Rural Health
Resources by Topic: Healthcare business and finance
Uninsured Population in Nonmetropolitan Counties
Printable map that shows percent of population without health insurance nationwide by county. Data source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE)
Additional links: Percentage Uninsured in Nonmetro Counties Table
Date: 2026
Sponsoring organization: Rural Health Information Hub
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Printable map that shows percent of population without health insurance nationwide by county. Data source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE)
Additional links: Percentage Uninsured in Nonmetro Counties Table
Date: 2026
Sponsoring organization: Rural Health Information Hub
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Predictors of Rural Hospital Closures in the United States: A Systematic Review and Call for AI-Driven Early Warning Systems
Examines financial, workforce, policy, economic, market, and demographic factors related to rural hospital closures and the development of AI warning systems based on these factors. Analyzes studies, published between 2013-2024, on rural hospital closures to identify closure predictors and discusses the creation of tools that may assist in identifying hospital distress, allowing stakeholders to intervene in a timely way.
Author(s): Kiruthika Balakrishnan, Zhi Li, Hana E. Hinkle, et al.
Citation: BMC Health Services Research, 26, 86
Date: 12/2025
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Examines financial, workforce, policy, economic, market, and demographic factors related to rural hospital closures and the development of AI warning systems based on these factors. Analyzes studies, published between 2013-2024, on rural hospital closures to identify closure predictors and discusses the creation of tools that may assist in identifying hospital distress, allowing stakeholders to intervene in a timely way.
Author(s): Kiruthika Balakrishnan, Zhi Li, Hana E. Hinkle, et al.
Citation: BMC Health Services Research, 26, 86
Date: 12/2025
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2024 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, care affordability, healthy living, effective treatment, person-centered care, care coordination, and more.
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, care affordability, healthy living, effective treatment, person-centered care, care coordination, and more.
Date: 12/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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The State of Health in Tennessee 2025: Annual Report to the 114th Tennessee General Assembly
Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Date: 12/2025
Sponsoring organization: Tennessee Department of Health
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Trends in Non-Emergency Medical Transportation During Medicaid Transformation in North Carolina
Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Examines the impact of Medicaid transformation on non-emergency medical transportation (NEMT) services in North Carolina in the shift from fee-for-service (FFS) to Managed Care. Utilizes 2019-2023 Medicaid claims data to analyze NEMT service provision trends according to cost, travel mode, public versus private provider, and urban versus rural geography.
Author(s): Evan Iacobucci, Noreen McDonald
Citation: North Carolina Medical Journal, 86(4)
Date: 12/2025
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Hospice Care Chartbook 2025
Provides an overview of hospice care, including patient demographics, characteristics of live discharges, organizational trends, and Medicare spending for hospice services. Includes charts and graphs throughout, as well as state-by-state data. Slides 16 and 34 highlight the percentage of Medicare decedents that did and did not use hospice in 2024 and the number of hospices between 2019 and 2024 by rurality, respectively.
Date: 12/2025
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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Provides an overview of hospice care, including patient demographics, characteristics of live discharges, organizational trends, and Medicare spending for hospice services. Includes charts and graphs throughout, as well as state-by-state data. Slides 16 and 34 highlight the percentage of Medicare decedents that did and did not use hospice in 2024 and the number of hospices between 2019 and 2024 by rurality, respectively.
Date: 12/2025
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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Nevada Medicaid Cost Driver Analysis, 2025
Report analyzing 2016-2024 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2025
Sponsoring organization: Nevada Health Authority
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Report analyzing 2016-2024 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2025
Sponsoring organization: Nevada Health Authority
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January 2026 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
Presents the monthly Rural Emergency Hospital (REH) monthly facility payment amount for Calendar Year 2026.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents the monthly Rural Emergency Hospital (REH) monthly facility payment amount for Calendar Year 2026.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Report to the Thirty-Third Hawai'i State Legislature for Fiscal Year 2025
Reports on revenues, capital improvement projects, and regional systems from the Hawaii Health Systems Corporation, a state agency network of public hospitals and clinics in Hawaii that predominantly serve rural areas of the state. Offers historical and current information on each facility starting on PDF page 76, including Critical Access Hospitals and Rural Health Clinics. Discusses quality improvement, renovation projects, trends in healthcare policy and service models, and more.
Date: 12/2025
Sponsoring organization: Hawaii Health Systems Corporation
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Reports on revenues, capital improvement projects, and regional systems from the Hawaii Health Systems Corporation, a state agency network of public hospitals and clinics in Hawaii that predominantly serve rural areas of the state. Offers historical and current information on each facility starting on PDF page 76, including Critical Access Hospitals and Rural Health Clinics. Discusses quality improvement, renovation projects, trends in healthcare policy and service models, and more.
Date: 12/2025
Sponsoring organization: Hawaii Health Systems Corporation
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Merit-based Incentive Payment System (MIPS): 2026 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2026 performance year. Includes information on performance category redistribution policies for small practices.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2026 performance year. Includes information on performance category redistribution policies for small practices.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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