Rural Health
Resources by Topic: Healthcare needs and services
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2026
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2026
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Local Facilitators Lead the Way in Stigma Reduction
Discusses how rural community members have led Community Conversations on Opioid Use Disorder workshops addressing substance use disorder stigma via training from the UR Medicine Recovery Center for Excellence. Highlights impacts of the Community Conversations series and strategies for effective training and collaboration.
Date: 06/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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Discusses how rural community members have led Community Conversations on Opioid Use Disorder workshops addressing substance use disorder stigma via training from the UR Medicine Recovery Center for Excellence. Highlights impacts of the Community Conversations series and strategies for effective training and collaboration.
Date: 06/2026
Sponsoring organization: University of Rochester Medicine Recovery Center of Excellence
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2026 County-Level Health Insurance Marketplace Enrollment in Kansas
Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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Provides information on health insurance marketplace enrollment in Kansas from November 1, 2025 to January 15, 2026. Includes health insurance enrollment data by congressional district, county, and ZIP code, as well as county-level data on standalone dental plan enrollment.
Additional links: 2026 Health Insurance Marketplace Enrollment by Congressional District, 2026 Health Insurance Marketplace Enrollment by County, 2026 Health Insurance Marketplace Enrollment by ZIP Code, 2026 Health Insurance Marketplace Standalone Dental Plan Enrollment by County
Author(s): Viktoria Sterkhova, Madison Hoover, Cynthia Snyder
Date: 06/2026
Sponsoring organization: Kansas Health Institute
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Supporting Rural Older Adults in Home and Community-Based Settings: Perspectives from Area Agencies on Aging
Explores the needs of older adults living in rural communities who are homebound. Presents findings and themes from a July 2025 listening session with representatives from rural-serving Area Agencies on Aging (AAAs) from five states regarding challenges serving rural older adults who are homebound.
Author(s): Katie Rydberg, Jessica Machler, Megan Lahr, Carrie Henning-Smith
Date: 06/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores the needs of older adults living in rural communities who are homebound. Presents findings and themes from a July 2025 listening session with representatives from rural-serving Area Agencies on Aging (AAAs) from five states regarding challenges serving rural older adults who are homebound.
Author(s): Katie Rydberg, Jessica Machler, Megan Lahr, Carrie Henning-Smith
Date: 06/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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2025 Indiana Physician License Renewal Data Report: 2025-2027 Biennium
Provides information on the 2025 physician workforce in Indiana. Includes county-level data on total actively practicing physicians, primary care physicians, and psychiatrists as well as provider to population ratios.
Additional links: Physician Workforce Snapshot, Primary Care Physician Snapshot, Psychiatrist Snapshot
Author(s): Aaron Brehm, Sierra Vaughn, Brittany Daulton
Date: 06/2026
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides information on the 2025 physician workforce in Indiana. Includes county-level data on total actively practicing physicians, primary care physicians, and psychiatrists as well as provider to population ratios.
Additional links: Physician Workforce Snapshot, Primary Care Physician Snapshot, Psychiatrist Snapshot
Author(s): Aaron Brehm, Sierra Vaughn, Brittany Daulton
Date: 06/2026
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Association Between Well-Being and Occupational Class in Small Businesses in the Rural United States
Examines mental health, stress, productivity, and more across different occupational roles in the rural United States. Utilizes 2024 survey data from 1,910 employees and analyzes mental health according to blue-collar versus white-collar occupation, demographics, and mental health condition.
Author(s): Laxmi D. Adhikari, Sampada Wagle, Bhagyashree Katare
Citation: Journal of Rural Health, 42(2), e70172
Date: 06/2026
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Examines mental health, stress, productivity, and more across different occupational roles in the rural United States. Utilizes 2024 survey data from 1,910 employees and analyzes mental health according to blue-collar versus white-collar occupation, demographics, and mental health condition.
Author(s): Laxmi D. Adhikari, Sampada Wagle, Bhagyashree Katare
Citation: Journal of Rural Health, 42(2), e70172
Date: 06/2026
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Texas Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in Texas in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in Texas in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Medicare Hospice: Action Needed to Pay More Efficiently for Routine Home Care
Describes the frequency and characteristics of routine home care visits in 2024 for Medicare beneficiaries enrolled in hospice since 2022 who died or were discharged alive in 2024. Compares estimated per-visit Medicare payment rates for routine home care across hospices with the highest and lowest number of visits per week and to home health per-visit rates. Includes information on the average number of visits per week by rural and urban hospice providers. Offers recommendations to the U.S. Department of Health and Human Services regarding revisions to the hospice payment system.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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Describes the frequency and characteristics of routine home care visits in 2024 for Medicare beneficiaries enrolled in hospice since 2022 who died or were discharged alive in 2024. Compares estimated per-visit Medicare payment rates for routine home care across hospices with the highest and lowest number of visits per week and to home health per-visit rates. Includes information on the average number of visits per week by rural and urban hospice providers. Offers recommendations to the U.S. Department of Health and Human Services regarding revisions to the hospice payment system.
Additional links: Full Report
Date: 06/2026
Sponsoring organization: Government Accountability Office
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