Rural Health
Resources by Topic: Reimbursement and payment models
Report to Congress on Medicaid and CHIP, March 2026
Reports on four aspects of Medicaid of interest to Congress: 1) the home- and community-based services (HCBS) workforce, 2) behavioral health in Medicaid and the State Children's Health Insurance Program (CHIP), 3) Medicaid for justice-involved youth, and 4) Medicaid for children in foster care.
Date: 03/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid of interest to Congress: 1) the home- and community-based services (HCBS) workforce, 2) behavioral health in Medicaid and the State Children's Health Insurance Program (CHIP), 3) Medicaid for justice-involved youth, and 4) Medicaid for children in foster care.
Date: 03/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Health Transformation Program: State Focus on Behavioral Health
Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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Describes behavioral healthcare initiatives addressed in state Rural Health Transformation Program applications. Covers behavioral health integration in primary care, the behavioral health crisis continuum, the behavioral health workforce, payment approaches, and technology investments.
Author(s): Laura Galbreath
Date: 03/2026
Sponsoring organization: National Academy for State Health Policy
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RHC Cost Reporting 101
Recording of a March 3, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, the cost report approval process, billable visits, allowable and non-allowable costs, best practices, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a March 3, 2026, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, the cost report approval process, billable visits, allowable and non-allowable costs, best practices, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2026
Sponsoring organization: National Association of Rural Health Clinics
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Value-Based Payments Are Catching On, but Rural and Small Practices Lag
Describes the current rates of primary care physician (PCP) participation in value-based payment. Includes data on the percent of primary care physicians in rural and small practices that reported receiving revenue from value-based payment in 2025. Discusses barriers and potential solutions to increasing PCP participation in value-based payment.
Author(s): Celli Horstman, Corrine Lewis
Date: 03/2026
Sponsoring organization: Commonwealth Fund
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Describes the current rates of primary care physician (PCP) participation in value-based payment. Includes data on the percent of primary care physicians in rural and small practices that reported receiving revenue from value-based payment in 2025. Discusses barriers and potential solutions to increasing PCP participation in value-based payment.
Author(s): Celli Horstman, Corrine Lewis
Date: 03/2026
Sponsoring organization: Commonwealth Fund
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March 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Merit-based Incentive Payment System (MIPS): Eligibility and Participation in the 2026 Performance Year
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Progress Towards Vitality: A Review of Maternal Health Financing Mechanisms in Georgia
Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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Reports on maternal health financing in Georgia and outlines a variety of federal, state, local, and private sources of funding. Examines how funding and reimbursement influences maternal healthcare delivery, details program models, and presents recommendations for policymakers, funders, and providers. Discusses rural areas throughout.
Author(s): Elizabeth Murphy, Shalanda Henderson, Shannon Raines, Nannette Beckley, Meaghan Hunt
Date: 02/2026
Sponsoring organizations: Georgia Health Initiative, NORC at the University of Chicago
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Scaling Medical-Dental Integration Nationally: Outcomes from the MORE Care Initiative
Presents a study evaluating the implementation of the MORE Care initiative, an oral health integration model, into six rural counties in Ohio. Details the outcomes of the two year pilot program, including oral health assessments, fluoride varnish, and dental referral systems implemented into primary care practices.
Author(s): Matthew Vermillion, Christine Kanan, Caroline McLeod, Caroline McLeod, et al.
Citation: Frontiers in Public Health, 14
Date: 02/2026
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Presents a study evaluating the implementation of the MORE Care initiative, an oral health integration model, into six rural counties in Ohio. Details the outcomes of the two year pilot program, including oral health assessments, fluoride varnish, and dental referral systems implemented into primary care practices.
Author(s): Matthew Vermillion, Christine Kanan, Caroline McLeod, Caroline McLeod, et al.
Citation: Frontiers in Public Health, 14
Date: 02/2026
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Rural Health Value Virtual Summit: Designing Rural Value-Based Care for the Future
Summarizes a June 2025 summit of rural value-based care (VBC) thought leaders regarding the current state and future opportunities of rural VBC and payment. Describes summit participants' experiences related to the adoption of VBC initiatives. Identifies strategies to accelerate rural healthcare provider participation and success in VBC and value-based payment.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Summarizes a June 2025 summit of rural value-based care (VBC) thought leaders regarding the current state and future opportunities of rural VBC and payment. Describes summit participants' experiences related to the adoption of VBC initiatives. Identifies strategies to accelerate rural healthcare provider participation and success in VBC and value-based payment.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Study of the Feasibility and Desirability of Establishing a Delinquent Billing Reimbursement Grant System for Ambulance Service Providers - Survey Results & Overview
Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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Presents a the results of a study on the feasibility of implementing a grant-funded reimbursement system for ambulance service providers in North Dakota. Explores the financial stability of North Dakota's EMS providers under the fee-for-service model and highlights gaps and shortfalls in reimbursement. Discusses the effect of these reimbursement issues in both rural and urban areas.
Date: 02/2026
Sponsoring organizations: North Dakota Department of Health and Human Services, North Dakota EMS Association, North Dakota Legislative Council
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