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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Revisiting the Rural and Urban Divide in Hospital Health Information Technology Adoption: Evidence From 2023
Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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An Exploration of Access to Tobacco Cessation Services Through Pharmacies in a Medically Underserved Area in California: Accuracy of Telephone Information Regarding Pharmacist-Furnished NRT
Examines the reliability of nicotine replacement therapy (NRT) phone consultations with pharmacy staff in rural, underresourced areas of California's San Joaquin Valley (SJV). Discusses discrepancies in NRT information when comparing in-person NRT visits and telephone services.
Author(s): Sara Schneider, Deanna M. Halliday, Arturo Durazo, Anna V. Song, Dorie E. Apollonio
Citation: Journal of Primary Care & Community Health, 16
Date: 12/2025
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Working Across Contexts: Critical Events in Rural Teletherapy in Alaska
Explores the challenges of providing teletherapy to rural and remote communities in Alaska. Discusses the "critical events" that have shaped clinicians approaches to providing teletherapy to rural and remote patients.
Author(s): Peter L. Noon, Camille M. Booth, Edmond I. Arroyo, et al.
Citation: Rural and Remote Health, 25, 10336
Date: 12/2025
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Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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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. Highlights changes that take effect on January 31, 2026 under current law.
Date: 11/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Missourians' Perspectives on Pain: "I Like To Be in Control of My Life"
Explores Missourians' attitudes toward pain and pharmacological and non-pharmacological pain management via interviews of 25 rural Missourians. Discusses how pain treatment is influenced by pain medication stigma, desire for self-sufficiency, and other cultural factors.
Author(s): Karla T. Washington, Klaudia Kukulka, Archana Bharadwaj, et al.
Citation: Health & Place, 96, 103561
Date: 11/2025
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RHCs and CAHs Participating in the Medicare Shared Savings Program (MSSP): Characteristics of the Providers and Communities
Describes the characteristics of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) currently participating in the Medicare Shared Savings Program (MSSP) in 2023. Compares CAH and RHC characteristics by MSSP participation, ownership status, and free-standing versus provider-based RHC status.
Author(s): Edmer Lazaro, Dan Shane, Fred Ullrich, Keith Mueller
Date: 11/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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Evaluating the Relationship Between Primary Care Provider Access and High Blood Pressure among Hispanic Patients: A Cross-Sectional Study
Examines the relationship between having a primary care physician (PCP) and managing chronic disease in rural Yakima County, Washington State. Utilizes data from 218 participants at the Fiesta de Salud community health fair to analyze demographics, PCP access, and controlled versus uncontrolled blood pressure.
Author(s): Catalina Yepez, Kimberly McKeirnan, Megan Undeberg, Ryan G. Pett
Citation: Journal of Health, Population and Nutrition, 44, 402
Date: 11/2025
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A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2025 and 2026
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, and pharmacy and prescription drugs. Highlights challenges and priorities related to implementing federal priorities, systems issues, state budget limitations, and more.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2025
Sponsoring organization: KFF
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