Rural Health
Resources by Topic: Maternal health and prenatal care
Measuring the Association of Medicaid Accountable Care Organizations on Total Cost of Care Across the Perinatal Period
Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Spatial and Temporal Trends of Access to Birthing Hospitals in Illinois, 2016–2021
Explores changes in travel time to obstetric care between 2016 and 2021 in Illinois at the census tract level, using Illinois Department of Public Health and American Community Survey data. Provides data on access to care by rural or urban dwelling, among other demographic comparisons.
Author(s): Mechelle D. Claridy, Barbara Chebet Keino, Lauren M. Ramsey, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Explores changes in travel time to obstetric care between 2016 and 2021 in Illinois at the census tract level, using Illinois Department of Public Health and American Community Survey data. Provides data on access to care by rural or urban dwelling, among other demographic comparisons.
Author(s): Mechelle D. Claridy, Barbara Chebet Keino, Lauren M. Ramsey, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2026
Reports on maternal healthcare access and provides data on maternity care deserts, distribution of OB providers, and travel time to maternity care, including color-coded, county-level maps. Includes rural versus urban data comparisons of maternal health workforce availability, travel distance to care, and labor and delivery unit closures, and discusses efforts to address rural shortages, including the Rural Health Transformation Program (RHTP).
Date: 08/2026
Sponsoring organization: March of Dimes
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Reports on maternal healthcare access and provides data on maternity care deserts, distribution of OB providers, and travel time to maternity care, including color-coded, county-level maps. Includes rural versus urban data comparisons of maternal health workforce availability, travel distance to care, and labor and delivery unit closures, and discusses efforts to address rural shortages, including the Rural Health Transformation Program (RHTP).
Date: 08/2026
Sponsoring organization: March of Dimes
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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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Reimagining Rural Maternal and Child Health
Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Describes Rural Health Transformation Program efforts in 6 states addressing maternal and child health through workforce recruitment and retention, technology and regional hubs, and integrated care models.
Date: 08/2026
Sponsoring organization: National Governors Association
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Reducing Rates of Cesarean Delivery in Rural US Communities: A Systematic Review of Interventions and Approaches to Care
Provides a review of literature that analyzes interventions designed to reduce rural cesarean birth disparities. Discusses 9 studies and outlines their patient-, provider-, or health system-level interventions and focuses on strategies tailored for rural health.
Author(s): Jena L. Funakoshi, Hannah M. Collins-Doijode, Kathryn L. Braun
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Provides a review of literature that analyzes interventions designed to reduce rural cesarean birth disparities. Discusses 9 studies and outlines their patient-, provider-, or health system-level interventions and focuses on strategies tailored for rural health.
Author(s): Jena L. Funakoshi, Hannah M. Collins-Doijode, Kathryn L. Braun
Citation: Preventing Chronic Disease, 23
Date: 07/2026
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Urban-Rural and Racial/Ethnic Disparities in Modes of Preconception Cannabis Use among Insured Patients Receiving Prenatal Care at an Integrated Healthcare System in Northern California from 2020 to 2023
Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 07/2026
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Analyzes joint interactions in race and ethnicity and level of rurality on cannabis use and mode of use during preconception, using Kaiser Permanente Northern California (KPNC) data of 191,469 pregnancies taking place between February 2020 and September 2023.
Author(s): Qiana L. Brown, Catherine A. Cortez, Joshua R. Nugent, et al.
Citation: Drug and Alcohol Dependence, 286, 113281
Date: 07/2026
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Voices From the Field: Informing Maternal Child Health Navigator Training Through Rural Practice Insights
Presents a study on Maternal-Child Health (MCH) Navigators on their perception of their preparedness for providing trauma-informed care, substance use support, and addressing drivers of health in rural Texas communities. Explores MCH Navigators' assessment of the efficacy of their training and real-world experience to prepare them for the maternal health challenges in rural communities.
Author(s): Sharon L. Dormire, Cassidy S. Doucet, Nydia Garcia, Robin Page
Citation: Journal of Primary Care & Community Health, 17
Date: 07/2026
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Presents a study on Maternal-Child Health (MCH) Navigators on their perception of their preparedness for providing trauma-informed care, substance use support, and addressing drivers of health in rural Texas communities. Explores MCH Navigators' assessment of the efficacy of their training and real-world experience to prepare them for the maternal health challenges in rural communities.
Author(s): Sharon L. Dormire, Cassidy S. Doucet, Nydia Garcia, Robin Page
Citation: Journal of Primary Care & Community Health, 17
Date: 07/2026
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Beyond Maternal Mortality: How Severe Morbidity Reveals Policy Gaps in Maternal Care
Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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Provides information about severe maternal morbidity (SMM) in the United States across sociodemographic groups and discusses possible policy interventions, including rural-specific strategies. Examines data on SMM with data broken down by year, state, medical condition, patient demographics, cost of delivery, insurance type, rurality, and hospital type of metro non-teaching, metro teaching, or rural.
Author(s): Eugene Declercq, Laurie C. Zephyrin
Date: 06/2026
Sponsoring organization: Commonwealth Fund
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Whole Person Care During and After Pregnancy
Webinar discussing how integrated care teams can support maternal and infant health in Texas via oral health care, care coordination, collaboration, and other aspects of whole-person care. Discusses rural Texas communities throughout, with special focus on those in East Texas.
Author(s): Kia Parsi, Jacquelyn Alvarado, Stephen Patrick, Ankit Sanghavi
Date: 06/2026
Sponsoring organizations: Texas Health Institute, Texas Oral Health Coalition, Texas Primary Care Consortium
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Webinar discussing how integrated care teams can support maternal and infant health in Texas via oral health care, care coordination, collaboration, and other aspects of whole-person care. Discusses rural Texas communities throughout, with special focus on those in East Texas.
Author(s): Kia Parsi, Jacquelyn Alvarado, Stephen Patrick, Ankit Sanghavi
Date: 06/2026
Sponsoring organizations: Texas Health Institute, Texas Oral Health Coalition, Texas Primary Care Consortium
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