Healthcare Access in Rural Communities – Resources
Selected recent or important resources focusing on Healthcare Access in Rural Communities.
Rural Beneficiary Access to Medicare Advantage-Part D Plans
Policy brief updating RUPRI's analysis of Medicare Advantage-Part D plans (MA-PDs) including enhanced benefit plan availability and differences in characteristics across metropolitan, micropolitan, and noncore areas. Features statistics including number of MA-PDs and stand-alone prescription drug plans (PDPs), average monthly premium costs, and availability in metropolitan, micropolitan, and noncore areas from 2008-2023.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 08/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief updating RUPRI's analysis of Medicare Advantage-Part D plans (MA-PDs) including enhanced benefit plan availability and differences in characteristics across metropolitan, micropolitan, and noncore areas. Features statistics including number of MA-PDs and stand-alone prescription drug plans (PDPs), average monthly premium costs, and availability in metropolitan, micropolitan, and noncore areas from 2008-2023.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 08/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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End-Stage Renal Disease Treatment Choices (ETC) Model: Third Annual Evaluation Report, Calendar Years 2021-2023
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, The Lewin Group
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Supply, Distribution, and Access to Cardiologists, Oncologists, and Pulmonologists in the Rural and Urban U.S.
Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the changes in the supply and demand of four specialists - cardiologists, neurologists, oncologists, and pulmonologists - between 2012 and 2022. Compares data on the ratio of these specialists per 100,000 population across urban, large rural, and small/isolated rural areas. Explores the socioeconomic characteristics of rural counties with and without one of these specialists in 2022. Summarizes perspectives of rural health system leaders on how specialty care is accessed by and delivered to rural patients.
Author(s): Signe Burchim, David Evans, Nathan Maris, et al.
Date: 08/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Cancer in Rural America: Improving Access to Clinical Trials and Quality of Oncologic Care
Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Discusses the importance of rural populations accessing oncologic clinical trials to decrease cancer morbidity and mortality rates in rural areas. Provides rural versus urban patient data on distance from trial sites as well as prevalence of chronic disease. Suggests strategies and policies to improve access to clinical trials.
Author(s): Joseph M. Unger, Barbara L. McAneny, Raymond U. Osarogiagbon
Citation: CA: A Cancer Journal for Clinicians, 75(4), 341-361
Date: 07/2025
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Mapping Healthcare Deserts: Over 80% of the Country Still Lacks Adequate Access to Healthcare
Provides information on healthcare and pharmacy deserts in the United States. Includes an interactive county-level U.S. map that shows healthcare deserts in the following categories: pharmacy, primary care, hospital, hospital beds, trauma center, and health center.
Author(s): Amanda Nguyen
Date: 07/2025
Sponsoring organization: GoodRx
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Provides information on healthcare and pharmacy deserts in the United States. Includes an interactive county-level U.S. map that shows healthcare deserts in the following categories: pharmacy, primary care, hospital, hospital beds, trauma center, and health center.
Author(s): Amanda Nguyen
Date: 07/2025
Sponsoring organization: GoodRx
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Most Medicare Advantage Markets are Dominated by One or Two Insurers
Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Adult Ratings of Neighborhood Medical Care Availability in Nonmetropolitan and Metropolitan Areas, United States 2021
Statistical brief examining perceptions of medical care availability and quality in nonmetropolitan and metropolitan areas, utilizing 2021 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Includes data breakdowns by level of rurality and age group, insurance status, physical health status, and more.
Author(s): Sandra L. Decker, Xue Wu
Date: 07/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Statistical brief examining perceptions of medical care availability and quality in nonmetropolitan and metropolitan areas, utilizing 2021 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Includes data breakdowns by level of rurality and age group, insurance status, physical health status, and more.
Author(s): Sandra L. Decker, Xue Wu
Date: 07/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Patient-Centered Medical Homes: How the Federally Supported Model Minimizes Healthcare Access Disparities for Older Adults in Rural Areas
Examines the impact of the Patient-Centered Medical Home (PCMH) model on healthcare access in the southern United States. Utilizes data from 746 older adults to analyze access to healthcare, with breakdowns according to PCMH use, demographics, and rural versus urban location.
Author(s): Elisa M. Childs, Orion Mowbray
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 06/2025
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Examines the impact of the Patient-Centered Medical Home (PCMH) model on healthcare access in the southern United States. Utilizes data from 746 older adults to analyze access to healthcare, with breakdowns according to PCMH use, demographics, and rural versus urban location.
Author(s): Elisa M. Childs, Orion Mowbray
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 06/2025
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