Rural Health
Resources by Topic: Medicaid
State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Rural Health Transformation Program: State Focus on Community Health Workers
Describes examples of state initiatives regarding community health workers (CHWs) outlined Rural Health Transformation Program (RHTP) applications from Arizona, Iowa, Nebraska, and Wisconsin. Includes results of a scan of CHW proposals for each state with a publicly available RHTP application.
Author(s): Megan D'Alessandro, Sandra Wilkniss
Date: 02/2026
Sponsoring organization: National Academy for State Health Policy
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Describes examples of state initiatives regarding community health workers (CHWs) outlined Rural Health Transformation Program (RHTP) applications from Arizona, Iowa, Nebraska, and Wisconsin. Includes results of a scan of CHW proposals for each state with a publicly available RHTP application.
Author(s): Megan D'Alessandro, Sandra Wilkniss
Date: 02/2026
Sponsoring organization: National Academy for State Health Policy
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Accountable Health Communities (AHC) Model Evaluation: Final Report
Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Provides an overview of the Accountable Health Communities (AHC) Model, which tested whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Describes the AHC Model's impacts on key outcomes for Medicaid, FFS Medicare, and Medicare Advantage beneficiaries through December 2023 and final lessons learned.
Additional links: Executive Summary, Findings at a Glance
Date: 02/2026
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Chartis Center for Rural Health Research & Resources for the 2026 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Rural Healthcare Challenges Deepen as the Rural Health Transformation Program Ramps Up
Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Clinical and Demographic Characteristics of Participants in a Hepatitis C Treatment Trial in Rural Kentucky: How Policies Around Treatment Access May Impact Elimination Efforts in the United States
Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Advancing Medicaid Primary Care Population-Based Payment Models: Four Lessons for States
Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Doula Services for Medicaid Beneficiaries in Virginia: Access, Utilization, and Policy Lessons
Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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Discusses barriers and facilitators of access to doula care for Medicaid beneficiaries in Virginia after evaluation of a collection of both qualitative and quantitative data gathered between January 2022 and January 2025. Discusses geographic disparities including concerns for access in rural areas and policies to address access.
Author(s): Desirae Leaphart Mensah, Alison E. Cuellar
Citation: Health Affairs Scholar, 4(1)
Date: 01/2026
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Nevada Medicaid Cost Driver Analysis, 2025
Report analyzing 2016-2024 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2025
Sponsoring organization: Nevada Health Authority
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Report analyzing 2016-2024 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2025
Sponsoring organization: Nevada Health Authority
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