Rural Health
Resources by Topic: State-by-state data
State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 02/2026
Sponsoring organization: RAND Corporation
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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.
Additional links: State Tables
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.
Additional links: State Tables
Author(s): Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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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Rural Health Transformation Program: Funding Amounts and State Policy Actions
Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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America's Health Rankings Annual Report 2025
Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 99 measures drawn from 31 data sources to describe and rank health outcomes in the U.S. Analyzes and presents data on disparities by geography and demographic characteristics throughout. See the section titled, "Spotlight: Rural Communities," for information on trends in colorectal and breast cancer screening rates and physical inactivity of adults in rural areas between 2022 and 2024.
Additional links: Executive Brief
Date: 01/2026
Sponsoring organization: United Health Foundation
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Availability of Hospital-Based Obstetric Services in the United States by County, 2010–2023: A State-by-State Report
Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Provides national, state, and county-specific information on changes in obstetric care access from 2010-2023. Displays county-level maps of changes in hospital-based services availability between 2010-2023, highlighting changes from 2022 to 2023. Features statistics with breakdowns by urban and rural counties.
Author(s): Julia D. Interrante, Kevan O'Hanlon, Katy B. Kozhimannil
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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First-Year Rural Health Fund Awards Range From Less Than $100 Per Rural Resident in Ten States to More Than $500 in Eight
Describes the amounts awarded to each state for the first year of the Rural Health Transformation Program. Presents state-by-state data on award amount per rural resident.
Author(s): Zachary Levinson, Scott Hulver, Tricia Neuman
Date: 01/2026
Sponsoring organization: KFF
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Describes the amounts awarded to each state for the first year of the Rural Health Transformation Program. Presents state-by-state data on award amount per rural resident.
Author(s): Zachary Levinson, Scott Hulver, Tricia Neuman
Date: 01/2026
Sponsoring organization: KFF
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Hospice Care Chartbook 2025
Provides an overview of hospice care, including patient demographics, characteristics of live discharges, organizational trends, and Medicare spending for hospice services. Includes charts and graphs throughout, as well as state-by-state data. Slides 16 and 34 highlight the percentage of Medicare decedents that did and did not use hospice in 2024 and the number of hospices between 2019 and 2024 by rurality, respectively.
Date: 12/2025
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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Provides an overview of hospice care, including patient demographics, characteristics of live discharges, organizational trends, and Medicare spending for hospice services. Includes charts and graphs throughout, as well as state-by-state data. Slides 16 and 34 highlight the percentage of Medicare decedents that did and did not use hospice in 2024 and the number of hospices between 2019 and 2024 by rurality, respectively.
Date: 12/2025
Sponsoring organizations: KNG Health Consulting, National Alliance for Care at Home, Research Institute for Home Care
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Household Food Security in the United States in 2024
Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Reports on household food security, food expenditures, and use of federal food and nutrition assistance programs in 2024. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Statistical Supplement, Summary
Author(s): Matthew P. Rabbitt, Madeline Reed-Jones, Laura J. Hales, Shellye Suttles, Michael P. Burke
Date: 12/2025
Sponsoring organization: USDA Economic Research Service
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Rural Health Transformation 50 State Spotlights
Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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