Inpatient Stays Involving Sepsis, 2016–2021, Addition of 2022 Data
Offers national statistics on inpatient hospital stays involving sepsis by race and ethnicity. Discusses trends over time, comorbidities, mortality, and more. Table 1 includes data by rural or urban residence, among other measures. Updates an August 2024 report to include data for 2022.
Author(s): Melissa A. Miller, Kimberly Martin, Molly Hensche, Carrie Goetsch
Date: 06/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Offers national statistics on inpatient hospital stays involving sepsis by race and ethnicity. Discusses trends over time, comorbidities, mortality, and more. Table 1 includes data by rural or urban residence, among other measures. Updates an August 2024 report to include data for 2022.
Author(s): Melissa A. Miller, Kimberly Martin, Molly Hensche, Carrie Goetsch
Date: 06/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Report to Congress on Medicaid and CHIP, June 2025
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Comment on CMS's Proposed Rule on Inpatient Rehabilitation Facility PPS for FY 2026
Comments on an April 30, 2025, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential impact of replacing payment weights on small and rural IRFs.
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 30, 2025, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Includes comments on the potential impact of replacing payment weights on small and rural IRFs.
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on Inpatient Prospective Payment System for FY 2026
Comments on an April 30, 2025, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals to update inpatient prospective payment systems (IPPS) payment rates, update wage index values and policies, modify the Transforming Episode Accountability Model (TEAM), and remove the proposed health-equity adjustment from the Hospital Value-Based Purchasing (VBP) Program.
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 30, 2025, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals to update inpatient prospective payment systems (IPPS) payment rates, update wage index values and policies, modify the Transforming Episode Accountability Model (TEAM), and remove the proposed health-equity adjustment from the Hospital Value-Based Purchasing (VBP) Program.
Date: 06/2025
Sponsoring organization: Medicare Payment Advisory Commission
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