Rural Health
News by Topic: Health conditions
CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model
Federal Register
Dec 4, 2024 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) describing a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model). The IOTA Model would test whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This proposed rule also describes standard provisions for the Radiation Oncology Model, the End-Stage Renal Disease (ESRD) Treatment Choices Model, and mandatory Innovation Center models, including the IOTA Model, whose first performance period begins on or after January 1, 2025. Includes comments regarding rural-specific concerns. This rule is effective January 3, 2025.
Source: Federal Register
CDC: Agency Forms Undergoing Paperwork Reduction Act Review
Federal Register
Dec 3, 2024 - The Centers for Disease Control and Prevention (CDC) is allowing an additional 30 days for comments on a proposed revision to the Behavioral Risk Factor Surveillance System (BRFSS) for 2025-2027. BRFSS is a nationwide system of cross-sectional surveys that produces state-level information primarily on health risk behaviors, health conditions, and preventive health practices that are associated with chronic diseases, infectious diseases, and injury. Proposed revisions include the addition of questions on the following topics to questionnaires: heart attack and stroke, disaster/pandemic preparedness, veterans' health, and the use of newly available tobacco products. Comments are due within 30 days of this notice.
Source: Federal Register
Dec 3, 2024 - Notice from the Centers for Disease Control and Prevention (CDC) seeking comments on the draft Recommendations for HIV Screening in Clinical Settings. This draft would update portions of the CDC's 2006 "Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings," including modifying the ages for HIV screening, encouraging providers to use clinical decision support tools, providing considerations for healthcare populations on which to conduct HIV screening, and more. Comments are due by January 2, 2025.
Source: Federal Register
Dec 2, 2024 - Describes the findings of a recent report by the U.S. Centers for Disease Control and Prevention on the use of nirsevimab to treat RSV among infants in rural Alaska. Notes that the drug helped to reduce the severity of illness among babies and young children in the Yukon-Kuskokwim Delta region, which has the highest rate of RSV-related infant hospitalization in the nation. Discusses how inadequate water and wastewater services and overcrowded housing in rural Alaska contribute to disease spread.
Source: Alaska Beacon
Nov 29, 2024 - Notice from the Occupational Safety and Health Administration (OSHA) extending the comment period on the August 30, 2024, proposed rule until January 14, 2025. The rule establishes a heat standard for all indoor and outdoor work in workplaces where OSHA has jurisdiction. A virtual hearing is scheduled for June 16, 2025 to discuss the proposed rule.
Source: Federal Register
Nov 27, 2024 - Summarizes recent research that found positive impacts from telehealth and peer support in diagnosing and curing hepatitis C for rural residents who use drugs. Discusses telehealth use following COVID-19 related increases and the value of peer support by those with lived experience.
Source: OHSU News
Nov 26, 2024 - Discusses the use of paramedicine and mobile units by a rural Indiana hospital to increase access to primary care. Highlights how the COVID-19 public health emergency allowed the hospital to expand already existing rural outreach efforts.
Source: WNIN
Nov 26, 2024 - Highlights a Virginia collaborative program aiming to improve health outcomes by "prescribing" produce to people with certain chronic health conditions. Notes that many similar programs are located in urban areas, but this program includes rural residents. Discusses the program's funding allowing for sustainability as well as evaluating success.
Source: Cardinal News
Nov 25, 2024 - Provides overview of data on bird flu spread in western states. Notes the possibility of numerous unreported cases among farmworkers due to a widespread lack of testing. Features varying perspectives on the testing of asymptomatic individuals and best practices for increasing testing among farmworkers.
Source: Idaho Capital Sun
Nov 22, 2024 - Announces nearly $52 million for 54 Health Resources & Services Administration-funded health centers for increasing access to primary care for people reentering the community after incarceration. Funding will address health needs including managing chronic conditions, reducing the risk of drug overdose, mental health and substance use disorder treatment, and infectious disease prevention, screening, diagnosing, and treatment.
Source: Health Resources & Services Administration