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Rural Health
Resources by Topic: Healthcare business and finance

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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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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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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Introduction to Rural Clinically Integrated Networks
Provides an overview of clinically integrated networks (CINs), including common CIN characteristics and the relationship between CINs and healthcare value. Offers examples of CINs comprised of independent rural healthcare organizations.
Date: 07/2026
Sponsoring organization: Rural Health Value
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Medicaid Coverage of the National Diabetes Prevention Program: Considerations for Texas
Offers key considerations for implementing the National Diabetes Prevention Program (DPP) as a Medicaid-covered benefit in Texas. Synthesizes findings from interviews with representatives from 6 states and features a state-level map with colors indicating coverage mechanisms for the program. Mentions rural throughout.
Author(s): Anna Spencer, Stephanie Paneca-Navarro
Date: 06/2026
Sponsoring organization: Episcopal Health Foundation
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Twenty-Five Years of Progress: Evidence-Based Strategies for Rural Hospital Replacement
Recording of a conference presentation exploring the financial and operational performance of Critical Access Hospitals (CAHs) before and after a facility replacement. Describes trends across successful replacement projects and profiles Rio Grande Hospital in Del Norte, Colorado. Includes a demonstration of the Stroudwater Capital Partners CAH Replacement Directory.
Additional links: Presentation Slides
Date: 06/2026
Sponsoring organization: Stroudwater Associates
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2025 Survey of Veteran Enrollees' Health and Use of Health Care
Report discusses the overall health and healthcare usage throughout the Veterans Health Administration (VHA). Bases findings on a survey of enrollees and breaks down data by demographics, health insurance, current health status, and healthcare use, among other measures. Compares rural and urban unemployment data.
Date: 06/2026
Sponsoring organization: Veterans Health Administration
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Rural Primary Care and Value Based Payment: Challenges and Opportunities
Slides from a June 5, 2026, presentation to the National Academy for State Health Policy's Rural Primary Care Learning Network. Discusses addressing challenges rural providers have related to value-based care.
Author(s): Keith J. Mueller, A. Clinton MacKinney
Date: 06/2026
Sponsoring organization: Rural Health Value
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New Hampshire Medicaid Enrollment Demographic Trends and Geography
Offers information on trend from May 2025 to May 2026 in New Hampshire Medicaid enrollment by eligibility groups, historical data from 2014 forward, and town-level enrollment as of May 2026 with groupings by county.
Date: 06/2026
Sponsoring organization: New Hampshire Department of Health and Human Services
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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
Sponsoring organization: U.S. Census Bureau
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