Rural Health Information Hub Latest News

Supporting Rural Older Adults in Home and Community-Based Settings: Perspectives from Area Agencies on Aging

Area Agencies on Aging (AAAs) are state-designated public or private non-profit agencies that cover a specified region to provide and coordinate support services for older adults, people with disabilities, and caregivers. Services provided by AAAs include transportation, needs assessment and care planning, homemaking, case management, nutrition, personal care assistance, chore services, home modification and repair, older adult education and programming, and many other essential programs for older adults.

This policy brief examines the needs of older adults living in rural communities who are homebound by sharing findings from a listening session of rural-serving AAAs. 

Expanding, Sustaining Rural Clinical Education: Perspectives from Health Professions Education Leaders

Rural clinical education, which consistently strengthens students’ intention to pursue rural careers and increases the likelihood of long-term rural practice, can help address rural health care workforce shortages.

This qualitative study explores strategies to sustain and expand rural clinical education, drawing on interviews with 21 rural clinical education leaders, conducted in early 2025, from organizations that support health professions education in rural and underserved communities. 

Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans

This brief explores the interplay of Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACO).

MA enrollees are not eligible for such ACO attribution, and both payment models are drawn from the same pool of Medicare beneficiaries. As the number of beneficiaries not participating in either is shrinking, it is important to understand how the growth (or shrinkage) in one model influences participation in the other.  

RMOMS 2021 Cohort Report Highlights Progress in Expanding Rural Maternal Health Care

The Rural Maternity and Obstetrics Management Strategies (RMOMS) 2021 Cohort Final Report summarizes the results of three rural maternal health networks funded by the Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP) from September 2021 through August 2025.

The report describes how networks in Minnesota, Missouri, and West Virginia expanded access to maternity care through telehealth, remote patient monitoring, patient navigation, group prenatal care, doula services, and other innovative strategies designed to address provider shortages and transportation barriers in rural communities. The networks served more than 8,600 women during the implementation period and reported improvements in first-trimester prenatal care, postpartum visit utilization, and infant health outcomes while establishing network models of care intended to continue after federal funding ends. The report also identifies strategies used by RMOMS networks that may help inform efforts to improve maternal and infant health in rural areas.

Visit ruralmaternaldata.org for more resources from the RMOMS program.

CMS Proposes Updates to Medicare Physician Fee Schedule Payments for CY 2027

This proposed rule from the Centers for Medicare & Medicaid Services (CMS), issued on July 14, 2026, seeks public comment on payment updates and policy changes to Medicare’s physician fee schedule payments and includes other proposals affecting Medicare beneficiaries.

As required by statute, in 2026 CMS is implementing two separate conversion factors, one for participants of qualifying alternative payment models (APMs) and one for providers not participating. The proposed conversion factor for 2027 projects a decrease of –1.19% for APM providers, and a decrease of –1.68% for non-participant providers. Additionally, CMS is proposing to limit billing of remote patient monitoring services (RPMs) to clinical staff of a practice, no longer allowing billing for RPMs performed by third party contractors or vendors.

CMS also proposes to change the office/outpatient evaluation and management (O/O E/M) visit complexity add-on code, HCPCS code G2211, to a modifier appended to E/M base codes that will increase the payment by 16%. CMS is proposing a second modifier code only available to participants in the Medicare Shared Savings Program (MSSP) and LEAD ACO model that will increase the value of the base E/M code by 32%, among other major changes to the Medicare Shared Savings Program. CMS is proposing major changes to how practice expenses are calculated, a reduction of payments to evaluation and management (E/M) services billed on the same day as a global procedure, and new codes for advanced care planning.

Comment by September 14.

CMS Issues Draft Guidance for 2028 Medicare Drug Price Negotiation Program

The Centers for Medicare & Medicaid Services (CMS) seeks comments on draft guidance describing how manufacturers will implement negotiated Maximum Fair Prices (MFPs) for Medicare Part B and Part D drugs beginning in 2028, including new operational requirements affecting hospitals, physicians, and other Part B providers.

CMS will issue final guidance later this year setting forth CMS’s final policies on the issues discussed in this draft guidance.

Comment by September 18.

MedPAC Releases 2026 Medicare Data Book

The Medicare Payment Advisory Commission (MedPAC), an independent congressional advisory agency, released its July 2026 Data Book: Health Care Spending and the Medicare Program.

This annual publication compiles the latest available data on national health care spending, Medicare enrollment, beneficiary demographics, supplemental coverage, Medicare Advantage, prescription drugs, post-acute care, physician services, hospitals, and other components of the Medicare program.  It examines several key data points by urban/rural residence of the beneficiary.

Finding Evidence-Based Interventions for OUD and Pain

This interactive platform guides users through proven interventions, from chiropractic care and cognitive behavioral therapy for chronic pain to medications for opioid use disorder like buprenorphine, methadone, and naloxone.

Each intervention module delivers practical insights, including potential barriers and facilitators for implementing the intervention, strategies to overcome the barriers, cost considerations, key health outcomes, and emerging research directions.  The Evidence-Based Navigator Tool was designed by the HEAL Data2Action (HD2A) Research Adoption Support Center (RASC), a specialized support hub funded by the National Institutes of Health to improve the real-world application, scalability, and sustainability of evidence-based practices for opioid use disorder (OUD) and pain management.  HEAL is the NIH Helping to End Addiction Long-Term initiative, a federally funded effort to speed scientific solutions to the national opioid public health crisis.