Rural Health
Resources by Topic: Policy
Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Public Health Preparedness: HHS Needs a Coordinated National Approach for Diagnostic Testing for Pandemic Threats
Describes a roundtable of 19 experts the Government Accountability Office (GAO) convened to discuss actions the U.S. Department of Health and Human Services (HHS) should take to improve diagnostic testing for infectious diseases with pandemic potential. Identifies actions suggested by the experts, including two areas commonly repeated by experts. Offers four recommendations to HHS related to developing a national diagnostic testing strategy and establishing a national testing forum. Includes rural references throughout.
Additional links: Full Report
Date: 06/2025
Sponsoring organization: Government Accountability Office
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Describes a roundtable of 19 experts the Government Accountability Office (GAO) convened to discuss actions the U.S. Department of Health and Human Services (HHS) should take to improve diagnostic testing for infectious diseases with pandemic potential. Identifies actions suggested by the experts, including two areas commonly repeated by experts. Offers four recommendations to HHS related to developing a national diagnostic testing strategy and establishing a national testing forum. Includes rural references throughout.
Additional links: Full Report
Date: 06/2025
Sponsoring organization: Government Accountability Office
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The Impacts of Transportation and Travel Access on Rural Health in Hawai'i
Reports on transportation and travel access as barriers to healthcare in rural Hawaii, utilizing a literature review and interviews with stakeholders, and provides policy suggestions for improving access to care. Includes a detailed review of the use of telehealth for rural maternal-fetal health.
Additional links: Overview
Author(s): John Desfor, Keilyn Kawakami, Monica Ho, et al.
Date: 06/2025
Sponsoring organization: University of Hawaiʻi Rural Health Research & Policy Center
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Reports on transportation and travel access as barriers to healthcare in rural Hawaii, utilizing a literature review and interviews with stakeholders, and provides policy suggestions for improving access to care. Includes a detailed review of the use of telehealth for rural maternal-fetal health.
Additional links: Overview
Author(s): John Desfor, Keilyn Kawakami, Monica Ho, et al.
Date: 06/2025
Sponsoring organization: University of Hawaiʻi Rural Health Research & Policy Center
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Negotiated Prices for Care at Independent and System-Affiliated Rural Hospitals
Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Inadequate EMS in Rural Wisconsin: Strategies to Improve Reliability
Examines emergency medical services (EMS) in rural Wisconsin and provides a comparative analysis of EMS across rural counties and in other states. Focuses on policy interventions, recruitment and retention, training barriers, EMS infrastructure, financial constraints, and more. Includes data from an EMS reliability survey and interview feedback from EMS professionals.
Additional links: Brief
Author(s): Francis Amedoadzi, Anthony Carreno, Sammy Rothman, Lisa Severini, Gatiosso Traore
Date: 05/2025
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Examines emergency medical services (EMS) in rural Wisconsin and provides a comparative analysis of EMS across rural counties and in other states. Focuses on policy interventions, recruitment and retention, training barriers, EMS infrastructure, financial constraints, and more. Includes data from an EMS reliability survey and interview feedback from EMS professionals.
Additional links: Brief
Author(s): Francis Amedoadzi, Anthony Carreno, Sammy Rothman, Lisa Severini, Gatiosso Traore
Date: 05/2025
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Disability Pride and Community Connection in Eastern Virginia: The disAbility Resource Center of the Rappahannock Area, Inc.
Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Current Approaches to Rural Health Workforce Challenges Need Improvement
Describes rural health disparities using data from New York's provider recruitment efforts. Features statistics on the percentage of New York-trained physicians in the states with the highest rural populations, and workforce recruitment program outcomes with breakdowns by medical specialty and urban or rural location.
Author(s): Gaetano Forte
Date: 05/2025
Sponsoring organization: Association of American Medical Colleges
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Describes rural health disparities using data from New York's provider recruitment efforts. Features statistics on the percentage of New York-trained physicians in the states with the highest rural populations, and workforce recruitment program outcomes with breakdowns by medical specialty and urban or rural location.
Author(s): Gaetano Forte
Date: 05/2025
Sponsoring organization: Association of American Medical Colleges
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Securing a Better Future for Rural Health
Slides presented at the 2025 National Rural Health Association Annual Conference summarizing findings from a November 2024 summit of rural health services delivery and finance experts. Covers financing rural health services, payment policies, workforce considerations, the use of technology and data, and more.
Author(s): Keith J. Mueller
Date: 05/2025
Sponsoring organization: Rural Policy Research Institute
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Slides presented at the 2025 National Rural Health Association Annual Conference summarizing findings from a November 2024 summit of rural health services delivery and finance experts. Covers financing rural health services, payment policies, workforce considerations, the use of technology and data, and more.
Author(s): Keith J. Mueller
Date: 05/2025
Sponsoring organization: Rural Policy Research Institute
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Map the Meal Gap 2025: A Report on Local Food Insecurity and Food Costs in the United States in 2023
Provides information on food insecurity in the United States, with a focus on impacts for variable demographic populations, food spending and prices, and policy and program implications. Includes data breakdowns according to geographical region and rural versus urban location.
Additional links: Technical Appendix
Author(s): A. Dewey, J. Hilvers, S. Dawes, et al.
Date: 05/2025
Sponsoring organization: Feeding America
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Provides information on food insecurity in the United States, with a focus on impacts for variable demographic populations, food spending and prices, and policy and program implications. Includes data breakdowns according to geographical region and rural versus urban location.
Additional links: Technical Appendix
Author(s): A. Dewey, J. Hilvers, S. Dawes, et al.
Date: 05/2025
Sponsoring organization: Feeding America
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