Rural Health
Resources by Topic: Benefit enrollment and application
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2026
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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2026 County-Level Health Insurance Marketplace Enrollment in Kansas
Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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Research Brief: Supporting Indian Tribal Organizations To Expand Summer EBT Access
Analyzes Indian Tribal Organization (ITO) participation in the the Summer Electronic Benefit Transfer (Summer EBT) program. Discusses the history of Summer EBT, ITOs and federal nutrition programs, inclusion of culturally relevant foods, and benefits and barriers of ITO participation in Summer EBT. Includes a U.S. map showing area where states and Tribes administer Summer EBT.
Date: 06/2026
Sponsoring organization: Food Research & Action Center
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Analyzes Indian Tribal Organization (ITO) participation in the the Summer Electronic Benefit Transfer (Summer EBT) program. Discusses the history of Summer EBT, ITOs and federal nutrition programs, inclusion of culturally relevant foods, and benefits and barriers of ITO participation in Summer EBT. Includes a U.S. map showing area where states and Tribes administer Summer EBT.
Date: 06/2026
Sponsoring organization: Food Research & Action Center
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Characteristics of Supplemental Nutrition Assistance Program Households: Fiscal Year 2024
Presents an overview of the SNAP Program eligibility requirements and benefit levels. Provides detailed tables showing comparisons in rural-urban areas. Coverage includes October 2023 through September 2024.
Author(s): Ben Ward, Mia Monkovic
Date: 05/2026
Sponsoring organization: USDA Food and Nutrition Administration
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Presents an overview of the SNAP Program eligibility requirements and benefit levels. Provides detailed tables showing comparisons in rural-urban areas. Coverage includes October 2023 through September 2024.
Author(s): Ben Ward, Mia Monkovic
Date: 05/2026
Sponsoring organization: USDA Food and Nutrition Administration
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Trends in Medicare Advantage Quality for Nonmetropolitan Enrollees, 2019-2023
Examines quality of care in Medicare Advantage (MA) plans by geography, region, and plan type. Analyzes average ratings of 2019-2023 MA plans on a 1-5 star rating scale according to metro, micro, or noncore rural location. Provides additional data on MA enrollments by rural concentration of contracts as well as star ratings by benchmark quartile and quality bonus capping.
Author(s): Abigail Barker, Eliot Jost, Timothy McBride, Keith J. Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines quality of care in Medicare Advantage (MA) plans by geography, region, and plan type. Analyzes average ratings of 2019-2023 MA plans on a 1-5 star rating scale according to metro, micro, or noncore rural location. Provides additional data on MA enrollments by rural concentration of contracts as well as star ratings by benchmark quartile and quality bonus capping.
Author(s): Abigail Barker, Eliot Jost, Timothy McBride, Keith J. Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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April 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2026 meeting. Covers Medicare payment incentives, regional benchmarks and benchmark-plan availability in the Part D prescription drug plan (PDP) market, preferred networks and pharmacy access in Medicare Part D, the estimated association between Medicare Advantage enrollment and hospitals' and post-acute care providers' finances, information sources that beneficiaries use to make Medicare enrollment decisions, and institutional special-needs plans. Includes a mandated report on the assessment of the Medicare ground ambulance data collection system. Includes rural references and considerations throughout.
Additional links: Advising the Congress on Medicare Issues Preferred Networks and Pharmacy Access in Part D, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 04/2026
Sponsoring organization: Medicare Payment Advisory Commission
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March 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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New Hampshire Department of Health & Human Services Roadmap 2025-2027
Describes the Department of Health & Human Services' strategic priorities and initiatives, focusing on investing in people and culture, promoting thriving communities, and improving customer services. Includes a section on the Rural Health Transformation Plan.
Date: 10/2025
Sponsoring organization: New Hampshire Department of Health and Human Services
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Describes the Department of Health & Human Services' strategic priorities and initiatives, focusing on investing in people and culture, promoting thriving communities, and improving customer services. Includes a section on the Rural Health Transformation Plan.
Date: 10/2025
Sponsoring organization: New Hampshire Department of Health and Human Services
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