Rural Health
Resources by Topic: Healthcare business and finance
R3 Report: National Patient Safety Goal for Suicide Prevention
Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. Highlights specific requirements for accredited Critical Access Hospitals.
Date: 12/2025
Sponsoring organization: Joint Commission
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Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. Highlights specific requirements for accredited Critical Access Hospitals.
Date: 12/2025
Sponsoring organization: Joint Commission
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Reimbursement and Policy Considerations of Point-of-Care Ultrasound (POCUS) in Rural Family Medicine
Examines the current Point-of-Care Ultrasound (POCUS) reimbursement landscape, challenges, and opportunities for improvement in rural primary care and emergency departments. Includes a section on financial differences between providing POCUS in Critical Access Hospitals and in Rural Health Clinics.
Author(s): Kylie Long, Geoffrey Bocobo, Andrew Goldsmith
Citation: The Journal of the American Board of Family Medicine, 38(6), 967-973
Date: 11/2025
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Examines the current Point-of-Care Ultrasound (POCUS) reimbursement landscape, challenges, and opportunities for improvement in rural primary care and emergency departments. Includes a section on financial differences between providing POCUS in Critical Access Hospitals and in Rural Health Clinics.
Author(s): Kylie Long, Geoffrey Bocobo, Andrew Goldsmith
Citation: The Journal of the American Board of Family Medicine, 38(6), 967-973
Date: 11/2025
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What to Ask (About) a Hospital
Describes payment and financial considerations for hospitals as it relates to the hospital's organizational structure, type of care provided, location, patient population, training programs, and alternative payment models. Discusses rural considerations throughout with a close analysis in Section 6: How a Hospital's Location Matters.
Author(s): Christine H. Monahan, Kennah Watts, Julia Burleson, Rachel Swindle, Ariel Winter
Date: 11/2025
Sponsoring organizations: Blood Cancer United, Georgetown University's Center on Health Insurance Reforms (CHIR)
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Describes payment and financial considerations for hospitals as it relates to the hospital's organizational structure, type of care provided, location, patient population, training programs, and alternative payment models. Discusses rural considerations throughout with a close analysis in Section 6: How a Hospital's Location Matters.
Author(s): Christine H. Monahan, Kennah Watts, Julia Burleson, Rachel Swindle, Ariel Winter
Date: 11/2025
Sponsoring organizations: Blood Cancer United, Georgetown University's Center on Health Insurance Reforms (CHIR)
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Georgia Tax Incentive Evaluation: Rural Hospital Tax Credit
An audit of the Georgia Rural Hospital Tax Credit, discussing both fiscal and economic impacts as well as public benefits. Offers an overview of the history of the program, how the tax credit operates, and characteristics of tax credit recipient hospitals.
Additional links: Report Summary
Author(s): Peter Bluestone, Federico Corredor
Date: 11/2025
Sponsoring organization: Georgia State University Andrew Young School of Policy Studies
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An audit of the Georgia Rural Hospital Tax Credit, discussing both fiscal and economic impacts as well as public benefits. Offers an overview of the history of the program, how the tax credit operates, and characteristics of tax credit recipient hospitals.
Additional links: Report Summary
Author(s): Peter Bluestone, Federico Corredor
Date: 11/2025
Sponsoring organization: Georgia State University Andrew Young School of Policy Studies
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Calendar Year 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Final Rule (CMS-1834-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2026. Summarizes provisions regarding changes to hospital price transparency; Intensive Outpatient Program (IOP) and partial hospital program rate setting; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; hospital quality start ratings; and more.
Date: 11/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2026. Summarizes provisions regarding changes to hospital price transparency; Intensive Outpatient Program (IOP) and partial hospital program rate setting; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; hospital quality start ratings; and more.
Date: 11/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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RHCs and CAHs Participating in the Medicare Shared Savings Program (MSSP): Characteristics of the Providers and Communities
Describes the characteristics of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) currently participating in the Medicare Shared Savings Program (MSSP) in 2023. Compares CAH and RHC characteristics by MSSP participation, ownership status, and free-standing versus provider-based RHC status.
Author(s): Edmer Lazaro, Dan Shane, Fred Ullrich, Keith Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the characteristics of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) currently participating in the Medicare Shared Savings Program (MSSP) in 2023. Compares CAH and RHC characteristics by MSSP participation, ownership status, and free-standing versus provider-based RHC status.
Author(s): Edmer Lazaro, Dan Shane, Fred Ullrich, Keith Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A New Rural Blueprint: Strategic Partnerships That Keep Care Local
Discusses the Wisconsin High Value Network (WHVN), a clinically integrated network (CIN) focused on value-based care arrangements, data sharing, and quality improvement initiatives. Describes WHVN's strategic partnerships, governance, specialty care network, and more.
Date: 11/2025
Sponsoring organization: American Hospital Association
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Discusses the Wisconsin High Value Network (WHVN), a clinically integrated network (CIN) focused on value-based care arrangements, data sharing, and quality improvement initiatives. Describes WHVN's strategic partnerships, governance, specialty care network, and more.
Date: 11/2025
Sponsoring organization: American Hospital Association
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Rural Hospital Financial Distress: Relative Risk in 2025
Infographic with a state-level map showing the number and percent of rural hospitals in each state at highest relative financial distress risk in 2025. Features statistics showing states with multiple hospitals, one hospital, and no hospitals at highest risk. Includes information on states with highest percentage of rural hospitals at highest relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Julie Perry, Mark Holmes
Date: 11/2025
Sponsoring organizations: North Carolina Rural Health Research Program, The Cecil G. Sheps Center for Health Services Research
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Infographic with a state-level map showing the number and percent of rural hospitals in each state at highest relative financial distress risk in 2025. Features statistics showing states with multiple hospitals, one hospital, and no hospitals at highest risk. Includes information on states with highest percentage of rural hospitals at highest relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Julie Perry, Mark Holmes
Date: 11/2025
Sponsoring organizations: North Carolina Rural Health Research Program, The Cecil G. Sheps Center for Health Services Research
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Facilitators of Strong Quality and Financial Outcomes in Critical Access Hospitals
Examines leadership traits, management strategies, and other governance and collaboration-based supports for positive quality and financial outcomes in Critical Access Hospitals (CAHs), utilizing insights from interviews of leaders at 10 CAHs which met high financial and quality benchmarks. Provides interview excerpts and identifies themes.
Author(s): Robert Barclay, Zoe Pringle, Megan Lahr, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Examines leadership traits, management strategies, and other governance and collaboration-based supports for positive quality and financial outcomes in Critical Access Hospitals (CAHs), utilizing insights from interviews of leaders at 10 CAHs which met high financial and quality benchmarks. Provides interview excerpts and identifies themes.
Author(s): Robert Barclay, Zoe Pringle, Megan Lahr, et al.
Date: 11/2025
Sponsoring organization: Flex Monitoring Team
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Third Party Negotiated Hospital Pricing in Rural and Urban Hospitals within 12 U.S. States
Examines the gross and negotiated pricing for common services in rural and urban hospitals. Bases findings on samples from 12 states and focuses on costs of routine care, imaging, and childbirth.
Author(s): Lindsey R. Hammerslag, Aaron P. Smith, Jeffrey C. Talbert
Date: 11/2025
Sponsoring organization: Rural and Underserved Health Research Center
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Examines the gross and negotiated pricing for common services in rural and urban hospitals. Bases findings on samples from 12 states and focuses on costs of routine care, imaging, and childbirth.
Author(s): Lindsey R. Hammerslag, Aaron P. Smith, Jeffrey C. Talbert
Date: 11/2025
Sponsoring organization: Rural and Underserved Health Research Center
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