Rural Health
Resources by Topic: Access
A Look at New or Expanded Medicaid and Public Health Partnerships from 2025: Findings from A Survey of State Medicaid Programs
Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Identifies themes from a survey of state Medicaid directors regarding new or expanded public health initiatives that were implemented in fiscal year (FY) 2025 or planned for FY 2026. Summarizes initiatives related to maternal and child health, child and youth mental health, opioid use disorder (OUD), lead screening, infectious disease, and workforce. Describes rural-related initiatives and examples throughout.
Author(s): Alisha Rao, Anna Mudumala, Elizabeth Hinton, Cory Caldwell
Date: 05/2026
Sponsoring organization: KFF
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Transforming Rural Health: Strategies from the Field - Rural Telehealth
A brief that discusses telehealth access, policy considerations, and barriers for rural communities, such as lack of digital infrastructure. Provides strategies for integrating telehealth into healthcare delivery models, initiating collaborative opportunities, and building digital access points in rural communities.
Date: 05/2026
Sponsoring organization: Georgia Health Policy Center
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A brief that discusses telehealth access, policy considerations, and barriers for rural communities, such as lack of digital infrastructure. Provides strategies for integrating telehealth into healthcare delivery models, initiating collaborative opportunities, and building digital access points in rural communities.
Date: 05/2026
Sponsoring organization: Georgia Health Policy Center
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Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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Compiles findings from 9 reports on youth behavioral health in the rural U.S. Describes prevalence of behavioral health conditions, the youth behavioral health workforce, behavioral health licensure and reimbursement policy, and provision of youth behavioral health services. Features statistics with breakdowns by 7 levels of population density.
Author(s): Janessa M. Graves, Lisa A. Garberson, Sara C. Woolcock, C. Holly A. Andrilla
Date: 05/2026
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Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries
Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Examines how in-person and telehealth primary care use, access, and continuity of care varied among Medicare beneficiaries between 2017 and 2023, using traditional Medicare claims and administrative data. Includes data comparisons by level of rurality, among other factors.
Author(s): Ishani Ganguli, Nicolas E. Daley, Andrew Hicks, et al.
Citation: JAMA Health Forum, 7(5), e260979
Date: 05/2026
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Integrated Care for Kids (InCK) Model: Evaluation Report 3
Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
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Navigating Dual Burdens: Financial Burdens and Travel Burdens Among Rural-Dwelling Cancer Survivors
Evaluates the significance simultaneous financial toxicity and healthcare-related travel burden among 12 cancer survivors living in rural North Carolina. Details cancer survivors' responses to financial and travel burdens, including discussion of cost-saving methods, travel strategies, shared burden with caregivers, experiences with financial assistance programs, and more.
Author(s): Arrianna Marie Planey, Michelle L. Manning, Mindy Gellin, et al.
Citation: Cancer Control, 33
Date: 04/2026
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Evaluates the significance simultaneous financial toxicity and healthcare-related travel burden among 12 cancer survivors living in rural North Carolina. Details cancer survivors' responses to financial and travel burdens, including discussion of cost-saving methods, travel strategies, shared burden with caregivers, experiences with financial assistance programs, and more.
Author(s): Arrianna Marie Planey, Michelle L. Manning, Mindy Gellin, et al.
Citation: Cancer Control, 33
Date: 04/2026
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Multi-Listing among Rural Kidney Transplant Recipients: A National Cohort Study
Explores the efficacy of multi-listing, or being added to waiting lists at more than two centers, for rural people who qualify for a kidney transplant as a method for improving rural transplantation rates. Breaks down data by patients characteristics of both recipients and donors and whether they were multi-listed prior to transplant.
Author(s): Erin R. Weeda, Arwen B. L. Declan, Patricia J. Greene, Derek A. DuBay
Citation: Journal of Rural Health, 42(2), e70156
Date: 04/2026
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Explores the efficacy of multi-listing, or being added to waiting lists at more than two centers, for rural people who qualify for a kidney transplant as a method for improving rural transplantation rates. Breaks down data by patients characteristics of both recipients and donors and whether they were multi-listed prior to transplant.
Author(s): Erin R. Weeda, Arwen B. L. Declan, Patricia J. Greene, Derek A. DuBay
Citation: Journal of Rural Health, 42(2), e70156
Date: 04/2026
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Access to Phones and Use of International Numbers Among Farmworkers in North Carolina, 2023–2024
Explores access to and use of phones among migrant and seasonal farmworkers in North Carolina to identify barriers to managing healthcare and reporting emergencies. Discusses how international phone numbers impact participation with the healthcare system.
Author(s): Abdul G. Zahra, Leslie E. Cofie, Catherine E. LePrevost, et al.
Citation: Journal of Agromedicine, 2026
Date: 04/2026
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Explores access to and use of phones among migrant and seasonal farmworkers in North Carolina to identify barriers to managing healthcare and reporting emergencies. Discusses how international phone numbers impact participation with the healthcare system.
Author(s): Abdul G. Zahra, Leslie E. Cofie, Catherine E. LePrevost, et al.
Citation: Journal of Agromedicine, 2026
Date: 04/2026
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