Rural Health
Resources by Topic: Rural-urban differences
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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A Stubborn Problem: Unaffordable Health Costs Continue to Strain Californians' Finances
Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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Examines healthcare affordability in California from 2019 to 2024, comparing pre-COVID-19 pandemic experiences to after the pandemic had subsided, alongside the implementation of related state and federal policy impacting affordability. Provides percentages of Californians who have trouble paying medical bills, who use credit cards to pay medical bills, who have private insurance with deductibles above $2,000, and more, according to coverage type, demographics, region, and rural versus urban location.
Date: 03/2026
Sponsoring organization: State Health Access Data Assistance Center
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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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West Virginia Rural Primary Care Workforce
Offers maps and tables of the primary care workforce distribution in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the primary care workforce distribution in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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West Virginia Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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West Virginia Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in West Virginia in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 03/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Trends and Inequities in Peptic Ulcer Mortality Across the United States, 1999–2023
Examines peptic ulcer disease (PUD) mortality across demographic groups and rural versus urban location. Utilizes 1999-2023 CDC WONDER data and analyzes mortality according to year of death, type of ulcer, demographic variables, and metro versus nonmetro location.
Author(s): Xiaoming Lin, Shuai Wang, Yunan Guan, Helei Wang
Citation: BMC Gastroenterology, 26, 174
Date: 02/2026
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Examines peptic ulcer disease (PUD) mortality across demographic groups and rural versus urban location. Utilizes 1999-2023 CDC WONDER data and analyzes mortality according to year of death, type of ulcer, demographic variables, and metro versus nonmetro location.
Author(s): Xiaoming Lin, Shuai Wang, Yunan Guan, Helei Wang
Citation: BMC Gastroenterology, 26, 174
Date: 02/2026
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Demographic and Geographic Heterogeneity in Tongue Cancer Mortality in the United States, 1999–2020
Analyzes trends in tongue cancer mortality rates by sex, race or ethnicity, rurality, and more, using 1999-2020 CDC WONDER data. See Table 1 and Figure 1 for rural-urban comparison data.
Author(s): Aifeng Gong, Hengfa Ge, Chenchen Yang
Citation: Risk Management and Healthcare Policy, 19
Date: 02/2026
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Analyzes trends in tongue cancer mortality rates by sex, race or ethnicity, rurality, and more, using 1999-2020 CDC WONDER data. See Table 1 and Figure 1 for rural-urban comparison data.
Author(s): Aifeng Gong, Hengfa Ge, Chenchen Yang
Citation: Risk Management and Healthcare Policy, 19
Date: 02/2026
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Examination of Driver License Renewal Policies and Older Driver Crash and Injury Rates by Rurality
Examines the impact of driver license renewal policies on older adult motor-vehicle safety. Utilizes 2000-2019 crash data and license renewal policies to analyze crash and driver injury rates according to driver age, state, injury severity, license renewal restrictiveness, rural versus urban residence, and more.
Author(s): Cara J. Hamann, Jonathan A. Davis, Gilsu Pae, et al.
Citation: Journal of Safety Research, 96, 357-362
Date: 02/2026
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Examines the impact of driver license renewal policies on older adult motor-vehicle safety. Utilizes 2000-2019 crash data and license renewal policies to analyze crash and driver injury rates according to driver age, state, injury severity, license renewal restrictiveness, rural versus urban residence, and more.
Author(s): Cara J. Hamann, Jonathan A. Davis, Gilsu Pae, et al.
Citation: Journal of Safety Research, 96, 357-362
Date: 02/2026
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Sociodemographic Drivers of Recruitment and Attrition in Digital Neurological Research: Longitudinal Cohort Study
Examines demographic differences in participation in a remote speech capture study with digital recruitment via the Mayo Clinic patient portal system. Includes data on enrollment and completion times by rural or urban area, among other factors.
Author(s): Peyman Nejat, Ashley D. Bachman, Vicki M. Stubbs, et al.
Citation: Journal of Medical Internet Research, 28, e83432
Date: 02/2026
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Examines demographic differences in participation in a remote speech capture study with digital recruitment via the Mayo Clinic patient portal system. Includes data on enrollment and completion times by rural or urban area, among other factors.
Author(s): Peyman Nejat, Ashley D. Bachman, Vicki M. Stubbs, et al.
Citation: Journal of Medical Internet Research, 28, e83432
Date: 02/2026
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