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The Rural Health Research Gateway provides easy and timely access to all of the research and findings of federally-funded Rural Health Research Centers.

Significant growth in both Medicare Shared Savings Program Accountable Care Organizations (ACO) assignment and Medicare ...
10/16/2026

Significant growth in both Medicare Shared Savings Program Accountable Care Organizations (ACO) assignment and Medicare Advantage (MA) enrollment occurred between 2013 and 2023. ACO assignment grew from 3.2 million to 9.9 million beneficiaries, more than tripling (206 percent growth), while MA enrollment increased from 14.0 million to 30.7 million beneficiaries, more than doubling (120 percent growth).

https://ow.ly/aBI950ZWuHW

Summary and citation information for the document Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans, produced by RUPRI Center for Rural Health Policy Analysis.

The majority of rural children did not receive two dental cleanings per year as recommended by the American Academy of P...
10/14/2026

The majority of rural children did not receive two dental cleanings per year as recommended by the American Academy of Pediatric Dentistry (2021: 85.9%, 2022: 78.8%). Most suburban (2021: 86.4%, 2022: 79.0%) and urban children (2021: 86.8%, 2022: 79.6%) did not receive two dental cleanings per year.

https://ow.ly/IYU750ZWuFZ

Summary and citation information for the document Rural vs. Urban Patterns of Dental Care Services and Outcomes Among Medicaid-Enrolled Children in Early Childhood, produced by University of South Carolina Rural Health Research Center.

Rural clinical education leaders suggested that graduate and undergraduate health professions education programs are exp...
10/12/2026

Rural clinical education leaders suggested that graduate and undergraduate health professions education programs are expanding faster than rural clinical education capacity, leading to intense competition for limited clinical placements.

https://ow.ly/MSB350ZWuC5

Summary and citation information for the document Expanding and Sustaining Rural Clinical Education: Perspectives From Health Professions Education Leaders, produced by WWAMI Rural Health Research Center.

🚨Rural Health Research Alert🚨"Regional Highlights: Changes in Hospital-Based Obstetric Care in the U.S., 2010-2024"The p...
10/05/2026

🚨Rural Health Research Alert🚨

"Regional Highlights: Changes in Hospital-Based Obstetric Care in the U.S., 2010-2024"

The purpose of this report is to provide highlights of hospital-level changes in obstetric care availability across the four U.S. Census regions, both over time (2010-2024) and in the most recent year of data available (2024).

Key Findings:

• Both urban and rural hospitals saw losses of obstetric services in all U.S. Census regions from 2010 to 2024. Among urban hospitals, the percent without obstetric services increased fairly consistently across U.S. regions from 2010 to 2024, while rural hospitals saw much greater regional variation.
• Rural hospitals in the South consistently had the greatest percentage of hospitals without obstetric services, increasing from half (50.1%, 367/733) of all rural hospitals in 2010 to over 6 out of every 10 hospitals (64.2%, 484/754) without services in 2024.
• Within each region, obstetric services availability varied across states between 2010 and 2024, and while many states saw increased challenges in obstetric services availability, a few states had minimal losses or gained services during this time.

https://ow.ly/cwJN50ZUw8N
University of Minnesota Rural Health Research Center

Summary and citation information for the document Regional Highlights: Changes in Hospital-Based Obstetric Care in the U.S., 2010-2024, produced by Rural Maternal Health Data Support and Analysis Program, University of Minnesota Rural Health Research Center.

This study examined teaching trends among early career family physicians from 2016-2023. Rural physicians were more like...
10/05/2026

This study examined teaching trends among early career family physicians from 2016-2023. Rural physicians were more likely than urban physicians to teach health professions students, but teaching of advanced practice professional students declined over time. Understanding and reversing this trend will be critical to strengthening the rural health workforce. From the WWAMI Rural Health Research Center.

https://www.ruralhealthresearch.org/publications/1821

Summary and citation information for the document Trends in Rural and Urban Family Physician Teaching of Health Professions Students and Residents, produced by WWAMI Rural Health Research Center.

In this paper, using data from the Centers for Disease Control and Prevention and the American College of Nurse Midwives...
10/01/2026

In this paper, using data from the Centers for Disease Control and Prevention and the American College of Nurse Midwives, we examine the role of state-level policy regarding midwifery practice capacity and midwife-attended births for rural and urban residents. From the University of Minnesota Rural Health Research Center.

https://ow.ly/HJpy50ZOSuO

Summary and citation information for the document State Midwifery Full Practice Authority Policies and Midwife-Attended Births Among Rural and Urban U.S. Residents, produced by University of Minnesota Rural Health Research Center.

From 2010 to 2024, 718 US hospitals lost labor and delivery services, according to a recent overview from the University...
09/30/2026

From 2010 to 2024, 718 US hospitals lost labor and delivery services, according to a recent overview from the University of Minnesota’s Rural Health Research Center. In that time frame, the percentage of hospitals without obstetric units increased from 34.8% to 49.1%, the researchers found.

“Policies that address the financial pressures of providing obstetric care, particularly at hospitals with lower birth volumes, along with approaches that help hospitals share resources and sustain essential services, could help prevent further losses,” Julia Interrante, research fellow at the University of Minnesota Rural Health Research Center, added.

https://ow.ly/bvSo50ZSOUe
Healthcare Brew

And more could shutter their obstetric units in the face of Medicaid cuts.

In January 2024, new reimbursement policies took effect, allowing marriage and family therapists and mental health couns...
09/29/2026

In January 2024, new reimbursement policies took effect, allowing marriage and family therapists and mental health counselors to independently bill Medicare for diagnostic and mental health treatment services. This study sought to understand how and whether these policy changes have impacted access to mental health services among rural Medicare beneficiaries. From the WWAMI Rural Health Research Center.

https://ow.ly/chVf50ZOSrr

Summary and citation information for the document How Do Changes in Medicare Reimbursement for Mental Health Services Impact Access for Rural Older Adults?, produced by WWAMI Rural Health Research Center.

A comparison of National 2021-2024 data of diagnosed diabetes among rural and urban adults across multiple socioeconomic...
09/25/2026

A comparison of National 2021-2024 data of diagnosed diabetes among rural and urban adults across multiple socioeconomic groups confirms the need for public health strategies tailored to both rural and urban communities, and within rural communities, across sociodemographic groups. From the University of South Carolina Rural Health Research Center.

https://ow.ly/bIBk50ZOSjM

Summary and citation information for the document Geographic and Sociodemographic Patterns in Prevalence of Diagnosed Diabetes, U.S., 2021–2024, produced by University of South Carolina Rural Health Research Center.

Between 2010 and 2024, 718 U.S. hospitals lost obstetric services through unit closure or full hospital closure. By 2024...
09/24/2026

Between 2010 and 2024, 718 U.S. hospitals lost obstetric services through unit closure or full hospital closure. By 2024, 49.1% of all hospitals in the country were without obstetric care, counting both those that closed units and those that never offered the service. In 2010, that figure was 34.8%.

https://ow.ly/6Y6A50ZPhur

A University of Minnesota report finds that 42 of 67 recent obstetric closures were urban hospitals, and 49.1% of all U.S. hospitals now lack the service.

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