Rural Health
Resources by Topic: Medicare
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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TA Webinar: RHC Billing 101
Recording of a February 24, 2026, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a February 24, 2026, webinar providing an overview of traditional Medicare billing guidelines for Rural Health Clinics. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2026
Sponsoring organization: National Association of Rural Health Clinics
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State Medicaid & CHIP Toolkit for Children's Behavioral Health Services and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Requirements
Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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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-Based Accountable Care Organizations Agreement Renewal
Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Evaluation of the Making Care Primary Model
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Metropolitan and Nonmetropolitan Medicare Shared Savings Program Assigned Beneficiaries Among Original Medicare Enrollees
Describes trends of Medicare beneficiaries assigned to Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Presents data on metropolitan and nonmetropolitan SSP ACO assignment and Medicare Advantage enrollment between 2018 and 2024, as well as the percentage of original Medicare beneficiaries assigned to an ACO in 2024 by metropolitan status and state.
Additional links: State Tables
Author(s): Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes trends of Medicare beneficiaries assigned to Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Presents data on metropolitan and nonmetropolitan SSP ACO assignment and Medicare Advantage enrollment between 2018 and 2024, as well as the percentage of original Medicare beneficiaries assigned to an ACO in 2024 by metropolitan status and state.
Additional links: State Tables
Author(s): Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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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A Comparison of Independent and System-Affiliated Rural Hospitals
Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Factors Associated with High vs. Low Implementation of Medicare's Chronic Care Management Programme in Wyoming Primary Care Practices
Identifies factors associated with rural primary care practices' participation in the Medicare Chronic Care Management (CCM) program, using interview data of 13 healthcare professionals at 6 sites in Wyoming. Compares characteristics of high and low implementation sites, including discussion of healthcare team communication, evaluation, leadership, and more.
Author(s): Elizabeth Punke, Lucas A. Wall, Christine L. McKibbin, et al.
Citation: Primary Health Care Research & Development, 27, e19
Date: 02/2026
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Identifies factors associated with rural primary care practices' participation in the Medicare Chronic Care Management (CCM) program, using interview data of 13 healthcare professionals at 6 sites in Wyoming. Compares characteristics of high and low implementation sites, including discussion of healthcare team communication, evaluation, leadership, and more.
Author(s): Elizabeth Punke, Lucas A. Wall, Christine L. McKibbin, et al.
Citation: Primary Health Care Research & Development, 27, e19
Date: 02/2026
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