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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Rural and Urban Differences in Suicide in the United States, 2018-2021
Highlights the rates of suicide across the U.S. from 2018-2021 in rural and urban areas. Discusses some of the geographic and demographic characteristics that correlate with higher rates of suicide. Breaks down data by year, demographics, Census and HHS regions, and rural versus urban location. Makes policy recommendations based on the report's findings.
Author(s): Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
Date: 05/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Medicare Shared Savings Program: Rule Changes and Implications for Rural Health Care Organizations
Summarizes changes to the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (SSP) that take effect in January 2023 for current participants, and in January 2024 for organizations applying for a January 1, 2024 start. Discusses the potential impact of these changes on rural health and participation considerations.
Date: 05/2025
Sponsoring organization: Rural Health Value
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Critical Access Hospital Electronic Clinical Quality Measure (eCQM) Resource List
Resource list for electronic clinical quality measures (eCQMs), reflecting new materials and updates from the Centers for Medicare & Medicaid Services for 2025 reporting.
Date: 05/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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VHA Office of Rural Health (ORH) Rural Research Agenda
Report outlines the goals and objectives of the research funding provided through the VHA Office of Rural Health (ORH). Details the ORH funding mechanisms and improvement priorities.
Date: 04/2025
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Syndromic Surveillance in Tribal Health: Perspectives from Three Tribal Epidemiology Centers on Access and Utilization
Discusses the use of syndromic surveillance by Tribal Epidemiology Centers (TECs) to monitor and communicate health needs and support effective public health response in American Indian and Alaska Native (AI/AN) communities. Highlights implementation and policy barriers to successful syndromic surveillance and suggests strategies for more effective state and tribal collaboration and data use.
Author(s): Cheng Wang, Lowrie Ward, Nicole Holdaway Smith
Citation: International Journal of Environmental Research and Public Health, 22(5), 664
Date: 04/2025
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County Typology Codes
Presents county-level typology codes, comprising Economic Typology Codes based on the industrial composition of nonmetropolitan counties and Demographic Typology Codes based on demographic characteristics, such as employment, population, poverty, and others. Classifies all counties in the 50 U.S. States and Washington, D.C. for which data are available.
Date: 04/2025
Sponsoring organization: USDA Economic Research Service
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Evolving Remote Monitoring: An Evidence-Based Approach to Coverage and Payment
Reports on trends in utilization of remote patient monitoring (RPM) and discusses policy and payment approaches for effectively and efficiently utilizing RPM, particularly via Medicare and Medicaid. Includes data and discussion of rural barriers to RPM access.
Date: 04/2025
Sponsoring organization: Peterson Center on Healthcare
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Assisting Rural Consumers
Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Sustaining Rural Hospital Access: Adjustments to Medicare Rural Hospital Designations
Describes the history of Medicare rural hospital designations. Discusses how traditional Medicare, Medicare Advantage, and Medicaid impact hospital finances. Outlines policy recommendations to the Secretary of Health and Human Services (HHS) and Congress regarding rural hospitals designations, payment adjustments, Medicare Advantage, and rural ambulance and emergency services.
Author(s): Emma Sheffert, Maya Sandalow
Date: 04/2025
Sponsoring organization: Bipartisan Policy Center
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Ways and Means Republican Members Share Commitment to Value-Based Health Care and Outline Priorities For Medicare Innovation Hub
An April 2025 letter from the U.S. House Committee on Ways and Means majority members regarding the Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMI). Offers considerations for new and existing models related to promoting value, improving care in rural and underserved communities, and incorporating public input.
Date: 04/2025
Sponsoring organization: House Ways and Means Committee
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