Rural Health
Resources by Topic: Service delivery models
Interstate Licensing Compacts (2026 Overview)
Provides a brief overview of major interstate licensing compacts as of July 2026. Includes a chart on the status of licensure compacts in Iowa, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin.
Additional links: Licensure Compact Chart 2026
Date: 08/2026
Sponsoring organization: Great Plains Telehealth Resource and Assistance Center
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Provides a brief overview of major interstate licensing compacts as of July 2026. Includes a chart on the status of licensure compacts in Iowa, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin.
Additional links: Licensure Compact Chart 2026
Date: 08/2026
Sponsoring organization: Great Plains Telehealth Resource and Assistance Center
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Indiana Kidney Program Improves Outcomes Through Proactive Care and Education
Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Profiles the Kidney Care Options (KCO) Program developed by Major Health Partners (MHP) in rural Shelby County, Indiana. Shares how the nurse-led, interdisciplinary KCO program provides patient education, care coordination, patient advocacy, and other supports early in the treatment process so patients can make informed decisions about their kidney care.
Author(s): Allee Mead
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Federal Policy Priorities to Strengthen Rural Health and Maximize Rural Health Transformation Program Investments
Presents policy recommendations for Congressional and CMS actions to bolster rural health and ensure Rural Health Transformation Program investments are transparent, durable, and effective. Covers recommendations related to telehealth and health information technology investments, the rural healthcare workforce, and rural hospital programs and eligibility.
Author(s): Daisy Kim, Maya Sandalow
Date: 08/2026
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations for Congressional and CMS actions to bolster rural health and ensure Rural Health Transformation Program investments are transparent, durable, and effective. Covers recommendations related to telehealth and health information technology investments, the rural healthcare workforce, and rural hospital programs and eligibility.
Author(s): Daisy Kim, Maya Sandalow
Date: 08/2026
Sponsoring organization: Bipartisan Policy Center
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Bridging the Gaps in School-Based Telehealth: A Scoping Review and Evaluation Framework
Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
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Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
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Telehealth for Community-Engaged Cardiovascular Care in Rural Populations
Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
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Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
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Mobile Health Operations: A Foundational Planning Guide for Health Centers
Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
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Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
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How Primary Care Medics Can Bring Needed Health Care to Rural Americans
Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
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State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
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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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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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