Rural Health
News by Topic: Service delivery models
CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model
Federal Register
Dec 11, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2, which will begin on July 1, 2026. The IOTA Model tests whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. Comments are due by February 9, 2026.
Source: Federal Register
Dec 10, 2025 - Announces the expansion of a rural pediatric health networking and collaboration initiative in Georgia aiming to support access to pediatric healthcare. The program includes both a physician training and consultation component as well as specialty telehealth component to allow rural children to receive healthcare in their communities. Discusses scholarship opportunities to increase the pediatric health workforce and plans to continue expanding this program.
Source: The Den
Dec 5, 2025 - Some mobile clinics in Michigan have been upgraded to include satellite internet service. Describes how reliable internet facilitates access to healthcare for rural communities.
Source: CMU News
Nov 21, 2025 - Profiles a rural Vermont medically complex child to highlight challenges in accessing specialty care for rural residents. Describes the emergency care action plan created by her medical team that allows her to continue living safely in her rural community.
Source: Larner News and Media
Nov 19, 2025 - The Federal Communications Commission (FCC) has waived a rule regarding rural rates for applicants of the Telecommunications Program of the Rural Health Care (RHC) Program for funding year 2026. Offers guidance on calculating rates.
Source: Universal Service Administrative Co.
Nov 18, 2025 - A rural Vermont mental health urgent care facility has expanded services to offer overnight beds. It is the first 24/7 walk-in mental health urgent care facility in the state and is intended to relieve area emergency rooms as well as offer care close to home. Describes the facility's place in the mental healthcare intervention space, how the program has been funded, outcomes for prior patients, services offered, and sustainability.
Source: VT Digger
Nov 12, 2025 - Summarizes discussions at a National Academies of Sciences, Engineering, and Medicine webinar describing barriers and facilitators in accessing diagnostic care for rural residents. Highlights projects increasing access to primary and diagnostic care including school-based health centers, mobile units, telehealth, and artificial intelligence. Notes the connection between rural community investment and improving access to diagnostic care.
Source: National Academies of Sciences, Engineering, and Medicine News
Nov 12, 2025 - Highlights 2 new California laws aiming to increase access to maternal healthcare services in rural areas. One law creates a 10 year pilot program to operate standby maternity units for emergency care rather than maintaining staff full time. A second law relaxes licensing rules for birth centers. Discusses new maternity care options as a result of the new policies in Plumas County where a maternity ward closed in 2022.
Source: Cal Matters
Nov 11, 2025 - Describes a new mental health treatment offered for free to veterans and other first responders in Ohio. Highlights one veteran's work to increase access to the treatment in rural areas using mobile units.
Source: The Ohio Newsroom
Nov 5, 2025 - The Centers for Medicare & Medicaid (CMS) announce that all 50 states applied for funding from the Rural Health Transformation Program (RHTP). RHTP goals include supporting rural health innovation, improving sustainability, workforce development, new models of care delivery, and expanding technology access and utilization. Funding decisions will be announced by December 31, 2025.
Source: U.S. Department of Health and Human Services