Rural Health
Resources by Topic: Access
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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How Primary Care Medics Can Bring Needed Health Care to Rural Americans
Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Improving Access to Medicare Home Health Care: Key Policy Considerations
Highlights themes from interviews with 20 policy experts on home health agencies to identify factors contributing to declines in use of Medicare home health services. Discusses payment models, Medicare Advantage, workforce shortages, and family caregivers. Offers policy measures that may increase home health utilization.
Author(s): Barbara Lyons, Jane Andrews
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Highlights themes from interviews with 20 policy experts on home health agencies to identify factors contributing to declines in use of Medicare home health services. Discusses payment models, Medicare Advantage, workforce shortages, and family caregivers. Offers policy measures that may increase home health utilization.
Author(s): Barbara Lyons, Jane Andrews
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Geographic Variation in Blood Transfusion among TRICARE Beneficiaries
Explores the geographic variations in blood distribution and transfusion practices using the U.S. Military Health System's TRICARE insurance database. Breaks down data by age, sex, and whether beneficiaries received care in rural or urban areas, among other measures.
Author(s): Avery A. Thompson, Mahima Jain, Tanujit Dey, et al.
Citation: Transfusion, 66(7), 1326-1335
Date: 07/2026
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Explores the geographic variations in blood distribution and transfusion practices using the U.S. Military Health System's TRICARE insurance database. Breaks down data by age, sex, and whether beneficiaries received care in rural or urban areas, among other measures.
Author(s): Avery A. Thompson, Mahima Jain, Tanujit Dey, et al.
Citation: Transfusion, 66(7), 1326-1335
Date: 07/2026
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Defining Veteran Rurality: An Analysis of the U.S. Veterans Health Administration Rural–Urban Taxonomy
Examines the Veterans Health Administration's (VHA) "Categorization B" rural–urban taxonomies and changes to drive time estimates to VHA care as determined by these taxonomies. Analyzes drive time across RUCA codes, Categorization B designation, and VHA designation. Discusses VHA rural and highly rural designations and the importance of aligning rural definitions to the VHA's access-to-care priorities.
Author(s): Diana J. Govier, Travis I. Lovejoy, Sarah S. Ono, et al.
Citation: Journal of Rural Health, 42(3), e70182
Date: 07/2026
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Examines the Veterans Health Administration's (VHA) "Categorization B" rural–urban taxonomies and changes to drive time estimates to VHA care as determined by these taxonomies. Analyzes drive time across RUCA codes, Categorization B designation, and VHA designation. Discusses VHA rural and highly rural designations and the importance of aligning rural definitions to the VHA's access-to-care priorities.
Author(s): Diana J. Govier, Travis I. Lovejoy, Sarah S. Ono, et al.
Citation: Journal of Rural Health, 42(3), e70182
Date: 07/2026
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Mapping Social Vulnerability and Proximity to Pharmacies in Minnesota, 2009–2024
Analyzes the relationship between pharmacy deserts and social vulnerability across Minnesota. Utilizes Minnesota Board of Pharmacy and geocoded data to examine the relationship among social vulnerability, access to pharmacy, and urban, metro, or nonmetro location. Includes census-tract level Minnesota map showing social vulnerability and access to pharmacies.
Author(s): Emma Goldner, Emily Styles, Lindsay Sorge, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Analyzes the relationship between pharmacy deserts and social vulnerability across Minnesota. Utilizes Minnesota Board of Pharmacy and geocoded data to examine the relationship among social vulnerability, access to pharmacy, and urban, metro, or nonmetro location. Includes census-tract level Minnesota map showing social vulnerability and access to pharmacies.
Author(s): Emma Goldner, Emily Styles, Lindsay Sorge, et al.
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Evaluation of the ACO REACH Model: Evaluation Report 3
Presents key findings from an evaluation of the Accountable Care Organization (ACO) REACH Model's first performance year, as well as the two years of the preceding Global and Professional Direct Contracting (GPDC) Model. Examines model participants' implementation experiences and the model's impact on cost, utilization, and quality outcomes. Includes information on the participation of Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs) in the model.
Additional links: Appendices, CMS Perspective Report, Executive Summary, Findings at a Glance
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Presents key findings from an evaluation of the Accountable Care Organization (ACO) REACH Model's first performance year, as well as the two years of the preceding Global and Professional Direct Contracting (GPDC) Model. Examines model participants' implementation experiences and the model's impact on cost, utilization, and quality outcomes. Includes information on the participation of Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs) in the model.
Additional links: Appendices, CMS Perspective Report, Executive Summary, Findings at a Glance
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Rural Lending and the Need for Expanded Access to Credit: Evaluating and Expanded Threshold for Defining Rurality
Explores how access to credit differs by level of rurality, and discusses how federal rural definitions influence rural lending and finance. Includes data on housing supply, distance to maternal care, access to rural school districts, and other housing and financial metrics.
Author(s): Ani Katchova, Alexander Ryan, Micah Mensing
Date: 07/2026
Sponsoring organization: The Ohio State University
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Explores how access to credit differs by level of rurality, and discusses how federal rural definitions influence rural lending and finance. Includes data on housing supply, distance to maternal care, access to rural school districts, and other housing and financial metrics.
Author(s): Ani Katchova, Alexander Ryan, Micah Mensing
Date: 07/2026
Sponsoring organization: The Ohio State University
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