Rural Health
Resources by Topic: Medicare
Medicare Advantage: Plan Options and Enrollment Trends in Arkansas
Explains how Medicare Advantage plans affect healthcare delivery, Medicare enrollment, and payment practices in Arkansas. Includes discussion of reimbursement challenges in rural hospitals.
Author(s): Jennifer Wessel, Chris Ray
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Explains how Medicare Advantage plans affect healthcare delivery, Medicare enrollment, and payment practices in Arkansas. Includes discussion of reimbursement challenges in rural hospitals.
Author(s): Jennifer Wessel, Chris Ray
Date: 09/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Top Provider Enrollment Mistakes in Rural Primary Care & Behavioral Health - and How to Fix Them
Recording of an August 31, 2026, webinar describing common Medicare provider enrollment mistakes that can result in application denials, credentialing delays, disrupted cash flows, and more. Identifies practical strategies to prevent or address these errors.
Additional links: Presentation Slides
Date: 08/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an August 31, 2026, webinar describing common Medicare provider enrollment mistakes that can result in application denials, credentialing delays, disrupted cash flows, and more. Identifies practical strategies to prevent or address these errors.
Additional links: Presentation Slides
Date: 08/2026
Sponsoring organization: National Association of Rural Health Clinics
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2026 Annual Insurance Update: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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Reports on health insurance coverage across Kansas and nationwide, presenting 2009-2024 trends in coverage. Includes 2023 county-level data on uninsured rates by age group as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment. Compares uninsurance rates across frontier, rural, densely-settled rural, semi-urban, and urban county location.
Author(s): Kaci Cink, Viktoria Sterkhova, Cynthia Snyder, Wen-Chieh Lin
Date: 08/2026
Sponsoring organization: Kansas Health Institute
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2027
Comments on a July 6, 2026, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding permanent and temporary budget-neutrality adjustments and durable medical equipment and provider enrollment provisions, as well as comments in response to a request for information on the construction of a home health-specific wage index.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 6, 2026, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding permanent and temporary budget-neutrality adjustments and durable medical equipment and provider enrollment provisions, as well as comments in response to a request for information on the construction of a home health-specific wage index.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for CY 2027
Comment on the July 7, 2026, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027. Includes considerations for expansion of site-neutral payments for imaging without contrast services under the OPPS, the continued use of the hospital market basket to update ASC payment rates, the reduction of OPPS payment rates for 340B-acquired drugs, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 7, 2026, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027. Includes considerations for expansion of site-neutral payments for imaging without contrast services under the OPPS, the continued use of the hospital market basket to update ASC payment rates, the reduction of OPPS payment rates for 340B-acquired drugs, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Hospitals in Pennsylvania in the Context of Healthcare Market Consolidations
Provides an assessment of rural hospitals in Pennsylvania, comparing them to urban hospitals. Examines factors potentially associated with mergers, acquisitions, and health system affiliations, based on interviews and virtual site visits with selected hospitals from 2016-2023. Includes county-level data on available services, utilization, number of beds and more.
Author(s): Yunfeng Shi, Amy Yeung, Tess Wilson, Lisa Davis
Date: 08/2026
Sponsoring organization: Center for Rural Pennsylvania
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Provides an assessment of rural hospitals in Pennsylvania, comparing them to urban hospitals. Examines factors potentially associated with mergers, acquisitions, and health system affiliations, based on interviews and virtual site visits with selected hospitals from 2016-2023. Includes county-level data on available services, utilization, number of beds and more.
Author(s): Yunfeng Shi, Amy Yeung, Tess Wilson, Lisa Davis
Date: 08/2026
Sponsoring organization: Center for Rural Pennsylvania
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Rural Residence and Postsurgical Outcomes Among Medicare Beneficiaries
Explores the post-surgical outcomes of Medicare beneficiaries undergoing four common inpatient general surgery operations: appendectomy, cholecystectomy, colectomy, or incisional hernia repair. Compares quality outcomes including mortality, complications, 30-day readmissions, and discharge disposition for rural and nonrural Medicare beneficiaries using Medicare Provider Analysis and Review (MEDPAR) data from 2016 to 2023.
Author(s): Cody Lendon Mullens, Adrian Diaz, Brooke C. Bredbeck, et al.
Citation: JAMA Network Open, 9(8), e2626959
Date: 08/2026
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Explores the post-surgical outcomes of Medicare beneficiaries undergoing four common inpatient general surgery operations: appendectomy, cholecystectomy, colectomy, or incisional hernia repair. Compares quality outcomes including mortality, complications, 30-day readmissions, and discharge disposition for rural and nonrural Medicare beneficiaries using Medicare Provider Analysis and Review (MEDPAR) data from 2016 to 2023.
Author(s): Cody Lendon Mullens, Adrian Diaz, Brooke C. Bredbeck, et al.
Citation: JAMA Network Open, 9(8), e2626959
Date: 08/2026
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MVP Transition Toolkit for Small Practices
Zip file download, provides resources for small practices that participate in the Merit-based Incentive Payment System (MIPS) to support the transition from traditional MIPS reporting to MIPS Value Pathways (MVP) reporting. Includes an MVP Transition Guide for Small Practices and a Measure Mapping Tool.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Zip file download, provides resources for small practices that participate in the Merit-based Incentive Payment System (MIPS) to support the transition from traditional MIPS reporting to MIPS Value Pathways (MVP) reporting. Includes an MVP Transition Guide for Small Practices and a Measure Mapping Tool.
Date: 08/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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