Rural Health
Resources by Topic: Healthcare business and finance
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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Dental Care in Crisis: Tracking the Cost and Prevalence of Emergency Department Visits for Non-Traumatic Dental Conditions
Report explores non-traumatic emergency department visits for dental conditions. Tracks the cost and prevalence of incidents from 2019 to 2022. Includes a breakdown of incidents in rural, small or medium metro, fringe metro, and central metro counties.
Date: 10/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Report explores non-traumatic emergency department visits for dental conditions. Tracks the cost and prevalence of incidents from 2019 to 2022. Includes a breakdown of incidents in rural, small or medium metro, fringe metro, and central metro counties.
Date: 10/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Identifying Disability with Medicaid Claims Data
Provides a research model that utilizes Medicaid Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) data to identify people with disabilities in the Medicaid population. Includes breakdowns of those with a known or suspected disability across demographic groups, including rural versus urban location.
Author(s): Jonathan Gellar, Afroze Chughtai, Andrea Wysocki
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides a research model that utilizes Medicaid Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) data to identify people with disabilities in the Medicaid population. Includes breakdowns of those with a known or suspected disability across demographic groups, including rural versus urban location.
Author(s): Jonathan Gellar, Afroze Chughtai, Andrea Wysocki
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Medicare Hospice Use Patterns Among Patients With Alzheimer's Disease or Related Dementias Compared to Those With Other Terminal Diagnoses
Examines hospice use among Medicare enrollees with Alzheimer's disease and related dementias (ADRD) compared to Medicare hospice enrollees with other terminal diagnoses. Explores whether hospice characteristics, including rural status, are associated with hospice length of stay, visit frequency, and live discharge rates among Medicare patients with and without terminal and comorbid ADRD diagnoses.
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines hospice use among Medicare enrollees with Alzheimer's disease and related dementias (ADRD) compared to Medicare hospice enrollees with other terminal diagnoses. Explores whether hospice characteristics, including rural status, are associated with hospice length of stay, visit frequency, and live discharge rates among Medicare patients with and without terminal and comorbid ADRD diagnoses.
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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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Telehealth: 2026 National Patient Safety Goals
Identifies National Patient Safety Goals for the Joint Commission's Telehealth Accreditation Program. Covers patient and resident identification, caregiver communication, medication safety, suicide prevention, and more. Effective January 1, 2026.
Additional links: Simplified Version
Date: 09/2025
Sponsoring organization: Joint Commission
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Identifies National Patient Safety Goals for the Joint Commission's Telehealth Accreditation Program. Covers patient and resident identification, caregiver communication, medication safety, suicide prevention, and more. Effective January 1, 2026.
Additional links: Simplified Version
Date: 09/2025
Sponsoring organization: Joint Commission
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Critical Access Hospital: 2026 National Patient Safety Goals
Identifies National Patient Safety Goals for the Joint Commission's Critical Access Hospital Accreditation Program. Covers emergency management, infection prevention, pain management and safe prescribing practices, suicide prevention, workplace and patient safety, and more. Effective January 1, 2026.
Additional links: Simplified Version
Date: 09/2025
Sponsoring organization: Joint Commission
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Identifies National Patient Safety Goals for the Joint Commission's Critical Access Hospital Accreditation Program. Covers emergency management, infection prevention, pain management and safe prescribing practices, suicide prevention, workplace and patient safety, and more. Effective January 1, 2026.
Additional links: Simplified Version
Date: 09/2025
Sponsoring organization: Joint Commission
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Unfairness Toward Rural Beneficiaries in Medicare's Hierarchical Conditions Categories Score
Evaluates the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) to determine its usefulness in accurately predicting risk for rural and urban patients. Assesses rural and urban risk by mortality rates and compares findings with HCC's measure of spending to identify risk. Discusses implications of findings related to reimbursement rates, healthcare access, social determinants of health, and Medicare Advantage enrollment. Offers potential solutions to address study findings.
Author(s): Ravi B. Parikh, Kristin A. Linn, Junning Liang, et al
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Evaluates the Centers for Medicare & Medicaid Services (CMS) Hierarchical Condition Category (HCC) to determine its usefulness in accurately predicting risk for rural and urban patients. Assesses rural and urban risk by mortality rates and compares findings with HCC's measure of spending to identify risk. Discusses implications of findings related to reimbursement rates, healthcare access, social determinants of health, and Medicare Advantage enrollment. Offers potential solutions to address study findings.
Author(s): Ravi B. Parikh, Kristin A. Linn, Junning Liang, et al
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023
Describes the health insurance status of United States residents in 2023, with breakdowns by age groups and urban or rural location. Uses data from the 2024 American Community Survey.
Author(s): Sarah Eisenstein, Xiaoyu Huang, Timothy McBride, Keith Mueller
Date: 09/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the health insurance status of United States residents in 2023, with breakdowns by age groups and urban or rural location. Uses data from the 2024 American Community Survey.
Author(s): Sarah Eisenstein, Xiaoyu Huang, Timothy McBride, Keith Mueller
Date: 09/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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