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Rural Health Information Hub

Rural Healthcare Quality – Resources

Selected recent or important resources focusing on Rural Healthcare Quality.

Management of Cardiovascular Disease Risk Factors by Rural and Urban Primary Care Practices
Results of a study comparing management of cardiovascular disease risk factors between rural and urban practices, using data from a national primary care registry from 2016-2020. Features statistics with breakdowns by urban, large rural, and small rural areas.
Author(s): Lars E. Peterson, Zachary J. Morgan
Date: 01/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Use of Preventive Services by Rurality, Disability Status, and Health Insurance
Examines rates of use of routine physicals and flu vaccination by rural or urban location, disability status, and health insurance type. Uses data from the 2022 National Health Interview Survey.
Author(s): Alexis Swendener, Katie Rydberg, Lisa I. Iezzoni, Carrie Henning-Smith
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Merit-based Incentive Payment System (MIPS) 2026 Small Practice Eligibility and Participation Frequently Asked Questions
Provides answers to frequently asked questions regarding small practice participation and eligibility for the Merit-based Incentive Payment System (MIPS) for the 2026 performance year. Covers individual and group eligibility, the low-volume threshold, changes to group composition during the performance year, and more.
Date: 01/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Merit-Based Incentive Payment System (MIPS): 2026 Improvement Activities Performance Category Quick Start Guide
Provides an overview of Merit-based Incentive Payment System (MIPS) requirements, data collection, and data submission for the improvement activities performance category for the 2026 performance year. Includes information about special status scoring for small practices and clinicians located in a rural or Health Professional Shortage Area.
Date: 01/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Merit-Based Incentive Payment System (MIPS): 2025 Opt-in and Voluntary Reporting Election Guide
Discusses the eligibility of clinicians, groups, and Alternative Payment Model (APM) participants that exceed some low-volume threshold criteria to opt-in to the Merit-Based Incentive Payment System (MIPS) and the APM Performance Pathway (APP) for the 2025 performance period. Compares opting in and voluntarily reporting MIPS data and provides an overview of the election process.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Merit-based Incentive Payment System (MIPS): 2026 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2026 performance year. Includes information on performance category redistribution policies for small practices.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Merit-Based Incentive Payment System (MIPS): 2026 Reporting MIPS Quality Measures through Medicare Part B Claims Quick Start Guide for Small Practices
Provides details on how small practices can report quality measures through Medicare Part B claims measures. Highlights changes to these measures in 2026, score redistribution policies for small practices, and information for clinicians at Critical Access Hospitals.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Measuring State Flex Program Impact: Tools to Support Outcome Measurement and Evaluation
Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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Merit-Based Incentive Payment System (MIPS): Traditional MIPS Scoring Guide for the 2025 Performance Year
Provides details on how scores are calculated for the Merit-Based Incentive Payment System (MIPS), one of two tracks under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes information for small practices.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Reimbursement and Policy Considerations of Point-of-Care Ultrasound (POCUS) in Rural Family Medicine
Examines the current Point-of-Care Ultrasound (POCUS) reimbursement landscape, challenges, and opportunities for improvement in rural primary care and emergency departments. Includes a section on financial differences between providing POCUS in Critical Access Hospitals and in Rural Health Clinics.
Author(s): Kylie Long, Geoffrey Bocobo, Andrew Goldsmith
Citation: The Journal of the American Board of Family Medicine, 38(6), 967-973
Date: 11/2025
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