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Rural Health
Resources by Topic: Healthcare facilities

September 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2025 meeting. Covers Medicare payment operations and improving payment accuracy, a discussion with the Comptroller General of the United States regarding the Government Accountability Office's work related to improper payments in the Medicare program and opportunities to improve program sustainability, Medicare's overall financial situation, access to hospice and services under the Medicare hospice benefit for beneficiaries with end-stage renal disease or cancer, and the relationship between changes in Medicare Advantage enrollment and hospital finances.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comparison of Care in Hospital Outpatient Departments and Independent Physician Offices: Updated Findings for 2019-2024
Examines differences in Medicare payments for services at an independent physician's office (IPO) or a hospital outpatient department (HOPD). Utilizes 2019-2024 data to analyze characteristics of Medicare patients seen in HOPDs and IPOs, including rural versus urban location.
Date: 09/2025
Sponsoring organization: American Hospital Association
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MBQIP Navigator: Your Guide to Quality Reporting Success
Offers Flex Coordinators, Critical Access Hospital staff, and others who are working with the Medicare Beneficiary Quality Improvement Project (MBQIP) information to better understand the measure reporting process. Discusses how to register for the reporting site, which measures are to be reported, and how to submit data for each measure.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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An Evaluation of State Flex Program Initiatives to Support Critical Access Hospital-Based Rural Health Clinics
Describes the 16 State Flex Program (SFP) Critical Access Hospital (CAH)-based Rural Health Clinic (RHC) initiatives for the 2023-2024 funding year. Explores the various strategies SFPs have employed to assist CAH-based RHCs by highlighting common activities, challenges, and successes observed across their programs. Summarizes interviews with seven SFPs identifying common themes and notable variations in how they engage with CAH-based RHCs.
Author(s): Bridget Harr, Rebecca Stearns, John Gale
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Health Center Performance Improvement Toolkit
Offers a framework to support health center performance improvement and health outcomes across seven domains. Includes a guide to self-assessment to help health centers assess their current performance in each domain, describe future performance goals, and identify how to reach and sustain improved performance. Offers self-assessment tools, including fillable checklists for each domain, progress snapshot worksheets, and example improvement activities.
Additional links: Guide to Self-Assessment, Self-Assessment Tools
Date: 09/2025
Sponsoring organization: Bureau of Primary Health Care
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Improving Rural Health: State Policy Options for Increasing Access to Care
Offers resources for state legislatures regarding strategies states are pursuing to improve rural health through targeted investments in rural health facilities, strengthening the rural healthcare workforce, and addressing insurance coverage gaps.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Current Medicare Beneficiary Quality Improvement Project (MBQIP) Measures
Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into five domains: global measures, patient safety, patient engagement, care coordination, and emergency department. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Rural Health Clinic: 2026 National Patient Safety Goals
Identifies National Patient Safety Goals for the Joint Commission's Rural Health Clinic Accreditation Program. Covers patient identification, medication safety, infection prevention, and more. Effective January 1, 2026.
Additional links: Simplified Version
Date: 08/2025
Sponsoring organization: Joint Commission
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Ambulatory Care for Individuals Dually Eligible for Medicare and Medicaid
Compares ambulatory services utilization for more than 5.5 million dual and non-dual Medicaid and Medicare individuals. Describes the rural or urban status of the population studied as well as whether services were utilized in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), among other demographic and service related factors.
Author(s): Joshua M. Liao, Paula Chatterjee, Yueming Zhao, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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2025 Indiana State Rural Health Report
Examines the state of rural health in Indiana and provides data on the health of rural citizens. Focuses on access, healthcare workforce shortages, health insurance, healthcare facilities availability, mobile health, telehealth services, maternal and infant health, mental health, substance use, and rural health finances and funding.
Author(s): Amnah Anwar, Kasia Hamman, Anureet Sandhu, et al.
Date: 08/2025
Sponsoring organization: Indiana Rural Health Association
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