Rural Healthcare Payment and Reimbursement – Resources
Selected recent or important resources focusing on Rural Healthcare Payment and Reimbursement.
Rural Health Value: Policy Documents and Demonstrations
Summaries of selected rural health demonstration programs and rural aspects of payment policies.
Sponsoring organization: Rural Health Value
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Summaries of selected rural health demonstration programs and rural aspects of payment policies.
Sponsoring organization: Rural Health Value
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ACO Primary Care Flex Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO Primary Care Flex Model, which will test how prospective payments and increased funding for primary care in accountable care organizations (ACOs) impact health outcomes, quality, and costs of care. Aims to increase the number of low-revenue ACOs participating in the Medicare Shared Savings Program (SSP), including ACOs serving rural and underserved populations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model, a voluntary state total cost of care model that will test state accountability for controlling overall growth in health expenditures while increasing investment in primary care and improving population health outcomes.
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Medicaid Links
Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides links to state Medicaid agency websites, including pages for state contacts, eligibility, and enrollment information.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Shared Savings Program
Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Medicare Shared Savings Program. Offers links to program resources, including application information, program data, and program statutes and regulations.
Sponsoring organization: Centers for Medicare and Medicaid Services
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ACO REACH Model
Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO REACH Model, which is intended to encourage healthcare coordination to improve care for people with Medicare.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on the Centers for Medicare & Medicaid Services (CMS) Innovation Center's ACO REACH Model, which is intended to encourage healthcare coordination to improve care for people with Medicare.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Costs, Coverage and Delivery State Legislation Database
Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Sponsoring organization: National Conference of State Legislatures
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Identifies enacted state legislation addressing healthcare costs, access, and health system efficiencies. Topics covered include alternative payment methods, health insurance marketplaces, health system consolidation and competition, Medicaid reforms, price transparency, surprise billing, and telehealth. Searchable by state, topic, keyword, year, status, and primary sponsor. Updated every two weeks, with information on legislation starting in 2022.
Sponsoring organization: National Conference of State Legislatures
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PubMed Search: Rural Payment and Reimbursement
Searches PubMed's collection of journal article citations on the topics of rural healthcare payment and reimbursement.
Sponsoring organization: U.S. National Library of Medicine
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Searches PubMed's collection of journal article citations on the topics of rural healthcare payment and reimbursement.
Sponsoring organization: U.S. National Library of Medicine
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Medicare Learning Network: Medicare Payment Systems
Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides general information about Medicare payment systems, including the DMEPOS Fee Schedule, Inpatient Psychiatric Facility Prospective Payment System (IPF PPS), Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), and more. Includes links to additional resources for each provider type.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter B, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Sponsoring organization: Centers for Medicare and Medicaid Services
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Accountable Care Organizations
- Care coordination
- Health insurance
- Healthcare business and finance
- Medicaid
- Medicare
- Policy
- Reimbursement and payment models
- Service delivery models
Last Updated: 11/6/2025