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Rural Health
Resources by Topic: Policy

How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Risk Adjustment in the Medicare Advantage Population Using Encounter Data
Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
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A Closer Look at the $50 Billion Rural Health Transformation Program
Provides an overview of the Rural Health Transformation Program, including the structure of the program, how funding can be used, how funding is distributed across and within states, and more. Includes data on the first year of RHTP funding awarded by state and by measure of state need.
Author(s): Zachary Levinson, Scott Hulver
Date: 09/2026
Sponsoring organization: KFF
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Rural Hospitals: Policy and Infrastructure Opportunities in the Rural Health Transformation Program
Describes state Rural Health Transformation Program (RHTP) initiatives and investments intended to support rural hospital stability. Covers policies to stabilize rural hospitals through operational modernization, shared services, and targeted technical assistance; regionalization and hub-and-spoke care models; care delivery transformation; maternal and perinatal healthcare access; health information technology advances and interoperability; and more.
Date: 09/2026
Sponsoring organization: National Rural Health Association
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Historical State Actions Aligned with Approved RHTP Uses
Describes state legislation enacted to address rural health topics that coincide with priorities of the Rural Health Transformation Program, including chronic disease management, the healthcare workforce, emergency medical services, health technology, behavioral health, and healthcare payment.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Rural Health Transformation Program 101
Provides a broad overview of the Rural Health Transformation Program (RHTP). Highlights legislation enacted by states that fulfill policy commitments outlined in state RHTP applications, support RHTP initiatives, establish advisory and oversight mechanisms, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Public Agency Health Center Monograph
Describes the programmatic requirements related to public agency health centers operating within the Health Resources and Services Administration (HRSA) Health Center Program. Covers key HRSA requirements, governance expectations, co-applicant board responsibilities, fiscal and personnel considerations, and common compliance challenges.
Date: 09/2026
Sponsoring organization: National Association of Community Health Centers
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RHC Cost Reporting Fall 2026
Recording of a September 14, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report drivers, including allowable costs, RHC visits and provider productivity, Medicare vaccine reimbursement, and Medicare bad debt. Discusses RHC benchmarking and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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Numerous Overlapping Programs Add Complexity, Unpredictability to Rural Hospital Finances
Analyzes payments between 1997 and 2024 to 2,942 rural hospitals participating in at least one Medicare-specific payment program, including the Sole Community Hospital, Medicare-Dependent Hospital, Critical Access Hospital, or Low-Volume Hospital programs. Discusses the impact of the programs and policy changes throughout the study period on hospital finances.
Author(s): Carolyn San Soucie, Michael E. Chernew, Benjamin D. Sommers
Citation: Health Affairs Scholar, 4(9)
Date: 09/2026
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RHC Compliance 101 - Fall 2026
Recording of a September 9, 2026, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements.
Additional links: Presentation Slides
Date: 09/2026
Sponsoring organization: National Association of Rural Health Clinics
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