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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Evaluation of the ACO REACH Model: Evaluation Report 3
Presents key findings from an evaluation of the Accountable Care Organization (ACO) REACH Model's first performance year, as well as the two years of the preceding Global and Professional Direct Contracting (GPDC) Model. Examines model participants' implementation experiences and the model's impact on cost, utilization, and quality outcomes. Includes information on the participation of Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs) in the model.
Additional links: Appendices, CMS Perspective Report, Executive Summary, Findings at a Glance
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Virtual Roads to Real Recovery, with Amanda Kennedy
An episode of the Exploring Rural Health podcast featuring Amanda Kennedy, manager of the Mercy Virtual Substance Use Recovery Program. Focuses on strategies the program uses to build trust and provide patients a seamless bridge into substance use treatment. Part 2 in a 3-part series featuring the 2026 Rural Communities Opioid Response Program (RCORP) Innovation Tank finalists, with Mercy vSURP's work winning third place.
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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Strengthening Rural Health Centers: Challenges, Innovations, and Opportunities
Provides an overview of how health centers serve rural residents. Describes workforce and geographic challenges rural health centers face. Includes data on states where rural health centers serve over half of all health center patients in the state. Discusses areas for key investments to strengthen the ability of health centers to serve their patients and communities.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
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How Wearables and Other Digital Tools Are Driving Innovation in Behavioral Health
Explores the use of wearable devices, applications, telehealth platforms, and AI-enabled screening tools to support prevention, treatment, and recovery for mental health conditions and substance use disorders. Discusses how these tools can be used to collect data that can inform care strategies and policy. Highlights how digital tools can broaden access to rural communities.
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health and Health Disparities in Hypertension Management: A Scientific Statement From the American Heart Association
Discusses factors influencing the high rural prevalence of hypertension and highlights approaches for improving rural hypertension management. Covers topics including nonmedical drivers of health, access to services, medication access and use, nutrition and food insecurity, telehealth, and culturally-tailored service delivery.
Author(s): Cassandra D. Ford, Natalie A. Cameron, Donald Clark, et al.
Citation: Hypertension
Date: 06/2026
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Practical Guide to Supporting Innovation in Rural Health
Strategies, tools, and examples that rural health programs, practitioners, and partners can use to design, implement, and scale innovative approaches that build on local realities and strengths. Highlights promising practices that support innovation in rural health systems and community-based organizations.
Date: 06/2026
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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National Health Center Financial and Operational Performance Analysis: 2021–2024
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2021-2024. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and quality of care. Compares data on rural FQHCs to urban and national FQHC data.
Date: 06/2026
Sponsoring organization: Capital Link
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Rural Health Transformation: Insights from States
Recording of a June 2026 webinar regarding how states are using Rural Health Transformation Program (RHTP) funding to expand technology innovation, strengthen the rural workforce, and build new models of care. Features a discussion with state and regional rural health leaders about state innovations and federal policy actions to make RHTP investments sustainable. Transcript available in the video description.
Date: 06/2026
Sponsoring organization: Bipartisan Policy Center
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A National Virtual Peer Support Group for Women Veterans Living with Breast Cancer: Lessons from the Field
Discusses implementation and findings from a Veterans Health Administration virtual peer support specialist-led support group for women veterans with breast cancer. Discusses experiences of rural program participants.
Author(s): Jenny K. Cohen, Kara Zamora-Rogoski, Caitlin L. McLean, et al.
Citation: International Journal of Environmental Research and Public Health, 23(6), 817
Date: 06/2026
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Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s): Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date: 06/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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