Rural Health
Resources by Topic: Health workforce
Investing in Primary Care: The Nurse Practitioner Will See You Now
Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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Describes opportunities to support advancement of preparation and growth for nurse practitioners (NPs) to meet the population's primary care needs. Explores the importance of NPs in rural and underserved communities, and Health Professional Shortage Areas.
Author(s): Jessica McCann, Margaret Flinter
Date: 10/2025
Sponsoring organization: Milbank Memorial Fund
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The Latest Trends in Health Workforce Legislation
Summarizes an August 2025 discussion of the National Conference of State Legislatures' Health Workforce Peer Learning Group regarding state healthcare workforce policy trends. Covers state policy levers to recruit and retain members of the health workforce and promote access to care. Includes rural references throughout.
Author(s): Kelsie George
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Summarizes an August 2025 discussion of the National Conference of State Legislatures' Health Workforce Peer Learning Group regarding state healthcare workforce policy trends. Covers state policy levers to recruit and retain members of the health workforce and promote access to care. Includes rural references throughout.
Author(s): Kelsie George
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers
Examines the availability of behavioral health providers in selected Medicare Advantage (MA) and Medicaid managed care networks in 2023. Analyzes provider network lists and MA and Medicaid encounter data for four MA and two Medicaid managed care plans from 10 selected urban and rural counties across five states. Describes the proportion of the behavioral health workforce in each county included in the plans' networks. Discusses the extent to which managed care plans had inactive providers in their network and why these providers did not deliver services to enrollees. Includes data on the percentage of inactive providers in rural and urban counties. Offers recommendations to monitor and improve the accuracy of provider networks.
Additional links: Report Highlights
Date: 10/2025
Sponsoring organization: Office of Inspector General (HHS)
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Examines the availability of behavioral health providers in selected Medicare Advantage (MA) and Medicaid managed care networks in 2023. Analyzes provider network lists and MA and Medicaid encounter data for four MA and two Medicaid managed care plans from 10 selected urban and rural counties across five states. Describes the proportion of the behavioral health workforce in each county included in the plans' networks. Discusses the extent to which managed care plans had inactive providers in their network and why these providers did not deliver services to enrollees. Includes data on the percentage of inactive providers in rural and urban counties. Offers recommendations to monitor and improve the accuracy of provider networks.
Additional links: Report Highlights
Date: 10/2025
Sponsoring organization: Office of Inspector General (HHS)
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Transforming Rural Health Care Through Medicaid Innovation: Tip Sheet Series
Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Informational tip sheets discussing the use of Medicaid innovations to assist states in creating their Rural Health Transformation (RHT) Program applications. Covers issues such as behavioral health, school-based services, integrated care access, community health workers, community paramedicine, specialty care, and healthcare technology. Provides examples, strategies, Medicaid policy information, and resources.
Additional links: Improving Access to Integrated Care for Dually Eligible Individuals in Rural Areas, Leveraging Community Health Workers to Address Rural Health Care Needs, Leveraging Community Paramedicine to Address Rural Health Needs, Leveraging Peers and Lay Counselors to Address Behavioral Health Care Workforce Shortages in Rural Areas, Using Project ECHO to Deliver Specialty Care in Rural Areas, Using School-Based Services to Improve Access to Preventive Health Care for Children in Rural Areas, Using Tech-Enabled Solutions to Improve Care Quality and Access in Rural Areas
Author(s): Molly Knowles, Nancy Archibald, Karla Silverman, Lauren Scannelli Jacobs
Date: 10/2025
Sponsoring organization: Center for Health Care Strategies
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Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway
Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Results of a study comparing career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine to a cohort of peers who did not complete the UP. Examines whether UP participants were more likely to practice in rural communities and/or primary care than their peers. Features demographics and statistics on factors associated with rural family medicine and rural primary care practices.
Author(s): Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, et al.
Citation: Family Medicine, 57(9), 627-633
Date: 10/2025
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Physician and Practice Characteristics Associated with Family Physician Panel Size
Results of a study investigating factors associated with variation in panel size, a group of patients assigned to one specific physician or clinical team, from 2017-2023. Features demographics and statistics with breakdowns by metro and nonmetro areas.
Author(s): Andrew Bazemore, Zachary J. Morgan, Kevin Grumbach
Citation: The Journal of the American Board of Family Medicine, 38(5), 846-854
Date: 09/2025
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Results of a study investigating factors associated with variation in panel size, a group of patients assigned to one specific physician or clinical team, from 2017-2023. Features demographics and statistics with breakdowns by metro and nonmetro areas.
Author(s): Andrew Bazemore, Zachary J. Morgan, Kevin Grumbach
Citation: The Journal of the American Board of Family Medicine, 38(5), 846-854
Date: 09/2025
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Comparing Disaster-Related Surge Staffing Practices Across Rural and Non-Rural Nursing Homes
Explores whether rural and non-rural nursing homes implemented different disaster-related staffing approaches. Analyzes data from 361 CMS-certified nursing homes that were exposed to the direct path of Hurricane Michael in 2018. Compares the change in pre- and post-disaster staffing across three dimensions of nursing home staffing: intensity, licensure composition, and employment composition.
Citation: Journal of the American Geriatrics Society, 73(12), 3829-3835
Date: 09/2025
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Explores whether rural and non-rural nursing homes implemented different disaster-related staffing approaches. Analyzes data from 361 CMS-certified nursing homes that were exposed to the direct path of Hurricane Michael in 2018. Compares the change in pre- and post-disaster staffing across three dimensions of nursing home staffing: intensity, licensure composition, and employment composition.
Citation: Journal of the American Geriatrics Society, 73(12), 3829-3835
Date: 09/2025
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University of Rhode Island: Independent Feasibility Study into a Medical School at the University of Rhode Island
Assesses the feasibility of establishing a public medical school at the University of Rhode Island with the goal of addressing current and projected physician shortages in the state. Includes 4 recommendations addressing statewide integration, sustainable funding, and recruiting local students. Discusses rural throughout.
Date: 09/2025
Sponsoring organization: Tripp Umbach
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Assesses the feasibility of establishing a public medical school at the University of Rhode Island with the goal of addressing current and projected physician shortages in the state. Includes 4 recommendations addressing statewide integration, sustainable funding, and recruiting local students. Discusses rural throughout.
Date: 09/2025
Sponsoring organization: Tripp Umbach
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Building a Sustainable Oral Health Workforce in Pennsylvania: Strategies for Reinvigorating Dental Careers and Strengthening the Pipeline
Features recommendations to guide efforts to build a strong and sustainable dental workforce pipeline for Pennsylvania, by increasing supply of providers and improving retention rates. Mentions rural throughout.
Date: 09/2025
Sponsoring organization: Pennsylvania Department of Health
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Features recommendations to guide efforts to build a strong and sustainable dental workforce pipeline for Pennsylvania, by increasing supply of providers and improving retention rates. Mentions rural throughout.
Date: 09/2025
Sponsoring organization: Pennsylvania Department of Health
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More Physician Assistants and Nurse Practitioners in Rural Pennsylvania Than a Decade Ago
Fact sheet describing the increase in number of rural physician assistants (PAs) and nurse practitioners (NPs) in Pennsylvania from 2013 to 2023. Features demographics and statistics with breakdowns by urban and rural areas, and a county-level map showing numbers of PAs and NPs as of 2023, with shadings showing urban and rural counties.
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Fact sheet describing the increase in number of rural physician assistants (PAs) and nurse practitioners (NPs) in Pennsylvania from 2013 to 2023. Features demographics and statistics with breakdowns by urban and rural areas, and a county-level map showing numbers of PAs and NPs as of 2023, with shadings showing urban and rural counties.
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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