Rural Health
Resources by Topic: Long-term care
Chronic Conditions in Residential Care Communities: United States, 2025
Reports on the prevalence of chronic disease among patients in residential care communities using 2025 National Post-Acute and Long-Term Care Study data. See Figure 2 for a metro-nonmetro comparison of residential care communities reporting patients with all four chronic conditions (Alzheimer's disease or other dementias, diabetes, depression, heart disease).
Author(s): Christine Caffrey, Manisha Sengupta, Jessica P. Lendon, Shannon Kindilien, Amanuel Melekin
Date: 10/2026
Sponsoring organization: National Center for Health Statistics
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Reports on the prevalence of chronic disease among patients in residential care communities using 2025 National Post-Acute and Long-Term Care Study data. See Figure 2 for a metro-nonmetro comparison of residential care communities reporting patients with all four chronic conditions (Alzheimer's disease or other dementias, diabetes, depression, heart disease).
Author(s): Christine Caffrey, Manisha Sengupta, Jessica P. Lendon, Shannon Kindilien, Amanuel Melekin
Date: 10/2026
Sponsoring organization: National Center for Health Statistics
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October 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2026 meeting. Covers an analysis of physician participation in Medicare Advantage provider networks, issues affecting the payment accuracy of the physician fee schedule and the clinical laboratory fee schedule, clinician quality initiatives in fee-for-service Medicare, Medicare's late-enrollment penalties, and MedPAC's work plan regarding the skilled nursing facility and home health prospective payment systems.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Long-term Care Hospitals Payment System
Overview of Medicare payments for long-term care hospitals (LTCH) and services. Discusses the LTCH prospective payment system (PPS) and payment rate settings for LTCH and site-neutral cases.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare payments for long-term care hospitals (LTCH) and services. Discusses the LTCH prospective payment system (PPS) and payment rate settings for LTCH and site-neutral cases.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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FY 2022 Mississippi State Health Plan: Fourth Edition - Amended
Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 08/2026
Sponsoring organization: Mississippi State Department of Health
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Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 08/2026
Sponsoring organization: Mississippi State Department of Health
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Older Medicare Beneficiaries' Use of Long Term Services and Supports, 2015-2021
Examines how the likelihood of living in nursing homes, lower intensity facilities, or community settings has varied over time among adults aged 65 and older, using 2015-2021 Medicare Current Beneficiary Survey data. Compares trends by rural or urban dwelling and other demographic and clinical factors.
Author(s): Yvonne Jonk, Heidi O'Connor, Erika C. Ziller
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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Examines how the likelihood of living in nursing homes, lower intensity facilities, or community settings has varied over time among adults aged 65 and older, using 2015-2021 Medicare Current Beneficiary Survey data. Compares trends by rural or urban dwelling and other demographic and clinical factors.
Author(s): Yvonne Jonk, Heidi O'Connor, Erika C. Ziller
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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FY 2027 Hospital Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System Final Rule (CMS-1849-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2027 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the Medicare Promoting Interoperability Program, the Hospital Inpatient Quality Reporting Program, the Long-Term Care Hospital Quality Reporting Program, and more.
Date: 07/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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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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