Rural Health
Resources by Topic: Hospitals
Revisiting the Rural and Urban Divide in Hospital Health Information Technology Adoption: Evidence From 2023
Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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In Rural Communities, Where Child Care Is Often Scarce, Healthcare Organizations Are Finding Creative Ways to Help
Features rural healthcare organizations in Indiana, North Dakota, and Wisconsin that have partnered with childcare providers, schools, and other organizations to support affordable child care in their communities.
Citation: Rural Monitor
Date: 12/2025
Sponsoring organization: Rural Health Information Hub
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Features rural healthcare organizations in Indiana, North Dakota, and Wisconsin that have partnered with childcare providers, schools, and other organizations to support affordable child care in their communities.
Citation: Rural Monitor
Date: 12/2025
Sponsoring organization: Rural Health Information Hub
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December 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), post-acute care, skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services. Includes discussions on improving Medicare payment approaches and mandated reports on the impact of recent changes to the home health prospective payment system and an assessment of the Medicare ground ambulance data collection system.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; Mandated Report on Rural Emergency Hospitals; And Update on Site-neutral Payments - Presentation Slides, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System - Presentation Slides
Date: 12/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), post-acute care, skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services. Includes discussions on improving Medicare payment approaches and mandated reports on the impact of recent changes to the home health prospective payment system and an assessment of the Medicare ground ambulance data collection system.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; Mandated Report on Rural Emergency Hospitals; And Update on Site-neutral Payments - Presentation Slides, Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System - Presentation Slides
Date: 12/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Availability of Higher-Level Neonatal Care Services in Rural US Counties, 2010-2022
Policy brief showing changes in availability of higher-level neonatal care in rural counties from 2010 to 2022, and how this availability differs by rural county type. Features statistics with breakdowns by all rural, micropolitan, and noncore areas.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Julia D. Interrante, et al.
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief showing changes in availability of higher-level neonatal care in rural counties from 2010 to 2022, and how this availability differs by rural county type. Features statistics with breakdowns by all rural, micropolitan, and noncore areas.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Julia D. Interrante, et al.
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Measuring State Flex Program Impact: Tools to Support Outcome Measurement and Evaluation
Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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When the Hospital CEO Becomes the Patient: Rural Maternal Care Up Close
A conversation with Eilidh Pederson, CEO of Western Wisconsin Health, focused on her experience giving birth at a rural Critical Access Hospital. Discusses high-quality maternal healthcare access in rural communities.
Author(s): Tom Haederle, Julia Resnick, Eilidh Pederson
Date: 12/2025
Sponsoring organization: American Hospital Association
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A conversation with Eilidh Pederson, CEO of Western Wisconsin Health, focused on her experience giving birth at a rural Critical Access Hospital. Discusses high-quality maternal healthcare access in rural communities.
Author(s): Tom Haederle, Julia Resnick, Eilidh Pederson
Date: 12/2025
Sponsoring organization: American Hospital Association
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Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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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 and 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 and Medicaid Services
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