Rural Health
Resources by Type: Document
How Do Services Offered Within Opioid Treatment Programs Vary Based on State Methadone Policies?
Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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Examines the availability of opioid treatment programs (OTPs) in various states as well as access to medication for opioid use disorder (MOUD) options, psychosocial services, and housing supports. Analyzes 1,501 opioid treatment programs (OTPs) and their characteristics, including state restrictiveness, services offered, facility type, rurality, and more.
Author(s): Zoe Lindenfeld, Noa Krawczyk, Erin A. Taylor, Denis Agniel, Jonathan H. Cantor
Citation: Journal of Substance Use & Addiction Treatment, 190, 210062
Date: 11/2026
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The Financial Impact of Pregnancy and Childbirth Among Louisiana Medicaid Beneficiaries
Examines the relationship between pregnancy and financial health of women in Louisiana. Analyzes 2017-2020 Medicaid claims data and credit reports of 76,468 patients and provides breakdowns of credit scores, medical debt, and nonmedical debt by demographics, pregnancy status, and rural versus urban location.
Author(s): Brigham Walker, Ethan Tsai, Andrew Anderson, Melissa Evans, Kevin Callison
Citation: Health Services Research, 61(5), e70166
Date: 10/2026
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Examines the relationship between pregnancy and financial health of women in Louisiana. Analyzes 2017-2020 Medicaid claims data and credit reports of 76,468 patients and provides breakdowns of credit scores, medical debt, and nonmedical debt by demographics, pregnancy status, and rural versus urban location.
Author(s): Brigham Walker, Ethan Tsai, Andrew Anderson, Melissa Evans, Kevin Callison
Citation: Health Services Research, 61(5), e70166
Date: 10/2026
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Risk Adjustment in the Medicare Advantage Population Using Encounter Data
Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
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Examines the Centers for Medicare and Medicaid Services (CMS) Hierarchical Condition Category (HCC) risk model by comparing 2016-2022 Traditional Medicare (TM) claims and Medicare Advantage (MA) encounter data. Analyzes differences in the TM-based model and MA-based model and discusses risk-adjusted MA payment, MA payment policy, and enrollment incentives for various populations, including rural.
Author(s): Caroline S. Carlin, Roger Feldman, Jeah Jung
Citation: Health Services Research, 61(5), e70165
Date: 10/2026
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Personalized Environmental Risk Communication and Cancer Screening Intent among Rural Private Well Users
Presents findings from a private well testing and cancer education initiative in Georgia's Tattnall, Bulloch, and Evans counties. Includes data on well contaminants, understanding of well testing results, environmental risk communication, and cancer screening intent among 100 rural well owners.
Author(s): Victoria Clower, Andrew Hansen, Jeff Jones, Asli Aslan
Citation: Preventive Medicine Reports, 70, 103620
Date: 10/2026
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Presents findings from a private well testing and cancer education initiative in Georgia's Tattnall, Bulloch, and Evans counties. Includes data on well contaminants, understanding of well testing results, environmental risk communication, and cancer screening intent among 100 rural well owners.
Author(s): Victoria Clower, Andrew Hansen, Jeff Jones, Asli Aslan
Citation: Preventive Medicine Reports, 70, 103620
Date: 10/2026
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Veterans Affairs Clinical Resource Hub Improve Access to Mental Health Services for Rural Veterans
Evaluates 627,436 telemental health service encounters over 5 years with rural veterans to determine the impact of 18 Clinical Resource Hubs on access to mental healthcare. Discusses how utilization of telemental health services increased over the 5 years, trends in modality types, and mental health diagnoses, in addition to other demographic characteristics.
Author(s): Erin Jaske, Chelle L. Wheat, Bradford Felker, et al.
Citation: Telemedicine and e-Health, 32(10), 995-1002
Date: 10/2026
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Evaluates 627,436 telemental health service encounters over 5 years with rural veterans to determine the impact of 18 Clinical Resource Hubs on access to mental healthcare. Discusses how utilization of telemental health services increased over the 5 years, trends in modality types, and mental health diagnoses, in addition to other demographic characteristics.
Author(s): Erin Jaske, Chelle L. Wheat, Bradford Felker, et al.
Citation: Telemedicine and e-Health, 32(10), 995-1002
Date: 10/2026
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Associations of Occupational Exposures on Environmental Allergies Among Farmers and Ranchers in the Central United States
Explores demographics and occupational exposures associated with allergies among farmers in 7 states. Notes public health implications based on study findings and highlights opportunities for further research.
Author(s): Alexandrea Welch, Cheryl Beseler, Yi Du, Shaun Cross, Risto H. Rautiainen
Citation: Journal of Agromedicine, 31(4), 530-540
Date: 10/2026
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Explores demographics and occupational exposures associated with allergies among farmers in 7 states. Notes public health implications based on study findings and highlights opportunities for further research.
Author(s): Alexandrea Welch, Cheryl Beseler, Yi Du, Shaun Cross, Risto H. Rautiainen
Citation: Journal of Agromedicine, 31(4), 530-540
Date: 10/2026
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Building a Robust Primary Care Workforce: Diffusing Lessons Across States
Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Blog post examining primary care workforce shortages in rural and underserved areas. Describes efforts by Missouri, North Carolina, and Wisconsin to develop and implement state-level graduate medical education strategies to increase their primary care workforce.
Author(s): Erin Fraher, Andreas Stomby
Date: 09/2026
Sponsoring organization: Milbank Memorial Fund
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Tribal Water Infrastructure: Opportunities Exist to Improve Federal Assistance
Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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Provides an overview of federal roles in tribal water infrastructure projects. Examines the extent to which the Indian Health Service (IHS) can fund water infrastructure for homes and buildings in a tribal community. Explores opportunities to streamline application processes and administrative requirements when IHS collaborates with other federal agencies. Describes the limited financial capacity some tribes have to operate and maintain their water infrastructure, and the potential effects of IHS providing financial assistance for these purposes. Presents recommendations for Congress and federal agencies, including the U.S. Department of Agriculture (USDA) and the Environmental Protection Agency (EPA).
Additional links: Full Report
Date: 09/2026
Sponsoring organization: Government Accountability Office
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A Community-Focused Rural Academic Health Department Model in North Carolina: Elevating Community Engagement, Rural Public Health Practice and Research
Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Examines the collaboration among a rural district health department, the local community in north-central North Carolina, and academic partnerships. Discusses the development of a rural academic health department (RAHD) and its work related to public health research and interventions in rural areas.
Author(s): Carmen D. Samuel-Hodge, Lisa Macon Harrison, Wendy Smith, et al.
Citation: Frontiers in Public Health, 14
Date: 09/2026
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Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth
Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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Explores the degree to which populated areas, including rural areas, lack the sufficient broadband infrastructure needed to support telehealth services, referred to as broadband deserts. Presents data on the number and percentage of rural residents who live in broadband deserts. Describes the intersection of broadband deserts with areas with limited access to prehospital ambulance services (ambulance deserts) and hospitals and clinics (healthcare deserts) by state.
Author(s): Celia Jewell, Heidi O'Connor, Thomas E. Griffin, et al.
Citation: JAMA Health Forum, 7(9), e263290
Date: 09/2026
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