Rural Health
Resources by Type: Document
A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2025 and 2026
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to implementing federal priorities, systems issues, state budget limitations, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2025
Sponsoring organization: KFF
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Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to implementing federal priorities, systems issues, state budget limitations, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2025
Sponsoring organization: KFF
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Academic Detailing to Advance Naloxone Prescribing in Rural Primary Care: A 2-Year Pilot Study
Presents a study exploring the feasibility of implementing an intervention to improve primary care providers' (PCPs) knowledge, confidence, and adoption of naloxone-related practices in rural FQHCs. Study involves 30 PCPs in rural Arkansas, with 15 receiving a 30-minute virtual training on naloxone. Breaks down data by PCP profession type as well as HPSA status and score.
Author(s): Leah Tobey-Moore, Meghan N. Breckling, Teresa J. Hudson, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 11/2025
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Presents a study exploring the feasibility of implementing an intervention to improve primary care providers' (PCPs) knowledge, confidence, and adoption of naloxone-related practices in rural FQHCs. Study involves 30 PCPs in rural Arkansas, with 15 receiving a 30-minute virtual training on naloxone. Breaks down data by PCP profession type as well as HPSA status and score.
Author(s): Leah Tobey-Moore, Meghan N. Breckling, Teresa J. Hudson, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 11/2025
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Unlocking Local Leadership: Why Rural People Step Forward to Help Their Communities
Reports on attitudes toward and experiences of community engagement and formal leadership among people in rural areas via a poll conducted in June and July of 2025. Provides data on rural quality of life, community cohesion, community involvement, and facilitators and obstacles to leadership, with urban data comparisons for select topics.
Date: 11/2025
Sponsoring organizations: Gallup, LOR Foundation
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Reports on attitudes toward and experiences of community engagement and formal leadership among people in rural areas via a poll conducted in June and July of 2025. Provides data on rural quality of life, community cohesion, community involvement, and facilitators and obstacles to leadership, with urban data comparisons for select topics.
Date: 11/2025
Sponsoring organizations: Gallup, LOR Foundation
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Paying Family Caregivers: Self-direction in Medicaid Personal Care
Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Compares characteristics of dually eligible older adults receiving caregiving through either self-direction and non-self-direction, including personal demographics, health conditions, healthcare utilization, and rurality. Discusses rural findings in light of workforce shortages in rural communities. Includes analysis of Medicaid data from 6 states with reliable self-direction data as well as analysis of characteristics for 41 states and Washington, D.C.
Author(s): Yiqing Kuang, Katherine E.M. Miller
Citation: Health Affairs Scholar, 3(11)
Date: 11/2025
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Creating Rural Physician Training Sites: Not Easy, Not Simple, But Happening With Federal Support
Features insights from Rural Residency Planning and Development grantees in Georgia, Oregon, and Missouri. Focuses on the challenges, successes, and community impact of their new rural residency startup work.
Author(s): Kay Miller Temple
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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Features insights from Rural Residency Planning and Development grantees in Georgia, Oregon, and Missouri. Focuses on the challenges, successes, and community impact of their new rural residency startup work.
Author(s): Kay Miller Temple
Date: 11/2025
Sponsoring organization: Rural Health Information Hub
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Closing the Distance in Rural Primary Care: Evidence, Stories and Solutions
Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Explores the state of rural primary care in the United States. Describes recent federal legislation that may impact rural primary care, healthcare access, and health outcomes. Discusses trends in rural primary care, including comparisons between rural and urban primary care spending relative to all total spending, primary care workforce availability, and comprehensiveness of primary care. Presents five case studies highlighting rural primary care practices and practice models.
Date: 11/2025
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Final CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering the Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering the Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Barriers and Facilitators to Implementing Electronic Patient Reported Outcome Screening for Mental Illness and Substance Use Disorders at HIV Clinics in Alabama: A Qualitative Study
Examines barriers and facilitators related to implementation of electronic patient reported outcome measures (ePROs) to address mental health (MH) issues and substance use disorders (SUD) in people with HIV. Utilizes interview feedback from 15 staff at Ryan White HIV/AIDS Program (RWHP) clinics in Alabama regarding their experiences with the ePRO intervention, focusing on its impact in rural areas with an increased HIV burden.
Author(s): Ellen Eaton, C. Greer McCollum, Kelly W. Gagnon, Anna-Julia Enid Kutsch, Kaylee Burgan
Citation: BMC Health Services Research, 25, 1462
Date: 11/2025
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Examines barriers and facilitators related to implementation of electronic patient reported outcome measures (ePROs) to address mental health (MH) issues and substance use disorders (SUD) in people with HIV. Utilizes interview feedback from 15 staff at Ryan White HIV/AIDS Program (RWHP) clinics in Alabama regarding their experiences with the ePRO intervention, focusing on its impact in rural areas with an increased HIV burden.
Author(s): Ellen Eaton, C. Greer McCollum, Kelly W. Gagnon, Anna-Julia Enid Kutsch, Kaylee Burgan
Citation: BMC Health Services Research, 25, 1462
Date: 11/2025
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Leveraging the Rural-Urban Commuting Area Tool to Address Geographic Disparities in Cancer Care: A Dual-Application Framework for Institutional and National Initiatives
Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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Details an open-access Rural-Urban Community Area (RUCA) tool to standardize patients' geographic coding in cancer disparities research by integrating RUCA codes with census tract and electronic health record system data. Provides data on the tool's application, utilizing 2023 cancer registry data provided by Wake Forest Cancer Center in North Carolina.
Author(s): Meredith C.B. Adams, Cody L. Hudson, Matthew L. Perkins, Robert W. Hurley, Umit Topaloglu
Citation: JCO Clinical Cancer Informatics, 9, e2500122
Date: 11/2025
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Oregon Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Oregon 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: 11/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Oregon 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: 11/2025
Sponsoring organization: WWAMI Rural Health Research Center
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