The document summarizes best practices in rural health care presented at the 2010 Virginia Rural Health Summit. It identifies common barriers to rural health care access such as lack of providers and long distances. It then highlights exemplar programs in four areas - oral health, maternal/newborn health, behavioral health, and telemedicine. For each area, one or two programs are described that improved health outcomes through innovative models of service delivery. The document concludes with policy opportunities to advance rural health, such as improving Medicaid reimbursement and reforming regulations around dental hygienists and malpractice insurance.