Rural Health
Resources by Topic: Hospice and palliative care
MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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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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"If I Have Any Problems, I Just Want to See My [Primary Care] Doctor": Perspectives on a Proposed Collaborative RUral PALliative Care Intervention (RuPal)
Explores perspectives on a proposed palliative care intervention among 26 heart failure patients, caregivers, and primary care providers in rural Maine. Discusses perspectives on trust in primary care versus specialist-delivered palliative care and facilitators of effective palliative care collaborations.
Author(s): Eric C. Anderson, Susan DeSanto-Madeya, Nicole Hudak, et al.
Citation: BMC Palliative Care, 25, 199
Date: 05/2026
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Explores perspectives on a proposed palliative care intervention among 26 heart failure patients, caregivers, and primary care providers in rural Maine. Discusses perspectives on trust in primary care versus specialist-delivered palliative care and facilitators of effective palliative care collaborations.
Author(s): Eric C. Anderson, Susan DeSanto-Madeya, Nicole Hudak, et al.
Citation: BMC Palliative Care, 25, 199
Date: 05/2026
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 10
Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2024. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2026
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Discusses payment adequacy for hospice and palliative support services. Includes data on average costs by day and aggregate margins by urban and rural status, as well as demographics on Medicare decedents who used hospice during 2010 and between 2019-2024. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2026
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MedPAC Report to the Congress: Medicare Payment Policy, 2026
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes mandated reports on the impact of regulatory changes to the home health prospective payment system and dual-eligible special needs plans.
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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March 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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NACH Facts and Figures: 2025 Edition
Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 02/2026
Sponsoring organization: National Alliance for Care at Home
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Provides an overview of hospice and palliative care in the United States. Includes information and data on patient characteristics, access to care, reimbursement, barriers and facilitators to care, quality of care, and more. Includes data on geographic locations of hospice services and patients.
Date: 02/2026
Sponsoring organization: National Alliance for Care at Home
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2025-2026 Pre-Rulemaking Measure Review Final Recommendations Report
Reviews the 24 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2025-2026 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2026
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 24 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2025-2026 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2026
Sponsoring organization: Partnership for Quality Measurement
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January 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2026 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as mandated reports on changes to the home health prospective payment system and dual-eligible special needs plans. Includes rural references and considerations throughout.
Date: 01/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2026 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as mandated reports on changes to the home health prospective payment system and dual-eligible special needs plans. Includes rural references and considerations throughout.
Date: 01/2026
Sponsoring organization: Medicare Payment Advisory Commission
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