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Top news stories from the past 60 days. For more, see news by topic or news by state.

Rural America Faces A Crisis In 'Adequate Housing'
Aug 11, 2018 - Highlights the housing shortage in a rural Nebraska town to shed light on the issue nationally. Lack of adequate housing in rural areas impacts the ability of rural communities to attract new industries and retain the ones they have. Part of this is recruitment and retention of employees, which is a concern for this town's hospital.
Source: NPR
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CMS Proposes “Pathways to Success,” an Overhaul of Medicare’s ACO Program
Aug 9, 2018 - The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would overhaul the Medicare Shared Savings Program. This program, established by the Affordable Care Act, is the program through which most of Medicare's Accountable Care Organizations (ACOs) operate. Presently, for the first six years ACOs receive a shared savings payment from CMS when they keep costs down, but do not have to pay taxpayers back when costs are high, allowing them to transition to a new service delivery model without risk. The proposed rule would reduce the amount of time that an ACO can remain in the program without taking on risk in an effort to discourage market consolidation which may reduce choices for patients and increase costs. Comments are being accepted through October 16, 2018.
Source: Centers for Medicare and Medicaid Services
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Rural Hospital Closures Climb Quickly to Eighty-Seven
Aug 8, 2018 - Blog post from the National Rural Health Association highlighting recent hospital closures across the country, bringing the total number of closures since 2010 to 87. With yet another closure on the horizon some areas of the country are left with even larger access issues than ever before.
Source: Rural Health Voices
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Rural Health Disparities in HIV Testing Found in the United States
Aug 7, 2018 - Highlights recent research published in Sexually Transmitted Diseases which found that rural residents have lower rates of testing for HIV, both in the previous year and over their lifetime. Also examined differences in testing locations (clinic, hospital, or doctor's office) between rural and urban residents.
Source: Infectious Disease Advisor
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Special Emphasis Notice (SEN): AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis
Aug 2, 2018 - Agency for Healthcare Research and Quality (AHRQ) has a number of research grant opportunities opening in the coming months with a focus on ways to advance our nation's understanding of the opioids crisis and provide solutions for addressing it.
Source: Agency for Healthcare Research and Quality
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National Academy of Medicine Launches Action Collaborative to Counter Opioid Epidemic; Public-Private Partnership Will Coordinate Initiatives Across Sectors to Drive Collective Solutions
Aug 1, 2018 - The National Academy of Medicine (NAM), in partnership with the Aspen Institute, has launched a public-private partnership of more than 35 organizations committed to sharing knowledge, aligning ongoing initiatives, and addressing complex challenges related to the opioid crisis. The NAM Action Collaborative on Countering the U.S. Opioid Epidemic will establish shared priorities, identify unmet needs, and develop and disseminate evidence-based, multi-sector solutions to reduce rates of opioid misuse and improve outcomes.
Source: National Academy of Medicine
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Overcoming Payment Challenges to Realize the Promise of Telehealth
Jul 31, 2018 - The National Academy for State Health Policy’s (NASHP) Patient-Centered Outcomes Research Workgroup is exploring what new state policies and funding may be needed to implement more telehealth services across all states.
Source: National Academy for State Health Policy
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PCORI-Funded Projects Aim to Use Telehealth to Address Disparities
Jul 31, 2018 - Blog post from the Patient-Centered Outcomes Research Institute (PCORI) highlighting 3 of PCORI's 70 telehealth studies aiming to address health and healthcare disparities. Two of the three studies highlighted here are rural, focused on hearing loss in rural Alaska and using different telehealth strategies to provide mental healthcare in rural areas of Arkansas, Michigan, and Washington. Also includes information on PCORI's telehealth research more generally.
Source: Patient-Centered Outcomes Research Institute
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USDA Encourages Rural Communities, Water Districts to Apply for Loans to Improve, Rebuild Infrastructure; $4 Billion Available
Jul 31, 2018 - The U.S. Department of Agriculture (USDA) announced up to $4 billion in funding available through its Water and Waste Disposal Loan and Grant program to finance drinking water, storm water drainage, and waste disposal systems for rural communities with ten thousand or fewer residents. Eligible rural communities and water districts can apply online for funding to maintain, modernize, or build these systems through the interactive RD Apply tool or they can apply through one of the USDA Rural Development's state or field offices.
Source: U.S. Department of Agriculture
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CMS: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program Federal Register
Jul 27, 2018 - Notice of proposed rule from the Centers for Medicare and Medicaid Services making changes to the Medicare Physician Fee Schedule and other Medicare Part B payment policies. Provides information on payment for rural facilities and providers throughout. Comments on the proposed rule are due by September 10, 2018.
Source: Federal Register
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Udall Fights to Improve VA Services for Native American Veterans
Jul 26, 2018 - Announces bipartisan legislation to be introduced this week by U.S. Senators Tom Udall (D-NM), Jon Tester (D-MT), and Dan Sullivan (R-AK) aimed at improving Veterans Affairs (VA) outreach, healthcare, and benefits for Native American veterans. This legislation will establish a VA Advisory Committee on Tribal and Indian Affairs to facilitate communication between the VA and tribal governments to address barriers faced by Native American veterans in accessing VA services.
Source: United States Senate Committee on Indian Affairs
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CMS Empowers Patients and Ensures Site-Neutral Payment in Proposed Rule
Jul 25, 2018 - The Centers for Medicare and Medicaid Services (CMS) issues proposed changes to policies in the CY 2019 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System as well as a Request for Information on how to best develop a model to strengthen negotiations for prescription drugs.
Source: Centers for Medicare and Medicaid Services
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Federal Commission on School Safety's Second Field Visit Explores Behavioral Health Integration in Schools
Jul 25, 2018 - The Federal Commission on School Safety (FCSS) held its second field visit to a middle school in rural Wisconsin. The focus of the visit is the state's mental health framework which enables local school districts to provide integrated behavioral health best practices to students. The visit included two panels explaining the process and positive impact of this integration.
Source: U.S. Department of Health and Human Services
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HHS: Secretarial Review and Publication of the National Quality Forum 2017 Annual Report to Congress and the Secretary of the Department of Health and Human Services Submitted by the Consensus-Based Entity Regarding Performance Measurement Federal Register
Jul 25, 2018 - Notice from the Department of Health and Human Services acknowledging that the Secretary has received and reviewed the 2017 National Quality Forum (NQF) Annual Report. The Secretary's comments are included in section II of the notice, including the response to NQF's work in addressing challenges faced by rural communities when implementing certain quality measures.
Source: Federal Register
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A Forgotten Health Crisis in Navajo Lands
Jul 24, 2018 - Discusses disparities on the Navajo Nation reservation, including a lack of infrastructure like reliable roads, electricity, cell or landline phone service, and running water. They also have more substandard housing than any tribal lands in the country, with homes often lacking heat, windows, or proper roofs.
Source: Center for Health Journalism
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CMS Adopts the Methodology for the Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act for the 2017 Benefit Year
Jul 24, 2018 - The Centers for Medicare and Medicaid Services (CMS) issued a final rule that reissues the risk adjustment methodology the CMS previously established for transfers related to the 2017 benefit year with additional explanation. This rule will allow for the continued operation of the risk adjustment program.
Source: Centers for Medicare and Medicaid Services
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HRSA Recognizes Success of Rural Quality Improvement Projects
Jul 24, 2018 - The Federal Office of Rural Health Policy (FORHP) recognized 13 organizations through the Small Health Care Provider Quality Program for their work advancing the quality and delivery of rural healthcare, including improving health outcomes related to chronic disease. These organizations are being recognized for work across six categories.
Source: Federal Office of Rural Health Policy
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The IHS Launches New Opioids Website
Jul 20, 2018 - Blog post from the Indian Health Services (IHS) on the launch of their new IHS opioid website. The website aims to provide one location for patients, healthcare providers, tribal leaders, tribal and urban program administrators, and other community members to access opioid-related resources. Also touches on the National Committee on Heroin, Opioids and Pain Efforts (HOPE Committee), which is a multidisciplinary team of healthcare professionals across IHS working to promote appropriate and effective pain management, reduce overdose deaths from opioid misuse, and improve access to culturally appropriate treatment.
Source: Indian Health Service Blog
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Black Lung Rate Hits 25-Year High In Appalachian Coal Mining States
Jul 19, 2018 - Details the results of a recent study tracking black lung disease. One in five working coal miners who have worked at least 25 years now suffer from the disease. This is the highest rate in a quarter century. The most severe form of the disease, progressive massive fibrosis, now occurs in five percent of veteran miners in the region, which is the highest rate ever recorded.
Source: NPR
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Restricting Who Gets an Organ Transplant
Jul 19, 2018 - Included among the criteria to receive an organ transplant is social support via friends and family, despite limited evidence that it contributes significantly to the success of a transplant. New research has found that more clinicians reported using this criterion than reported supporting it. One in four thought it was an unfair standard. The concern is not only that there isn't evidence to support this criterion, but that it is subjective and vulnerable to bias. Research also shows that it disproportionately affects people of color, people with low incomes, and people living in rural areas.
Source: TuftsNow
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Journal of Rural Health Call for Submissions - Integration of U.S. Rural Oral Health Care Into Primary Care
Jul 19, 2018 - The Journal of Rural Health (JRH) is soliciting articles on rural oral healthcare for a special section of an upcoming issue. Topics may include access to or quality of care, integration into primary care, and innovation in reimbursement or collaboration models, among other things. The deadline for submission is August 15, 2018.
Source: Journal of Rural Health
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A Conversation with Kate Hill
Jul 17, 2018 - Radio interview with Kate Hill, a registered nurse and the Vice President of Clinical Services at The Compliance Team (TCT) where she directs their Rural Health Clinic Accreditation program. Discussion includes the work of TCT and how accreditation works, among other things.
Source: Rural Health Leadership Radio
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'People Are Literally Being Poisoned': How Sewage Problems in Alabama Got So Bad -- and Why Other States Should Worry
Jul 17, 2018 - Discusses the lack of waste disposal infrastructure in Alabama and the discovery that a number of rural residents whose homes are not attached to municipal sewer systems may have tropical diseases. Touches on the barriers to addressing the infrastructure problem, including problems faced by people who do have septic systems or who are attached to the sewer system. Also references other places with similar problems related to waste disposal infrastructure, including Native American reservations, where fewer than half of homes are connected to sewers. What these areas have in common is that they tend to already be poor and populated by members of marginalized groups.
Source: Governing
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It’s 4 A.M. The Baby’s Coming. But the Hospital Is 100 Miles Away.
Jul 17, 2018 - Discusses the lack of access to obstetric care in much of the rural areas of the county, focusing on a community in Missouri where the local hospital recently closed and many surrounding hospitals have closed their obstetrics units, making the distance to care significant. Also touches on the impact to a rural community when it loses a hospital and when it loses this specific kind of care. (May require subscription to view full article.)
Source: The New York Times
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USDA Partners to Improve Rural Water Infrastructure for Nearly 250,000 People in 103 Communities
Jul 16, 2018 - The U.S. Department of Agriculture (USDA) announced that it is investing $267 million to upgrade water and wastewater systems in rural communities. These investments will be made through 103 infrastructure projects in 35 states through the Water and Waste Disposal Loan and Grant program.
Source: U.S. Department of Agriculture
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Mobile Food Banks Roll to Isolated, Rural Poor
Jul 16, 2018 - Highlights the work of the West Alabama Food Bank's mobile pantry which delivers food to people in nine rural counties in Alabama, many poor, aging, or disabled. With poverty levels higher in rural areas than in urban, food insecurity concentrated in rural areas, and more limited transportation options in rural areas, mobile food pantries are an attempt to bridge the gap.
Source: Stateline, Pew Charitable Trusts
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CMS Proposes Historic Changes to Modernize Medicare and Restore the Doctor-Patient Relationship
Jul 12, 2018 - The Centers for Medicare and Medicaid Services (CMS) released proposed rule changes to the Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) in an effort to increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork and use electronic health records (EHRs) to document clinically meaningful information in addition to information related to billing. These proposals would also modernize Medicare payment policies to promote access to virtual care and make changes to quality reporting requirements to focus on measures that most significantly impact health outcomes, among other things.
Source: Centers for Medicare and Medicaid Services
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Commissioner Carr Announces $100 Million ‘Connected Care Pilot Program’
Jul 11, 2018 - The Federal Communications Commission (FCC) has announced that they will seek to establish a new $100 million "Connected Care Pilot Program" to support telehealth for low-income Americans, especially veterans and those living in rural areas. Investments in chronic care have resulted in substantial savings, particularly in the management of chronic diseases.
Source: Federal Communications Commission
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CMS Proposes Rule Change to Protect Medicaid Provider Payments
Jul 10, 2018 - The Centers for Medicare and Medicaid Services (CMS) released a proposed rule change to the Medicaid Provider Reassignment regulation. In 2014, this regulation was revised with a new exception authorizing the state to divert Medicaid payments to third parties to fund other costs on behalf of providers. This rule would eliminate that exception in an effort to ensure that taxpayer dollars dedicated to providing healthcare services for low-income patients are not diverted inappropriately. CMS is accepting comments on this proposed rule change.
Source: Centers for Medicare and Medicaid Services
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Partnering to Bring Hope to Rural Communities in Crisis
Jul 9, 2018 - Discussion of takeaways from the recent rural opioid misuse roundtables by Anne Hazlett, Assistant to the Secretary for Rural Development (RD) at the U.S. Department of Agriculture (USDA), who traveled to a number of states to facilitate these conversations. Includes impacts of the opioid epidemic as well as resources to help rural communities address the crisis.
Source: National Association of Counties
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Statement by FDA Commissioner Scott Gottlieb, M.D., On Balancing Access to Appropriate Treatment for Patients with Chronic and End-of-life Pain with Need to Take Steps to Stem Misuse and Abuse of Opioids
Jul 9, 2018 - Statement from Scott Gottlieb, M.D., Commissioner of the U.S. Food and Drug Administration. Discusses the difficulty of balancing the needs of patients with chronic pain or coping with pain at the end of life with efforts to address the opioid epidemic. Includes steps the FDA is taking to strike that balance.
Source: U.S. Food and Drug Administration
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CMS Aiding Small, Rural Practices Can Improve MIPS Participation
Jul 6, 2018 - Details a recent report from the Government Accountability Office (GAO) which found that small and rural practices are more likely to struggle with Merit-based Incentive Payment System (MIPS) participation, because of challenges related to legacy program requirements, a lack of financial and staff resources, and technology issues.
Source: EHR Intelligence
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CMS Takes Action to Modernize Medicare Home Health
Jul 2, 2018 - The Centers for Medicare and Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System. These changes aim to improve outcomes with remote patient monitoring technology and updates to the payment model for home health care. These updates include, among other things, allowing the cost of remote patient monitoring to be reported by home health agencies as allowable costs and implementing a new Patient-Driven Groupings Model (PDGM) for home health payments, with units of payment based not on the number of therapy visits but on 30-day periods of care.
Source: Centers for Medicare and Medicaid Services
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HRSA: Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas Federal Register
Jul 2, 2018 - The Health Resources and Services Administration announces the availability of the complete lists of all geographic areas, population groups, and facilities designated as primary care, mental health, and/or dental care Health Professional Shortage Areas (HPSAs). Lists are available on the HPSA Find website and are current as of May 1, 2018.
Source: Federal Register
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NIH-Funded Scientists Put Socioeconomic Data on the Map
Jun 29, 2018 - A new tool developed by scientists funded by the National Institutes of Health (NIH) provides local level socioeconomic data on a map. The Neighborhood Atlas uses the 17 measures of education, housing quality, and poverty, updated with current American Community Survey data. It is built so that it can be merged with other data sources to foster better understanding of how neighborhood disadvantage impacts health.
Source: National Institutes of Health
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CMS Advances Demonstration to Waive MIPS Requirements for Clinicians in Certain At-Risk Medicare Advantage Plans
Jun 29, 2018 - The Centers for Medicare and Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration. This would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare advantage plans that involve taking on risk.
Source: Centers for Medicare and Medicaid Services
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'Fundamental Shift' Needed To Protect Miners From Deadly Black Lung
Jun 28, 2018 - Details a report from the National Academies of Sciences, Engineering, and Medicine (NASEM) which found that new and tougher rules to protect coal miners from the coal and silica dust that causes black lung disease may not be enough. More than compliance is needed, according to this study, to address the fact that Central Appalachia has the highest rates of this disease in 25 years.
Source: NPR
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HRSA Needs New and Experienced Grant Reviewers
Jun 28, 2018 - The Health Resources and Services Administration (HRSA) is seeking experienced grant reviewers with expertise in health professions training, HIV/AIDS, maternal and child health service, organ donation/transplantation, primary care for underserved populations, and rural healthcare.
Source: Grant Solutions
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Myths and Opportunities: What's Happening in Rural Philanthropy?
Jun 26, 2018 - Discusses the differences between rural and urban philanthropy, touching on some misconceptions larger foundations may have about philanthropy in rural areas. Discusses some of the philanthropic work being done in rural communities across the country, and the ways that larger foundations could have an impact and expand their reach into rural areas.
Source: Inside Philanthropy
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A Conversation with Darrold Bertsch
Jun 26, 2018 - Radio interview with Darrold Bertsch, CEO of Sakakawea Medical Center, a Critical Access Hospital, and Coal Country Community Health Center, a Federally Qualified Health Center, both in rural North Dakota. Discussion includes the work of these two facilities, difficulties related to recruitment and retention, and Accountable Care Organizations (ACOs), among other things.
Source: Rural Health Leadership Radio
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CMS Announces Initiatives to Strengthen Medicaid Program Integrity
Jun 26, 2018 - The Centers for Medicare and Medicaid Services (CMS) have announced new initiatives to improve transparency and accountability in the Medicaid program. These initiatives also seek to strengthen data and provide innovative analytic tools. New initiatives include auditing of state claims for federal match funds and medical loss ratios, and audits of state beneficiary eligibility determinations, among other things.
Source: Centers for Medicare and Medicaid Services
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FCC Boosts Funding For Rural Health Care Program
Jun 25, 2018 - The Federal Communications Commission (FCC) has increased the annual cap on the Rural Health Care Program's spending by nearly 43%, to $571 million. This will reverse across-the-board spending cuts for the current funding year imposed by the old cap.
Source: Federal Communications Commission
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Translational Research on Caregiving to Improve Outcomes of Care Recipients and Caregivers, Call for Papers: Innovation In Aging (Special Issue)
Jun 25, 2018 - Innovation in Aging has released a Call for Papers for a special issue seeking to address the need for a more timely translation of scientific discovery to develop methods, interventions, and treatments to improve the everyday lived experiences of caregivers and care recipients. Abstracts are due by August 1, 2018.
Source: The Gerontological Society of America
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When an Iowa Family Doctor Takes On the Opioid Epidemic
Jun 23, 2018 - Highlights a doctor in rural Iowa who worked to provide medication-assisted treatment for opioid use disorder in her community. Touches on the effort that went into being able to offer this kind of treatment and the barriers that were faced along the way, including stigma among medical professionals.
Source: The New York Times
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CMS Launches Data Element Library Supporting Interoperability
Jun 21, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced a new database that supports the exchange of electronic health information. Using the Data Element Library, the public can view the specific types of data that CMS requires post-acute facilities to collect as part of the health assessment of their patients. It also includes health information technology standards that support the collection of health information, with the ultimate goal of making it easier to share electronic health information between providers.
Source: Centers for Medicare and Medicaid Services
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SAMHSA Accepting Applications for up to $50 Million to Help Tribes Address Opioid Crisis
Jun 21, 2018 - The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for up to $50 million to fund prevention, treatment, and recovery activities. These Tribal Opioid Response Grants will increase access to culturally-appropriate evidence-based treatment, including medication-assisted treatment (MAT).
Source: Substance Abuse and Mental Health Services Administration
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CMS Seeks Public Input on Reducing the Regulatory Burdens of the Stark Law
Jun 20, 2018 - The Centers for Medicare and Medicaid Services (CMS) is seeking recommendations from the public on how to address any undue impact and burden of the physician self-referral law, also known as the Stark Law, with a focus on how the law may impede care coordination. This is part of an ongoing effort by the administration to reduce regulatory burdens. Comments are due by August 24, 2018.
Source: Centers for Medicare and Medicaid Services
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Reaching Rural Residents
Jun 19, 2018 - HIV.gov interview with Kristine Sande, Program Director of the Rural Health Information Hub (RHIhub), on barriers to and strategies for reaching rural Americans with information and resources related to HIV/AIDS prevention and treatment.
Source: HIV.gov Blog
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A Conversation with Scott Daniels
Jun 19, 2018 - Radio interview with Scott Daniels, Ph.D., Performance Improvement Coordinator at the State of Hawaii Office of Primary Care and Rural Health. Discussion includes rural health in Hawaii, the difficulty of attracting providers to the state, especially to the most rural and remote areas, the emphasis on culturally-competent care, and a leadership development program being implemented among Critical Access Hospitals in the state, among other things.
Source: Rural Health Leadership Radio
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Joint Statement of Action to Promote Elder Justice in Rural America by The United States Department of Justice And United States Department of Agriculture
Jun 15, 2018 - The U.S. Department of Agriculture (USDA) and the Department of Justice (DOJ) are forming a working group to focus on ways to empower and support rural and tribal communities to combat elder abuse and financial exploitation. Strategic action steps developed by this working group will be presented in November 2018 at the DOJ's Rural Elder Justice Summit.
Source: U.S. Department of Agriculture
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APPLY NOW! The Rural Communities Opioid Response Funding Opportunity!
Jun 15, 2018 - The Health Resources and Services Administration (HRSA) Federal Office of Rural Health Policy (FORHP) released the Notice of Funding Opportunity (NOFO) for the new Rural Communities Opioid Response (Planning) (RCORP) initiative for FY 2018. HRSA plans to award approximately 75 grants through this funding opportunity, with successful awardees receiving up to $200,000 for one year to develop plans to implement opioid use disorder prevention, treatment, and recovery interventions designed to reduce opioid overdoses among rural populations.
Source: Health Resources and Services Administration
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SAMHSA Announces $930 Million Funding Opportunity to Combat the Opioid Crisis
Jun 15, 2018 - The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for $930 million in State Opioid Response Grants. These grants will be awarded to states and territories to support ongoing efforts to provide prevention, treatment, and recovery support services to individuals with opioid use disorder.
Source: Substance Abuse and Mental Health Services Administration
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HHS Makes $350 Million Available to Fight the Opioid Crisis in Community Health Centers Nationwide
Jun 15, 2018 - The U.S. Department of Health and Human Services (HHS) announced $350 million in new funding through the Expanding Access to Quality Substance Use Disorder and Mental Health Services funding opportunity. This funding will allow community health centers to invest in personnel and one-time infrastructure enhancements to address immediate barriers to implementing or expanding substance use disorder and mental health services. Applications are due July 16, 2018.
Source: U.S. Department of Health and Human Services
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MACPAC Makes Recommendations to Strengthen Medicaid Drug Rebate Program; Address Opioid Epidemic
Jun 15, 2018 - The Medicaid and CHIP Payment Access Commission (MACPAC) released its June 2018 Report to Congress on Medicaid and CHIP, with recommendations to change statutory provisions that prevent state Medicaid programs from paying the lowest price for certain drugs and clarify regulations on protecting the privacy of patients with substance use disorder (SUD) to support integration of care.
Source: Medicaid and CHIP Payment and Access Commission
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