Rural Health
Top Stories

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

New Participants Join Several CMS Alternative Payment Models
Jan 18, 2017 - The Centers for Medicare & Medicaid Services (CMS) announced that over 359,000 clinicians are confirmed to participate in four of CMS's Alternative Payment Models (APMs) in 2017. These APMs are the Medicare Shared Savings Program, the Next Generation Accountable Care Organization Model, the Comprehensive End-Stage Renal Disease Care Model, and the Comprehensive Primary Care Plus Model, which all provide reimbursements based on quality and effectiveness of care.
Source: Centers for Medicare & Medicaid Services
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New Report Examines the Non-Medical Use of Opioids Among Women of Childbearing Age
Jan 17, 2017 - Details the results of the Substance Abuse and Mental Health Services (SAMHSA) Women of Childbearing Age and Opioids statistical report.
Source: Substance Abuse and Mental Health Services Administration
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A Conversation with Michael Glasser
Jan 17, 2017 - Radio interview with Michael Glasser, the director of the National Center for Rural Health Professions and the co-director of the University of Illinois College of Medicine at Rockford Public Health Program. Discussion focuses primarily on the rural health workforce and the efficacy of efforts to recruit rural students to medical professions in rural areas.
Source: Rural Health Leadership Radio
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Drugmakers Manipulate Orphan Drug Rules To Create Prized Monopolies
Jan 17, 2017 - Provides an overview of the history of Orphan Drug rules and the way that these rules have been used to increase profits for prescription drug companies. The rising cost of prescription drugs is attributed, in part, to these rules.
Source: Kaiser Health News
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Congress Completes First Step Toward Obamacare Repeal
Jan 13, 2017 - The U.S. House of Representatives voted to approve the 2017 budget resolution that instructs committees to write legislation repealing the Affordable Care Act (ACA) and will later allow the ACA to be repealed with a simple majority. Includes opposing views in the House on the ACA.
Source: USA Today
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VA’s Rule Establishes a Presumption of Service Connection for Diseases Associated with Exposure to Contaminants in the Water Supply at Camp Lejeune
Jan 13, 2017 - The U.S. Department of Veterans Affairs (VA) announced that it has established a presumption of service connection for eight diseases that may be associated with exposure to contamination in the water supply at Camp Lejeune in North Carolina from August 1, 1953 to December 31, 1987. This will make it easier for veterans to receive the care and benefits they need. The eight diseases are adult leukemia, aplastic anemia and other myelodysplatic syndromes, bladder, kidney, or liver cancer, multiple myeloma, non-Hodgkin's lymphoma, and Parkinson's disease.
Source: U.S. Department of Veterans Affairs
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Vilsack Leaving USDA early, No Trump Replacement Named
Jan 13, 2017 - Details former U.S. Department of Agriculture Tom Vilsack's unexpected early exit. Vilsack sent an email to employees on Friday informing them that it was his last day and returned to his home state of Iowa. President-elect Donald Trump has yet to name a new Secretary of Agriculture.
Source: Associated Press
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The Death Rate Gap Between Urban and Rural America Is Getting Wider
Jan 13, 2017 - New data from the Centers for Disease Control and Prevention (CDC) found that mortality rates in rural areas for preventable deaths are plateauing and even increasing for the five leading causes of death: heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke. They found that more than 70,000 deaths in rural areas could have been prevented with better public health resources and better access to healthcare.
Source: Vox
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Senate Opens Obamacare Repeal Drive with Overnight Marathon
Jan 12, 2017 - Details Senate Republicans' late-night efforts to begin the process of repealing the Affordable Care Act. Covers opinions both for and against repeal, some specific to the potential impact in rural areas.
Source: CNN
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Pennsylvania Rural Health Model Aims to Help Rural Hospitals Improve Quality, Address Community Health Needs
Jan 12, 2017 - The Centers for Medicare & Medicaid Services (CMS) announced the Pennsylvania Rural Health Model, a new initiative designed to improve health and healthcare in rural Pennsylvania. The model will provide rural hospitals with all-payer global budgets to cover their costs, resulting in predictable budgets around which they can redesign their care.
Source: Centers for Medicare & Medicaid Services
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Outpacing Last Year, More than 11.5 Million People Are Signed up for Marketplace Coverage
Jan 11, 2017 - The U.S. Department of Health and Human Services (HHS) released a report revealing that more than 11.5 million people nationwide have signed up for health insurance using the Health Insurance Marketplace for 2017, including 1.6 million from rural areas. Additionally, more than 8 in 10 will receive advance premium tax credits to assist with premiums.
Source: Centers for Medicare & Medicaid Services
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A Conversation with Leslie Marsh
Jan 10, 2017 - Radio interview with Leslie Marsh, the CEO of Lexington Regional Health Center, a Critical Access Hospital in Lexington, Nebraska discussing the her leadership style and focus on quality healthcare.
Source: Rural Health Leadership Radio
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IHS Scholarship, Loan Repayment Programs Aim to Recruit More Health Care Providers
Jan 10, 2017 - The Indian Health Service (IHS) announced the opening of its application period for its 2017 scholarship and loan repayment programs. Approximately $13.7 million in scholarships and $30 million in loan repayments will be available, with a focus on physicians, physician assistants/nurse practitioners, nurses, pharmacists, dentists, optometrists, and behavioral health providers.
Source: Indian Health Service
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RTT Collaborative Annual Meeting Travel Stipend Available
Jan 10, 2017 - Notification from the Rural Training Track Collaborative announcing that registration for their annual meeting is open. Also includes information on travel and meeting stipends, which are now available. The meeting will take place in Anderson, SC on April 19-21, 2017.
Source: The RTT Collaborative
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Indian Health Service Plans to Expand Community Health Aide Program
Jan 9, 2017 - The Indian Health Service (IHS) published a report on the process IHS will use to expand the use of community health aides in American Indian and Alaska Native health programs across the country. This is anticipated to increase access to much-needed health services in tribal communities.
Source: Indian Health Service
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CMS Finalizes New Medicare and Medicaid Home Health Care Rules and Beneficiary Protections
Jan 9, 2017 - The Centers for Medicare and Medicaid Services (CMS) finalized minimum health and safety standards for home health agencies to be eligible to participate in the Medicare and Medicaid programs. This final rule includes requirements concerning patients' rights, communication between patients, the home health agency, and the patients' physicians, data driven quality assessment, and expanded patient care coordination, among other things.
Source: Centers for Medicare & Medicaid Services
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Native American Communities Explore New Territory
Jan 9, 2017 - Details affordable housing in New Mexico, where The Domingo Housing Project offers rural transit-oriented homes. Discusses some of the difficulties associated with funding and building affordable housing on tribal land and some of the ways these problems have been solved in other states.
Source: Affordable Housing Finance
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Why Sharing May Be The Fastest Way To Transform Rural Health Care
Jan 5, 2017 - Interview with Project ECHO founder Sanjeev Arora concerning the success of Project ECHO and its upcoming national implementation.
Source: Forbes
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Addressing the Opioid Epidemic: Keeping Medicare and Medicaid Beneficiaries Healthy
Jan 5, 2017 - Blog post from the Centers for Medicare & Medicaid Services (CMS) on the opioid epidemic and efforts by CMS to help curb its disastrous effects. Includes overview of assistance provided to beneficiaries, healthcare providers, health insurance providers, and states to address the epidemic.
Source: Centers for Medicare & Medicaid Services Blog
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VA Urges National and Local Partners to Act Now to End Veteran Homelessness
Jan 5, 2017 - U.S. Department of Veterans Affairs (VA) Secretary Robert A. McDonald announced a nation-wide "surge" over the next 30 days to address veteran homelessness. McDonald is calling on members of the VA's network of federal, local, and nongovernmental partners to strategically target available resources and housing to homeless veterans.
Source: U.S. Department of Veterans Affairs
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USDA Announces Retailer Volunteers for SNAP Online Purchasing Pilot
Jan 5, 2017 - The U.S. Department of Agriculture (USDA) announced its selection of the seven retail firms that will take part in a two-year pilot program. This program will allow Supplemental Nutrition Assistance Program (SNAP) participants to purchase groceries online, a change that is anticipated to increase access to healthy foods for participants. Pilot will be tested in both rural and urban locations.
Source: U.S. Department of Agriculture
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How Project ECHO Will Advance Rural Health through Telehealth
Jan 4, 2017 - Details the way the Expanding Capacity for Health Outcomes (ECHO) Project works as well as the impact it will have if it passes President Obama's desk and is implemented nationwide. The program connects specialists with clinicians working in rural or underserved areas using telehealth technology to provide education and improve the quality of care for patients.
Source: mHealthIntelligence
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In a Small Town in Texas, a Rural Hospital Thrives Against All Odds
Jan 4, 2017 - Focuses on a rural hospital in Texas that is not only succeeding but expanding its services in a time when many rural hospitals, even in the same state, are closing their doors. Details the expansion and also the methods employed to keep the hospital in the black.
Source: STAT News
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A Conversation with Drs. Khare and MacDowell
Jan 3, 2017 - Radio interview with Drs. Khare and MacDowell from the University of Illinois College of Medicine at Rockford's Department of Family and Community Medicine. Khare and MacDowell created Win With Wellness, a community-based initiative in two rural Illinois counties aimed at addressing obesity and chronic disease risk. This initiative is funded by a grant through the Federal Office of Rural Health Policy.
Source: Rural Health Leadership Radio
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US Labor Department Proposes New Rule to Modernize Medical Benefits Payments Under Black Lung Benefits Act
Jan 3, 2017 - The U.S. Department of Labor has proposed a rule under the Black Lung Benefits Act to adopt modern payment formulas based on those used by Medicare. It is anticipated that this rule would provide improved access to healthcare for miners with such severe pneumonoconiosis, or Black Lung, that it has left them totally disabled.
Source: United States Department of Labor
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America’s Economic Distress Belt
Jan 3, 2017 - Details the results of a new study from the U.S. Census' Population Reference Bureau which has found that both income inequality and poverty have risen dramatically in the past 25 years. Includes data on inequality and poverty by county type, including non-metropolitan and rural counties.
Source: City Lab
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Six Facts About Dying Young
Dec 29, 2016 - Features "key findings" from a series published over the last year focused on the increases in premature death among white Americans, particularly middle-aged white women in rural areas.
Source: The Washington Post
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In Ohio, Fighting to Survive an Epidemic of Self-Destruction
Dec 29, 2016 - Focuses on opioid addiction in rural Ohio to explore the implications of the nationwide epidemic. Addresses overdoses, the over-prescription of pain medication, the changing culture in parts of rural America due to the epidemic, and the severity of the impact on white women in particular.
Source: Alaska Dispatch News
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Amid Opioid Crisis, Schools Help Students Heal (Video)
Dec 28, 2016 - Video documenting the impact of the opioid epidemic in West Virginia on the children of drug users. There has been a sharp increase in the number of children in foster care. Law enforcement has begun contacting schools when they have an interaction with a child's parent so that the school is prepared that the child may have had a difficult night. Schools have also begun providing clothing, counseling, and weekly time with mentors for kids impacted by the opioid epidemic.
Source: Education Week
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Measuring the Impact of Opioid Policies
Dec 27, 2016 - Overview of the efforts taken by the Centers for Disease Control (CDC), the Food and Drug Administration (FDA), the U.S. Department of Health and Human Services (HHS), and Congress to address the opioid epidemic. Although some progress has been made, some efforts are too recent to gauge their efficacy, and access to care for rural people still remains an issue.
Source: MedPage Today
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How the Opioid Epidemic Is an Infrastructure Issue
Dec 27, 2016 - Interview with Alan Morgan, the director of the National Rural Health Association, about the connection between housing and infrastructure development and the opioid epidemic. This link has been emphasized by Secretary of Agriculture, Tom Vilsack, among others. Interview also includes discussion on potential approaches to this crisis, the disparities between urban and rural areas, and the lack of access to care for rural people.
Source: City Lab
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Will Children’s Uninsured Rate Double If Obamacare Is Repealed?
Dec 27, 2016 - Details the decline in uninsured rates for children over the past twenty years and its various causes. Offers speculation on what would happen to those rates, and to the children they represent, if the Affordable Care Act is repealed, if certain changes are made to Medicaid, or if funding for the the Children's Health Insurance Program (CHIP) is not renewed in the coming year.
Source: Center for Health Journalism
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Montana May Be Model For Medicaid Work Requirement
Dec 23, 2016 - Montana's Medicaid expansion includes a voluntary job training program that was initially pitched as a mandatory component of the expansion. Federal officials have rejected this kind of link between Medicaid and job programs, although there is speculation that a Trump presidency might change that. Advocates assert that making this link mandatory will reduce dependency on social programs, while detractors argue that two-thirds of people on Medicaid have jobs and that penalizing them for not participating in the program would be detrimental.
Source: Kaiser Health News
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Why is the Opioid Epidemic Hitting Rural America Particularly Hard?
Dec 23, 2016 - Explores the opioid epidemic and some of the reasons its impact on rural parts of the country has been so pronounced.
Source: Net Nebraska
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State Alternatives to Obamacare, Expanded Medicaid to Get Tested
Dec 22, 2016 - Details rural hospital closures over the past six years and conflicting opinions as to the cause of these closures, including the Affordable Care Act and the refusal of many states to expand Medicaid. Speculates on what the future of Medicaid and the Affordable Care Act under a Trump presidency.
Source: USA Today
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HUD and VA Announce Additional Funding to Help More Homeless Veterans in Rural Areas Find Permanent Homes
Dec 22, 2016 - The U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Veterans Affairs (VA) announced $2.9 million to local public housing agencies across the country to help homeless veterans in rural areas. This effort to provide permanent homes for homeless veterans is part of the HUD-Veterans Affairs Supportive Housing (HUD-VASH) Program, which combines rental assistance from HUD with case management and clinical services provided by the VA.
Source: U.S. Department of Housing and Urban Development
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HHS Selects Eight States for New Demonstration Program to Improve Access to High Quality Behavioral Health Services
Dec 21, 2016 - The U.S. Department of Health and Human Services announced that eight states had been selected to participate in a two-year Certified Community Behavioral Health Clinic (CCBHC) demonstration program. This program aims to improve behavioral health services by integrating behavioral health with physical health care, increasing the consistent use of evidence-based practices, and improving access care. The selected states are Minnesota, Missouri, New York, New Jersey, Nevada, Oklahoma, Oregon, and Pennsylvania.
Source: U.S. Department of Health and Human Services
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A Mayor Fights to Save a Small-Town Hospital: ‘It’s Life or Death’
Dec 21, 2016 - Details the efforts of the mayor of a small town in North Carolina to save their rural hospital. The hospital closed two years ago and is now facing demolition. Explores the challenges faced by this hospital and many other struggling rural hospitals.
Source: STAT News
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Sanford Health Network Chairman’s Challenge Scholarship
Dec 16, 2016 - Sioux Falls, South Dakota based Sanford Health is offering a scholarship challenge for high school and post-secondary students interested in the future of rural healthcare. The Chairman's Challenge Scholarship has three categories. $2,500 will be awarded to one high school student who develops the best plan to attract more students to rural health careers. $3,500 will be awarded to one undergraduate or vocational student, and $4,000 will be awarded to one graduate student who develops the best plan for advancing rural care and allows communities to maintain or expand services. Winners in each category will also be invited to Sanford to participate in a 10-week experience to implement their solutions. Submissions are due by February 1, 2017.
Source: Yankton Daily Press & Dakotan
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One Cure For California's Rural Health Care Needs
Dec 16, 2016 - Modern broadband networks, paired with technology such as tablets, health kiosks, and smartphones, allow patients in rural areas to virtually connect with specialists across the state. According to California Telehealth Network CEO Eric Brown, ensuring these communications networks reach all areas of the state is crucially important. Continued support from policymakers and elected officials will be necessary in order to achieve 100 percent coverage.
Source: The Sacramento Bee
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Do More to Protect Rural America's Tap Water, Lawmakers Say
Dec 15, 2016 - Safe drinking water is vital to the health of all communities, regardless of size or zip code. However, about 4 million Americans receive their water from small utilities that are not always held to the same standards as large ones. Ensuring an adequate supply of safe drinking water for all rural residents will require a combination of infrastructure investment, and a commitment from legislators and regulators.
Source: USA Today
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Value-Based Payment Poses Challenges for Small, Rural Practices
Dec 15, 2016 - The Centers for Medicare and Medicaid Services' new Quality Payment Program, part of the Medicare Access and CHIP Reauthorization Act (MACRA), will have major implications for small and rural practices. But are small and rural practices ready? Discusses a recent Government Accountability Office (GAO) report that identifies challenges to implementing new quality improvement measures and value-based payment methods, as well as specific resources and options designed to help small and rural practices make the transition.
Source: Health Data Management
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Rural Nursing Homes are Falling Behind in Health Information Technology
Dec 13, 2016 - According to new research from the University of Missouri, nursing homes in rural communities are falling behind in health information technology (IT), reducing their capacity to exchange information with hospitals and ensure high quality transitions in care. The study, which is the first national assessment of nursing home IT since 2004, found significant differences in IT sophistication between urban and rural areas.
Source: University of Missouri News Bureau
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Rise in Infant Drug Dependence in U.S. Is Felt Most in Rural Areas
Dec 12, 2016 - From 2004 to 2013, the rate of infants born with drug dependency and showing signs of withdrawal has increased in rural counties from 1.2 per 1,000 to 7.5 per 1,000. During the same time period, rates for urban infants increased from 1.4 per 1,000 to 4.8 per 1,000. Potential causes for the disproportionate increase among rural counties include higher rates of maternal opioid use, mothers more likely to be poor and on public insurance, and less access to the proper local healthcare.
Source: The New York Times
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Silver Linings: Remote Rehab - Telehealth Helps Seniors Recover in Rural Areas
Dec 10, 2016 - Examines the emerging field of telerehabilitation, and discusses the potential, benefits, drawbacks, and limitations as seen through a pilot program being conducted in New Hampshire and the Northeast. Focuses on how the technology could translate into better care for people living in rural areas.
Source: Union Leader
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One-Third of Long-Term Users Say They’re Hooked on Prescription Opioids
Dec 9, 2016 - According to the results of a new survey from The Washington Post and the Kaiser Family Foundation, one third of Americans who have taken prescription opioids for at least two months are physically dependent on the medication. Nearly all long-term users were introduced to the drugs by a doctor's prescription, more than 60% were given no advice from doctors on when to stop the medication, and 20% of doctors did not provide sufficient information about the potential side effects, like addiction.
Source: The Washington Post
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Safely Aging in Place in Rural America
Dec 8, 2016 - Discusses the health challenges faced by older Americans as they age in place in rural communities, including issues such as limited access to care, social isolation, and higher rates of chronic illness and poverty. Going forward, providing individually tailored support, connecting to local resources, and offering services via telehealth will be necessary to meet the healthcare needs of America's aging rural population.
Source: US News & World Report
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Census Report Is Unusually Informative About Rural
Dec 8, 2016 - Addresses rural-specific nature of the recently released Census American Community Survey report. Details some of the specific findings and highlights from the report.
Source: The Daily Yonder
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New Census Data Show Differences Between Urban and Rural Populations
Dec 8, 2016 - The U.S. Census Bureau's American Community Survey provides county-specific data on a national scale. This survey includes data from 2011 through 2015 on more than 40 demographic, housing, social, and economic topics.
Source: U.S. Census Bureau
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Senate Approves Landmark Mental Health Bill As Part Of 21st Century Cures Act
Dec 7, 2016 - Covers the Senate vote on the 21st Century Cures Act, a bill which passed the House of Representatives last week. The Senate voted overwhelmingly in favor of the bill, which focuses heavily on mental healthcare.
Source: Kaiser Health News
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New Tribal Agenda Aims to Improve Behavioral Health in Native Communities
Dec 6, 2016 - The U.S. Department of Health and Human Services (HHS) today announced the release of the Tribal Behavioral Health Agenda (TBHA), a collaborative tribal-federal blueprint of strategies and priorities to improve the behavioral health of American Indians and Alaska Natives.
Source: Substance Abuse and Mental Health Services Administration
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Employment Grows in 3 out of 5 Rural Counties
Dec 5, 2016 - Provides data on employment growth and decline in rural counties across the country. Although all regions saw growth, it did tend to be concentrated in the Midwest, Southeast, and Pacific Northwest. Many counties in areas that had seen significant employment growth due to oil and gas resources saw a decline. Despite growth, the overall rural employment level remains below it's pre-recession level.
Source: USDA Economic Research Service
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HRSA: Agency Information Collection Activities: Proposed Collection: Public Comment Request; Health Workforce Connector Federal Register
Dec 5, 2016 - In order to expand the function of the current National Health Service Corps (NHSC) Jobs Center, the Health Resources and Services Administration (HRSA) is developing the Health Workforce Connector. The Health Workforce Connector will provide a central platform where users can create a profile, search for NHSC and NURSE Corps sites, find job opportunities, and search by site points of contact. The Health Workforce Connector will link healthcare professionals and students wishing to provide primary care services in underserved communities with facilities in need of providers. Comments regarding the information collection requirements of the Health Workforce Connector are being accepted until February 3, 2017.
Source: Federal Register
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Delivered ‘Like A Pizza’: Why Killer Drug Fentanyl Is So Hard To Stop
Dec 2, 2016 - Focuses on the detrimental impact of fentanyl, either mixed with opioids or sold on its own, on people suffering from drug addiction, as well as the difficulty in preventing the production and import of the drug into the country.
Source: Kaiser Health News
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Cures Act Heads to Senate After Quick Passage in House
Nov 30, 2016 - Details the bipartisan efforts that went into writing and passing the 21st Century Cures Act, which passed in the House of Representatives today. The bill will provide new funding for the opioid epidemic, cancer, and precision medicine, among other things.
Source: Modern Healthcare
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Legislation To Improve Mental Health Care For Millions Faces Congressional Vote
Nov 30, 2016 - Discusses the mental health provisions in the 21st Century Cures Act which the House of Representatives will vote on today. If passed, it would require federal agencies to fund only programs backed by research and to collect data on their efficacy, push states to provide early intervention for psychosis, provide $1 billion in the next two years for prevention and treatment of opioid addiction, and better coordinate the 112 mental health programs funded by eight different federal agencies, among other things.
Source: Kaiser Health News
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Trump’s Pick to Run Medicare and Medicaid Has Red State Policy Chops
Nov 29, 2016 - Focuses on Seema Verma, President-elect Trump's nominee to head the Centers for Medicare and Medicaid Services (CMS). Details the work she did in helping to craft Indiana's Medicaid expansion and several opinions on what CMS may look like under her leadership.
Source: NPR
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White, Rural Drug Users Lack Needle Exchange Programs to Prevent HIV Infections
Nov 29, 2016 - A new report from the Centers for Disease Control and Prevention (CDC) found that the U.S. does not have enough needle-exchange programs in place to reduce the risk of new HIV and hepatitis infections. Due to the opioid epidemic and the associated needle-sharing by drug users, there has been a significant increase in new infections and new demographics are now considered vulnerable, including white people living in rural areas in Appalachia, New England, and the Ozarks.
Source: Chicago Tribune
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Senate Unanimously Passes Telemedicine Legislation
Nov 29, 2016 - The Senate approved the Expanding Capacity for Health Outcomes (ECHO) Act, which will apply the University of New Mexico's Project ECHO (Extension for Community Healthcare Outcomes) on a national scale. Project ECHO's hub-and-spoke model of telemedicine distribution was very successful at increasing healthcare access in remote and underserved areas.
Source: mHealthIntelligence
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Drug Costs Skyrocket for Many Older Americans, Despite Medicare Coverage
Nov 28, 2016 - Medicare prescription drug prices have seen significant increases in recent years, leaving many beneficiaries struggling to pay for life-saving medication. There is debate over whether Medicare should be able to negotiate with prescription drug companies for lower drug prices.
Source: LA Times
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Rule Change Could Push Hospitals To Tell Patients About Nursing Home Quality
Nov 27, 2016 - If passed, an new rule would allow hospitals to be more open with patients about the quality of care typically received in specific facilities so that patients and their families are better informed when making this decision. It is anticipated to improve care for elderly residents in nursing homes.
Source: NPR
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W&M: Improving Americans’ Access to Health Care through the 21st Century Cures Act
Nov 25, 2016 - Blog post from the House of Representatives Ways and Means Committee detailing the 21st Century Cures Act. This legislation is anticipated to improve access to healthcare, including provisions related to Critical Access Hospitals and other hospitals in rural areas, lift barriers to participating in Accountable Care Organizations, and make changes to some Medicare regulations.
Source: House of Representatives Ways and Means Committee Blog
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Q&A with Tom Vilsack: We Should Expect More of Our Government
Nov 22, 2016 - Interview with Secretary of Agriculture Tom Vilsack on the Affordable Care Act, rural counties with little competition in their Marketplaces, Medicaid expansion, the relationship between rural people and the federal government, the impact of his work as Secretary of Agriculture, and the future of the White House Rural Council under the next administration.
Source: The Daily Yonder
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