Rural Health
Resources by Topic: Health insurance
Demographic Characteristics of Medicaid Beneficiaries Enrolled in the Program of All-Inclusive Care for the Elderly
Describes the demographic characteristics and long-term nursing facility use of Program of All-Inclusive Care for the Elderly (PACE) enrollees in 2023, including rural residence. Compares data by PACE enrollees who are full-benefit dually eligible beneficiaries and those who are Medicaid-only enrollees.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes the demographic characteristics and long-term nursing facility use of Program of All-Inclusive Care for the Elderly (PACE) enrollees in 2023, including rural residence. Compares data by PACE enrollees who are full-benefit dually eligible beneficiaries and those who are Medicaid-only enrollees.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Early Evidence of Geographic Variation in Medicare Participation among Newly Eligible Mental Health Providers Following the 2024 Coverage Expansion
Explores the effect that Medicare's expansion of coverage to marriage and family therapists (MFTs) and mental health counselors (MHCs) has had on the rural mental health workforce. Highlights the rate of participation among rural MFTs and MHCs in Medicare from 2022 to 2024 and compares rates to metro counties.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, et al.
Citation: Journal of Rural Health, 42(3), e70180
Date: 07/2026
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Explores the effect that Medicare's expansion of coverage to marriage and family therapists (MFTs) and mental health counselors (MHCs) has had on the rural mental health workforce. Highlights the rate of participation among rural MFTs and MHCs in Medicare from 2022 to 2024 and compares rates to metro counties.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, et al.
Citation: Journal of Rural Health, 42(3), e70180
Date: 07/2026
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Small Area Health Insurance Estimates: 2023
Reports on health insurance coverage in the U.S. in 2023 and changes between 2022 and 2023, as well as changes between 2019 and 2023. Includes maps showing county-level uninsured rates.
Date: 06/2026
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Reports on health insurance coverage in the U.S. in 2023 and changes between 2022 and 2023, as well as changes between 2019 and 2023. Includes maps showing county-level uninsured rates.
Date: 06/2026
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National Health Center Financial and Operational Performance Analysis: 2021–2024
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2021-2024. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and quality of care. Compares data on rural FQHCs to urban and national FQHC data.
Date: 06/2026
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2021-2024. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and quality of care. Compares data on rural FQHCs to urban and national FQHC data.
Date: 06/2026
Sponsoring organization: Capital Link
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Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A Tour of Youth Behavioral Health Services Landscape: Prevalence, Treatment, and the Workforce
Webinar discussing the prevalence of youth mental health conditions, substance use, and treatment in rural areas, the distribution of the youth behavioral health workforce, and the state of Medicaid funding for these services.
Additional links: Presentation Slides
Author(s): Janessa Graves, Holly Andrilla, Lisa Garberson, et al.
Date: 06/2026
Sponsoring organizations: Rural Health Research Gateway, WWAMI Rural Health Research Center
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Webinar discussing the prevalence of youth mental health conditions, substance use, and treatment in rural areas, the distribution of the youth behavioral health workforce, and the state of Medicaid funding for these services.
Additional links: Presentation Slides
Author(s): Janessa Graves, Holly Andrilla, Lisa Garberson, et al.
Date: 06/2026
Sponsoring organizations: Rural Health Research Gateway, WWAMI Rural Health Research Center
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Reasons for Uninsurance among Rural Working-Age U.S. Adults with Histories of Cancer
Analyzes reasons for uninsurance among uninsured, rural-dwelling people with and without a history of cancer, using 2020-2024 National Health Interview Survey data of 1,930 adults aged 18-64. Compares reasons related to cost, eligibility, ability to meet patient needs, and other factors by cancer history and sociodemographic group.
Author(s): Ingrid Jacobson, Wade Swenson, Emily McGovern
Citation: Discover Public Health, 23, 997
Date: 06/2026
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Analyzes reasons for uninsurance among uninsured, rural-dwelling people with and without a history of cancer, using 2020-2024 National Health Interview Survey data of 1,930 adults aged 18-64. Compares reasons related to cost, eligibility, ability to meet patient needs, and other factors by cancer history and sociodemographic group.
Author(s): Ingrid Jacobson, Wade Swenson, Emily McGovern
Citation: Discover Public Health, 23, 997
Date: 06/2026
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Medicaid Opportunities to Strengthen Oral Health Access In Rural Communities
Discusses how workforce innovations, teledentistry, rural workforce pipelines, and the Rural Health Transformation Program (RHTP) can improve oral healthcare access for Medicaid recipients in rural communities.
Author(s): Madeline Steward
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses how workforce innovations, teledentistry, rural workforce pipelines, and the Rural Health Transformation Program (RHTP) can improve oral healthcare access for Medicaid recipients in rural communities.
Author(s): Madeline Steward
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Report to Congress on Medicaid and CHIP, June 2026
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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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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