Rural Health
Resources by Topic: Policy
Plugged in to Public Health: Rural Health Beyond the Mainland; Transportation, Access, and Care in Hawaii
Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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Discusses how transportation influences healthcare access in rural Hawaii. Describes how geographic isolation and transportation barriers influence access to primary and preventive care and create high demand for emergency medical services, and details policy implications related to public transit, non-emergency medical transportation, and greater access to primary care. Transcript available below audio player.
Author(s): Lauren Lavin, John Desfor
Date: 02/2026
Sponsoring organization: University of Iowa College of Public Health
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Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2026
Provides an overview of updates to the historically excepted Tribal Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) rate for calendar year 2026.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of updates to the historically excepted Tribal Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) rate for calendar year 2026.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Roadblocks to Rural Health: State Transportation Policies' Impact on Health Care Access in Virginia's Rural Communities: 2021–2022
Examines transportation barriers that impact healthcare access and provides actionable strategies to remove barriers. Discusses collaboration with the Virginia Department of Transportation (VDOT) to change signage policy and install directional signs to a rural Federally Qualified Health Center (FQHC). Analyzes the subsequent impacts on access and cancer screening rates, as well as the importance of collaborating across community agencies.
Author(s): Katherine Y. Tossas, Bianca D. Owens, Michael O'Grady, Jinlei Zhao, Robert A. Winn
Citation: American Journal of Public Health, 116(2), 175-179
Date: 02/2026
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Examines transportation barriers that impact healthcare access and provides actionable strategies to remove barriers. Discusses collaboration with the Virginia Department of Transportation (VDOT) to change signage policy and install directional signs to a rural Federally Qualified Health Center (FQHC). Analyzes the subsequent impacts on access and cancer screening rates, as well as the importance of collaborating across community agencies.
Author(s): Katherine Y. Tossas, Bianca D. Owens, Michael O'Grady, Jinlei Zhao, Robert A. Winn
Citation: American Journal of Public Health, 116(2), 175-179
Date: 02/2026
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Utilizing a Steering Committee to Implement Health in All Policies in a Rural, Micro-Urban Community
Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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Examines the impact of a Health in All Policies (HiAP) steering committee in a rural and micro-urban area of Montana. Discusses the focus areas of the committee, such as a rural perspective on public health, policy, transportation, social services, development, preservation, education, and more. Reflects on the benefits of a multi-sector steering committee and an HiAP approach to impact rural communities.
Author(s): Danika Lee Comey, Bridget L. Hanson, Morgan E. Neavill, et al.
Citation: Health Promotion International, 41(1)
Date: 02/2026
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Telehealth FAQ Calendar Year 2026
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Advancing Trauma Systems in the United States: Bridging Disparities Through State-Level Legislation and a Health Systems Approach
Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, 61(1), e70073
Date: 02/2026
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Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, 61(1), e70073
Date: 02/2026
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Purchased/Referred Care and Cancer: Overview and Options for Tribal Consideration
Describes the Purchased/Referred Care (PRC) program of the Indian Health Service (IHS) and discusses how it functions in the cancer care pathways for Oklahoma tribal communities. Offers recommendations to tribal leaders for working with and alongside the program to improve health outcomes while supporting self-determination. Recommendations discuss tribal governance, collaborations, service delivery models, care coordination, and engaging with federal policymakers.
Author(s): Grace Fox
Date: 01/2026
Sponsoring organization: Native Nations Center for Tribal Policy Research
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Describes the Purchased/Referred Care (PRC) program of the Indian Health Service (IHS) and discusses how it functions in the cancer care pathways for Oklahoma tribal communities. Offers recommendations to tribal leaders for working with and alongside the program to improve health outcomes while supporting self-determination. Recommendations discuss tribal governance, collaborations, service delivery models, care coordination, and engaging with federal policymakers.
Author(s): Grace Fox
Date: 01/2026
Sponsoring organization: Native Nations Center for Tribal Policy Research
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Emergency Dental Care in the ACA Era: Rural–Urban Disparities and Their Association With State Medicaid Policy
Highlights a study exploring the role Medicaid expansion has played in the utilization of emergency department (ED) visits for nontraumatic dental conditions (NTDCs) among adults in rural and urban areas. Details the rates of ED utilization for NTDCs in rural and urban hospitals in 8 states and explores rates based on states' Medicaid policy.
Author(s): Marvellous A. Akinlotan, Dan Burch, Alva O. Ferdinand
Citation: Public Health Dentistry, 86(1), 99-108
Date: 01/2026
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Highlights a study exploring the role Medicaid expansion has played in the utilization of emergency department (ED) visits for nontraumatic dental conditions (NTDCs) among adults in rural and urban areas. Details the rates of ED utilization for NTDCs in rural and urban hospitals in 8 states and explores rates based on states' Medicaid policy.
Author(s): Marvellous A. Akinlotan, Dan Burch, Alva O. Ferdinand
Citation: Public Health Dentistry, 86(1), 99-108
Date: 01/2026
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Encouraging Rural Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Examines the financial constraints rural providers have in pivoting to value-based care and alternative payment models (APMs), including population-based total cost of care (PB-TCOC) models. Provides recommendations and supportive policies to increase rural participation in PB-TCOC models and discusses issues such as financial risk, use of benchmarks to meet spending goals, performance measurements, information technology and telehealth, and more.
Date: 01/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the financial constraints rural providers have in pivoting to value-based care and alternative payment models (APMs), including population-based total cost of care (PB-TCOC) models. Provides recommendations and supportive policies to increase rural participation in PB-TCOC models and discusses issues such as financial risk, use of benchmarks to meet spending goals, performance measurements, information technology and telehealth, and more.
Date: 01/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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