Publications
Policy Briefs
2023
- COVID-19 Vaccination Rates Brief No. 2023-5
- Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program Brief No. 2023-4
- Medicare Advantage Enrollment Update 2022 Brief No. 2023-3
- Changes in Service Offerings Post-System Affiliation in Rural Hospitals Brief No. 2023-2
- COVID-19 Mortality Rates across Noncore, Micropolitan, and Metropolitan Counties by Community Characteristics, December 2020-January 2021 Brief No. 2023-1
2022
- Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22 Brief No. 2022-4
- Update on Rural Independently Owned Pharmacy Closures in the United States, 2003-2021 Brief No. 2022-3
- Medicare Beneficiary Access to Prescription Drugs in Rural Areas Brief No. 2022-2
- Rural and Urban Pharmacy Presence – Pharmacy Deserts Brief No. 2022-1
2021
- Medicare Advantage Enrollment Update 2021 Brief No. 2021-7
- COVID-19 Cases and Vaccination Rates Brief No. 2021-8
- Medicare Advantage Enrollment Update 2020 Brief No. 2021-6
- Sources of Insurance Coverage in Nonmetropolitan Areas: The Role of Public and Private Insurance Since 2009 Brief No. 2021-5
- Geographic Expansion of Medicaid Managed Care Organizations: Assessing Access to Primary Care in Nonmetropolitan Counties Brief No. 2021-4
- Availability of Supplemental Benefits in Medicare Advantage Plans in Rural and Urban Areas Brief No. 2021-3
- High-Functioning Rural Medicare ACOs - A Qualitiative Review Brief No. 2021-2
- Trends in Nursing Home Closures in Nonmetropolitan and Metropolitan Counties in the United States: 2008-2018 Brief No. 2021-1
2020
- Pharmacy Vaccination Service Availability in Nonmetropolitan Counties Brief No. 2020-10
- COVID-19 Cases and Deaths, Metropolitan and Nonmetropolitan Counties Over Time Brief No. 2020-9
- Medicare Advantage Enrollment Update 2019 Brief No. 2020-8
- Telepharmacy Rules and Statutes: A 3-Year Update for all 50 States Brief No. 2020-7
- Access to Medicare Part D Plans: A Comparison of Metropolitan and Nonmetropolitan Areas Brief No. 2020-5
- County-Level 14-Day COVID-19 Case Trajectories Brief No. 2020-6
- Metropolitan/Nonmetropolitan COVID-19 Confirmed Cases and General and ICU Beds Brief No. 2020-4
- Health Care Professional Workforce Composition before and after Rural Hospital Closure Brief No. 2020-3
- Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties Brief No. 2020-2
- Previous versions - Rural Hospital Participation in Medicare Accountable Care Organizations Brief No. 2020-1
2019
- Impact of the Medicare Disproportionate Share Hospital Payment Cap on Rural and Urban Hospitals Brief No. 2019-6
- Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016 Brief No. 2019-5
- Insurer Participation in Rural Health Insurance Marketplaces: Are Some Markets Intrinsically More Competitive Than Others? Brief No. 2019-4
- Primary Care Clinician Participation in the CMS Quality Payment Program Brief No. 2019-3
- Medicare Advantage Enrollment Update 2018 Brief No. 2019-2
- Comparing Rural and Urban Medicare Advantage Beneficiary Characteristics Brief No. 2019-1
2018
- Changes to the Merit-based Incentive Payment System Pertinent to Small and Rural Practices, 2018 Brief No. 2018-6
- Trends in Hospital System Affiliation, 2007-2016 Brief No. 2018-5
- Spread of Medicare Accountable Care Organizations in Rural America Brief No. 2018-4
- Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018 Brief No. 2018-3
- Update: Independently Owned Pharmacy Closures in Rural America, 2003-2018 Brief No. 2018-2
- Medicare Accountable Care Organization Growth in Rural America, 2014–2016 Brief No. 2018-1
- Supplemental Tables and Maps
2017
- Rural-Urban Enrollment in Part D Prescription Drug Plans: June 2017 Update Brief No. 2017-7
- Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals Brief No. 2017-6
- Medicare Advantage Enrollment Update - March 2017 Brief No. 2017-5
National and State Enrollment Tables and Maps - Telepharmacy Rules and Statutes: A 50-State Survey Brief No. 2017-4
- Supplemental Table - Issues Confronting Rural Pharmacies after a Decade of Medicare Part D Brief No. 2017-3
- Changing Rural and Urban Enrollment in State Medicaid Programs Brief No. 2017-2
- Rural Enrollment in Health Insurance Marketplaces, by State Brief No. 2017-1
2016
- Medicare Accountable Care Organizations: Quality Performance by Geographic Categories Brief No. 2016-6
- Spread of Accountable Care Organizations in Rural America Brief No. 2016-5
- Medicare Advantage Enrollment Update 2016 Brief No. 2016-4
- Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications Brief No. 2016-3
- Health Insurance Marketplaces: Premium Trends in Rural Areas Brief No. 2016-1
- Medicare Accountable Care Organizations: Beneficiary Assignment Update Brief No. 2016-2
2015
- Rural Medicare Advantage Plan Payment in 2015 Brief No. 2015-12
- Medicare Value-based Payment Reform: Priorities for Transforming Rural Health Systems A RUPRI Panel Brief
- Rural Enrollment in Health Insurance Marketplaces, by State Brief No. 2015-11
- Rural Enrollment in Health Insurance Marketplaces Brief No. 2015-10
- 2015: Rural Medicare Advantage Enrollment Update Brief No. 2015-9
- Characteristics of Rural Accountable Care Organizations (ACOs) – A Survey of Medicare ACOs with Rural Presence Brief No. 2015-8
- Health Insurance Marketplaces: Early Findings on Changes in Plan Availability and Premiums in Rural Places, 2014-2015 Brief No. 2015-7
- Characteristics of Rural Communities with a Sole, Independently Owned Pharmacy Brief No. 2015-6
- Hospital Views of Factors Affecting Telemedicine Use Brief No. 2015-5
- A Rural Taxonomy of Population and Health-Resource Characteristics Brief No. 2015-4
- Technical Report
- Maps and Tables - Developmental Strategies and Challenges of Rural Accountable Care Organizations Brief No. 2015-3
- Surgical Services in Critical Access Hospitals, 2011 Brief No. 2015-2
- Medicare Advantage Enrollment Update: March 2014 Brief No. 2015-1
2014
- Advancing the Transition to a High Performance Rural Health System
RUPRI Health Panel Paper
RUPRI Health Panel Brief - Geographic Variation in Premiums in Health Insurance Marketplaces Brief No. 2014-10
- Facilitating the Formation of Accountable Care Organizations in Rural Areas Brief No. 2014-9
- The Effect of Medicare Payment Policy Changes on Rural Primary Care Practice Revenue Brief No. 2014-8
- Supplemental table - Update: Independently Owned Pharmacy Closures in Rural America, 2003-2013 Brief No. 2014-7
- Trends in Hospital Network Participation and System Affiliation, 2007-2012 Brief No. 2014-6
- A Guide to Understanding the Variation in Premiums in Rural Health Insurance Marketplaces Brief No. 2014-5
- Extent of Telehealth Use in Rural and Urban Hospitals Brief No. 2014-4
- Medicare Accountable Care Organizations: Program Eligibility, Beneficiary Assignment, and Quality Measures Brief No. 2014-3
- The Uninsured: An Analysis by Age, Income, and Geography Brief No. 2014-2
- 2012 Rural Medicare Advantage Quality Ratings and Bonus Payments Brief No. 2014-1
2013
- Assessing the Impact of Rural Provider Service Mix on the Primary Care Incentive Payment Program Brief No. 2013-16
- Demographic and Economic Characteristics Associated with Sole County Pharmacy Closures, 2006-2010 Brief No. 2013-15
- Medicare Advantage Enrollment Update: March 2013 Brief No. 2013-14
- Causes and Consequences of Rural Pharmacy Closures: A Multi-Case Study Brief No. 2013-11
- The Frontier Extended Stay Clinic Model: A Potential Health Care Delivery Alternative for Small Rural Communities Brief No. 2013-9
Appendix - Accountable Care Organizations in Rural America Brief No. 2013-7
National and regional maps - The Uninsured: An Analysis by Income and Geography Brief No. 2013-6
- Rural Implications of the Primary Care Incentive Payment Program Brief No. 2013-5
- September 2012: Medicare Advantage Enrollment Update Brief No. 2013-3
- Rural MA Enrollment and Premium Update: June 2012 Brief No. 2013-2
- Rural Pharmacy Closures: Implications for Rural Communities: February 2013 Brief No. 2012-5
2012
- Update: Independently Owned Pharmacy Closures in Rural America: July 2012 Brief No. 2012-4
- Rural Medicare Advantage Enrollment Update Brief No. 2012-3
2011
- Rural Medicare Advantage Enrollment Update Brief No. 2011-8
- Patient-Centered Medical Home Services in 29 Rural Primary Care Practices: A Work in Progress Brief No. 2011-6
- Rural Hospital Charges Due to Ambulatory Care Sensitive Conditions in the United States, by Insurance Type, 2000-2004 Brief No. 2011-4
- Independently Owned Pharmacy Closures in Rural America, 2003-2010 Brief No. 2011-5
- Rural Medicare Advantage: Growth in PPOs Dominates the Rural MA Market in 2011 Brief No. 2011-3
- Use of Health Information Technology in Support of Patient-Centered Medical Homes is Low Among Non-Metropolitan Family Medicine Practices Brief No. 2011-2
- Medicare Beneficiary Access to Primary Care Physicians — Better in Rural, but Still Worrisome Brief No. 2011-1
2010
- Rural Medicare Advantage Enrollment Update Brief No. 2010-6
- Increases in Primary Care Physician Income due to the Patient Protection and Affordable Care Act of 2010 - Continued Tweaking of Physician Payment Brief No. 2010-2
- Rural Medicare Advantage: Modest Enrollment Growth in 2010 Brief No. 2010-5
- A Dramatic Shift Away from Private Fee-for-Service Plans in Rural Medicare Advantage Enrollment Brief No. 2010-3
- Rural Medicare Advantage Enrollment Grows 15% in 2009. Brief No. 2010-1