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Rural Health Information Hub

Rural Health
Resources by Topic: Reimbursement and payment models

Digital Health Readiness and Medicare Primary Care Spending: Nationwide County-Level Observational Analysis
Analyzes associations between county-level digitalization and Medicare primary care spending for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in 2,993 counties between 2017 and 2023 using the Digital Health Index. Discusses the differences when comparing within a county over time and between counties, as well as the impact on healthcare access and socioeconomic factors.
Author(s): Zhaoqiang Zhou, John Geracitano, Baiming Zou, Saif Khairat
Citation: Journal of Medical Internet Research, 28
Date: 09/2026
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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 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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September 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2026 meeting. Covers the context for Medicare payment policy, issues relating to Medicare Part D and potential policy directions, MedPAC's work plan regarding ambulatory surgical centers, the use of post-acute care services by beneficiaries in fee-for-service Medicare and Medicare Advantage, and Medicare Advantage risk adjustment at the plan level.
Date: 09/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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Rural Health Transformation Toolkit
Provides information and resources for state policymakers regarding rural health and the Rural Health Transformation Program. Links to resources describing how states have approached the RHTP application, policies on maternal health and oral health in rural communities, and more.
Date: 09/2026
Sponsoring organization: National Conference of State Legislatures
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Rural Emergency Hospital (REH) Model Frequently Asked Questions
Provides answers to frequently asked questions regarding the Rural Emergency Hospital (REH) designation. Covers general information, Conditions of Participation, and REH payment policies.
Date: 09/2026
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Florida RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Florida. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each program funded by RHTP.
Date: 08/2026
Sponsoring organization: Florida Agency for Health Care Administration
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Colorado RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in Colorado as of June 30, 2026. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: Colorado Department of Health Care Policy and Financing
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North Carolina RHT Program Annual Report - Year 1
Reports on the first year of the Rural Health Transformation Program (RHTP) in North Carolina. Details the state policy actions, uses of funds, recipients of funds, and progress reports for each initiative funded by RHTP.
Date: 08/2026
Sponsoring organization: North Carolina Department of Health and Human Services
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