Rural American Hospice Insights, published by the National Alliance for Care at Home (the Alliance) and Transcend Strategy Group, explores perceptions of hospice care among rural and small-town communities. This survey of 400 people is part of the Alliance’s commitment to health equity and to breaking down barriers to accessing hospice and home care through knowledge sharing, data collection, and collaborative discussion. Along with key research findings, the report offers recommendations for hospice providers to help increase understanding of hospice care and help overcome barriers to access.