Rural Health
Resources by Topic: Healthcare facilities
National Academy for State Health Policy (NASHP) Hospital Cost Tool
Interactive tool providing information on how much hospitals spend on patient care services, how costs relate to the hospital charges, and actual prices paid by health plans. Presents data on a range of measures for hospital revenue, costs, profitability, and break-even points for over 5,000 hospitals nationwide between 2011 and 2024. Includes the ability to view and compare hospital financial metrics at the hospital, state, and health system levels.
Additional links: Hospital Cost Tool and Resources
Date: 12/2025
Sponsoring organization: National Academy for State Health Policy
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Interactive tool providing information on how much hospitals spend on patient care services, how costs relate to the hospital charges, and actual prices paid by health plans. Presents data on a range of measures for hospital revenue, costs, profitability, and break-even points for over 5,000 hospitals nationwide between 2011 and 2024. Includes the ability to view and compare hospital financial metrics at the hospital, state, and health system levels.
Additional links: Hospital Cost Tool and Resources
Date: 12/2025
Sponsoring organization: National Academy for State Health Policy
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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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The Rural Adolescent Vaccine Enterprise (RAVE): A Cluster-Randomized Trial Testing a Multicomponent Intervention to Improve HPV Vaccination in Rural Primary Care Settings
Examines the Rural Adolescent Vaccine Enterprise (RAVE), a 5-year trial in 2018-2022 to support HPV vaccination in rural clinics. Analyzes HPV vaccination improvement activities chosen by 45 Oregon clinics and tracks the respective clinic rate of HPV vaccine initiation and completion.
Author(s): Brigit A. Hatch, Steele Valenzuela, Caitlin Dickinson, et al.
Citation: BMC Primary Care, 27, 3
Date: 11/2025
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Examines the Rural Adolescent Vaccine Enterprise (RAVE), a 5-year trial in 2018-2022 to support HPV vaccination in rural clinics. Analyzes HPV vaccination improvement activities chosen by 45 Oregon clinics and tracks the respective clinic rate of HPV vaccine initiation and completion.
Author(s): Brigit A. Hatch, Steele Valenzuela, Caitlin Dickinson, et al.
Citation: BMC Primary Care, 27, 3
Date: 11/2025
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MBQIP Fundamentals Guide for State Flex Programs: A Guide for Flex Coordinators on the Current Status of the MBQIP
Provides an overview of the history and current status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers links to resources to support Flex program personnel and relevant subcontractors understand the basics of MBQIP.
Date: 11/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Provides an overview of the history and current status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers links to resources to support Flex program personnel and relevant subcontractors understand the basics of MBQIP.
Date: 11/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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The Role of Information and Communication Technology on the Well-being of Residents in Rural Nursing Homes
Explores how information and communication technologies (ICTs) may promote well-being among rural long-term care residents. Presents results of a thematic analysis of interviews with 16 residents of a nursing home in rural Illinois. Identifies themes, advantages of ICT use, and barriers to effective ICT integration.
Author(s): Xiaoli Li, Craig McPherson, Manasa Battu, Thomas Shaw
Date: 11/2025
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Explores how information and communication technologies (ICTs) may promote well-being among rural long-term care residents. Presents results of a thematic analysis of interviews with 16 residents of a nursing home in rural Illinois. Identifies themes, advantages of ICT use, and barriers to effective ICT integration.
Author(s): Xiaoli Li, Craig McPherson, Manasa Battu, Thomas Shaw
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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Local Availability of Neonatal Intensive Care at Rural Hospitals with Childbirth Services
Discusses hospital and county characteristics for 89 rural hospitals offering childbirth services in 2021 based on proximity to neonatal intensive care units (NICU). Includes comparisons of characteristics for those hospitals more than and less than 30 miles from a NICU.
Author(s): Emily C. Sheffield, Clara E. Busse, Julia D. Interrante, Sara C. Handley, Katy Backes Kozhimannil
Citation: Journal of Perinatology, 46, 853-859
Date: 11/2025
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Discusses hospital and county characteristics for 89 rural hospitals offering childbirth services in 2021 based on proximity to neonatal intensive care units (NICU). Includes comparisons of characteristics for those hospitals more than and less than 30 miles from a NICU.
Author(s): Emily C. Sheffield, Clara E. Busse, Julia D. Interrante, Sara C. Handley, Katy Backes Kozhimannil
Citation: Journal of Perinatology, 46, 853-859
Date: 11/2025
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