Rural Health
Resources by Type: Document
Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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State Strategies for the Rural Health Transformation Program (RHTP): A Milbank State Leadership Network Convening Recap
Summarizes discussions held by representatives from 24 states regarding opportunities and strategies related to the federal Rural Health Transformation (RHT) Program and identifies areas for priority action. Includes links to resources shared during the discussions.
Author(s): Sofia Espinosa, Mary Louise Gilburg, Morgan McDonald
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Summarizes discussions held by representatives from 24 states regarding opportunities and strategies related to the federal Rural Health Transformation (RHT) Program and identifies areas for priority action. Includes links to resources shared during the discussions.
Author(s): Sofia Espinosa, Mary Louise Gilburg, Morgan McDonald
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Medicare Advantage Enrollees Have Access to About Half of the Physicians Available to Traditional Medicare Beneficiaries
Explores how provider networks vary across Medicare Advantage plans and when compared to traditional Medicare. Examines the share of physicians available to Medicare Advantage enrollees as a share of physicians available to traditional Medicare beneficiaries by analyzing Medicare Advantage provider directories for 2022. Includes information on the availability of physicians to Medicare Advantage enrollees and traditional Medicare beneficiaries in rural counties.
Author(s): Matthew Rae, Jeannie Fuglesten Biniek, Tricia Neuman, Karen Pollitz
Date: 10/2025
Sponsoring organization: KFF
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Explores how provider networks vary across Medicare Advantage plans and when compared to traditional Medicare. Examines the share of physicians available to Medicare Advantage enrollees as a share of physicians available to traditional Medicare beneficiaries by analyzing Medicare Advantage provider directories for 2022. Includes information on the availability of physicians to Medicare Advantage enrollees and traditional Medicare beneficiaries in rural counties.
Author(s): Matthew Rae, Jeannie Fuglesten Biniek, Tricia Neuman, Karen Pollitz
Date: 10/2025
Sponsoring organization: KFF
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Nurse-Directed Coordination of Cancer Survivorship Care in a Tribal Primary Care Clinic
Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status, Version 2 with Addendum
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units. Addendum describes methodology updates since a previously published January 2022 report as well as additional findings using 2010-2023 data.
Additional links: An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status (Version 1, 2022)
Author(s): Julia D. Interrante, Caitlin Carroll, Emily C. Sheffield, et al.
Date: 10/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Transformation Program: Themes Emerging From Stakeholder Input
Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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Describes themes from the stakeholder engagement efforts of five states - Alaska, California, Georgia, North Dakota, and Washington - regarding the Rural Health Transformation Program and application. Discusses modernizing care delivery, leveraging data and technology, investing in workforce development, financial stability and long-term sustainability, and prioritizing population health.
Author(s): Rebecca Lopez, Heather Howard, Jamila McLean
Date: 10/2025
Sponsoring organization: State Health & Value Strategies
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The Evolving Role of Critical Access Hospitals in Rural Physician Training
Research letter examining prevalence of Critical Access Hospital (CAH)-based training and comparing CAHs with other rural teaching hospitals to evaluate potential for expansion. Features statistics on characteristics of training programs in CAHs and other rural teaching hospitals.
Author(s): Lori Rodefeld, Mukesh Adhikari, Catherine (Kasia) Horger, John Boll, Emily M. Hawes
Citation: JAMA Health Forum, 6(10), e254742
Date: 10/2025
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Research letter examining prevalence of Critical Access Hospital (CAH)-based training and comparing CAHs with other rural teaching hospitals to evaluate potential for expansion. Features statistics on characteristics of training programs in CAHs and other rural teaching hospitals.
Author(s): Lori Rodefeld, Mukesh Adhikari, Catherine (Kasia) Horger, John Boll, Emily M. Hawes
Citation: JAMA Health Forum, 6(10), e254742
Date: 10/2025
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South Dakota American Indian Mortality Data, 2008-2024
Highlights the leading causes of death in American Indian communities in South Dakota from 2008 to 2024. Ranks causes, such as cancer, heart disease, and stroke, among others, by year.
Date: 10/2025
Sponsoring organization: South Dakota Department of Health
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Highlights the leading causes of death in American Indian communities in South Dakota from 2008 to 2024. Ranks causes, such as cancer, heart disease, and stroke, among others, by year.
Date: 10/2025
Sponsoring organization: South Dakota Department of Health
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State Telehealth Laws and Reimbursement Policies Report, Fall 2025
Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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