Rural Health
Resources by Topic: Service delivery models
Telemedicine in Rural EMS: Expanding Capabilities and Scope
Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Rural-Based Accountable Care Organizations Agreement Renewal
Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Evaluation of the Making Care Primary Model
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Metropolitan and Nonmetropolitan Medicare Shared Savings Program Assigned Beneficiaries Among Original Medicare Enrollees
Describes trends of Medicare beneficiaries assigned to Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Presents data on metropolitan and nonmetropolitan SSP ACO assignment and Medicare Advantage enrollment between 2018 and 2024, as well as the percentage of original Medicare beneficiaries assigned to an ACO in 2024 by metropolitan status and state.
Author(s): Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes trends of Medicare beneficiaries assigned to Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Presents data on metropolitan and nonmetropolitan SSP ACO assignment and Medicare Advantage enrollment between 2018 and 2024, as well as the percentage of original Medicare beneficiaries assigned to an ACO in 2024 by metropolitan status and state.
Author(s): Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Strengthening California's Primary Care Team Workforce: Data and Recommendations for Action
Reports on the state of California's primary care workforce and provides policy recommendations. Provides data and discussion on topics including workforce-related barriers to care, approaches to payment and reimbursement, workforce training, and support for service delivery models. Discusses rural and underserved areas throughout.
Additional links: Executive Summary, Summary of Policy Recommendations, Technical Appendix
Author(s): Diane Rittenhouse, Katie Coleman, Janet Coffman, et al.
Date: 02/2026
Sponsoring organization: California Health Care Foundation
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Reports on the state of California's primary care workforce and provides policy recommendations. Provides data and discussion on topics including workforce-related barriers to care, approaches to payment and reimbursement, workforce training, and support for service delivery models. Discusses rural and underserved areas throughout.
Additional links: Executive Summary, Summary of Policy Recommendations, Technical Appendix
Author(s): Diane Rittenhouse, Katie Coleman, Janet Coffman, et al.
Date: 02/2026
Sponsoring organization: California Health Care Foundation
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A Comparison of Independent and System-Affiliated Rural Hospitals
Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Development of Metrics and a Protocol to Clinically Evaluate the HRSA Behavioral Health Integration Program Within the Evidence-Based Telehealth Network Program
Describes a protocol and 27 common data elements for examining the implementation of behavioral health integration in primary care. Protocol and elements were developed from 26 participants in the Health Resources and Services Administration's Evidence-Based Telehealth Network Program.
Author(s): J. Priyanka Vakkalanka, Fred Ullrich, Kimberly A.S. Merchant, Christopher M. Shea, Marcia M. Ward
Date: 02/2026
Sponsoring organization: Remote Care & Telehealth Research Center
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Describes a protocol and 27 common data elements for examining the implementation of behavioral health integration in primary care. Protocol and elements were developed from 26 participants in the Health Resources and Services Administration's Evidence-Based Telehealth Network Program.
Author(s): J. Priyanka Vakkalanka, Fred Ullrich, Kimberly A.S. Merchant, Christopher M. Shea, Marcia M. Ward
Date: 02/2026
Sponsoring organization: Remote Care & Telehealth Research Center
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Telehealth Use for Primary Care Visits Has Stabilized, with Higher Use in Metropolitan Areas and Among Non-English Speakers
Analyzes the use of primary care telehealth over time using Epic Cosmos data. Includes graphs showing change in utilization from July 2024 to October 2025 by patient rurality, among other demographics.
Author(s): Kersten Bartelt, Emily Higgs, Louis Kazaglis, Eric Barkley
Date: 02/2026
Sponsoring organization: Epic Research
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Analyzes the use of primary care telehealth over time using Epic Cosmos data. Includes graphs showing change in utilization from July 2024 to October 2025 by patient rurality, among other demographics.
Author(s): Kersten Bartelt, Emily Higgs, Louis Kazaglis, Eric Barkley
Date: 02/2026
Sponsoring organization: Epic Research
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REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Factors Associated with High vs. Low Implementation of Medicare's Chronic Care Management Programme in Wyoming Primary Care Practices
Identifies factors associated with rural primary care practices' participation in the Medicare Chronic Care Management (CCM) program, using interview data of 13 healthcare professionals at 6 sites in Wyoming. Compares characteristics of high and low implementation sites, including discussion of healthcare team communication, evaluation, leadership, and more.
Author(s): Elizabeth Punke, Lucas A. Wall, Christine L. McKibbin, et al.
Citation: Primary Health Care Research & Development, 27, e19
Date: 02/2026
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Identifies factors associated with rural primary care practices' participation in the Medicare Chronic Care Management (CCM) program, using interview data of 13 healthcare professionals at 6 sites in Wyoming. Compares characteristics of high and low implementation sites, including discussion of healthcare team communication, evaluation, leadership, and more.
Author(s): Elizabeth Punke, Lucas A. Wall, Christine L. McKibbin, et al.
Citation: Primary Health Care Research & Development, 27, e19
Date: 02/2026
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