Rural Health
Resources by Topic: American Indian or Alaska Native
Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nirsevimab Effectiveness Against Medically Attended Respiratory Syncytial Virus Illness and Hospitalization Among Alaska Native Children — Yukon-Kuskokwim Delta Region, Alaska, October 2023–June 2024
Reports on effectiveness of nirsevimab in preventing respiratory syncytial virus (RSV) associated hospitalization for Alaska Native infants in their first RSV season and against medically attended illness for children in their first and second seasons in Alaska's Yukon-Kuskokwim Delta. Includes data by community type for the hub town with regional hospital and outlying villages.
Author(s): Brian Lefferts, Sara Bressler, James W. Keck, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(45), 1015-1021
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on effectiveness of nirsevimab in preventing respiratory syncytial virus (RSV) associated hospitalization for Alaska Native infants in their first RSV season and against medically attended illness for children in their first and second seasons in Alaska's Yukon-Kuskokwim Delta. Includes data by community type for the hub town with regional hospital and outlying villages.
Author(s): Brian Lefferts, Sara Bressler, James W. Keck, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(45), 1015-1021
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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"American Indian 101": Understanding the History And Contemporary Experiences of Native People in a United States Health Policy Context
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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New Mexico State Health Assessment, 2024
Assesses the health status of New Mexicans, identifies health needs and priorities, and details actions and strategies supporting public health in New Mexico. Highlights rural and tribal health and access disparities for select topics, including COVID-19, missing and murdered indigenous people, geographic access to healthcare and other services, and more.
Date: 11/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Assesses the health status of New Mexicans, identifies health needs and priorities, and details actions and strategies supporting public health in New Mexico. Highlights rural and tribal health and access disparities for select topics, including COVID-19, missing and murdered indigenous people, geographic access to healthcare and other services, and more.
Date: 11/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Ask Your Relative: A Mixed Method Analysis of the Sexual Health and Healthy Relationship Q&As Submitted by American Indian Alaska Native Young Adults
Analyzes the Ask Auntie/Ask Your Relative (AYR) Q&A service that provides sexual health information to American Indian/Alaska Native (AI/AN) youth. Provides information on AYR usage, types of questions asked, and answers and resources provided. Discusses the importance of cultural relevant resources to reduce sexual health disparities among AI/AN youth.
Author(s): Stephanie Craig Rushing, Amanda Gchachu Kakuska, Jane Manthei, et al.
Citation: BMC Public Health, 24, 3067
Date: 11/2024
Type: Document
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Analyzes the Ask Auntie/Ask Your Relative (AYR) Q&A service that provides sexual health information to American Indian/Alaska Native (AI/AN) youth. Provides information on AYR usage, types of questions asked, and answers and resources provided. Discusses the importance of cultural relevant resources to reduce sexual health disparities among AI/AN youth.
Author(s): Stephanie Craig Rushing, Amanda Gchachu Kakuska, Jane Manthei, et al.
Citation: BMC Public Health, 24, 3067
Date: 11/2024
Type: Document
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Quantifying Arizona's Primary Care Shortage Using Health Professional Shortage Data: Updated October 2024
Report describing the shortages of primary care physicians in Arizona. Includes data on shortages at the county level and in tribal nations.
Date: 10/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Report describing the shortages of primary care physicians in Arizona. Includes data on shortages at the county level and in tribal nations.
Date: 10/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Fiscal Years 2021-2023 USDA Report to Congress on Reducing Barriers to Food Access
Examines federal strategies between October 2020 and September 2023 to improve food access in the United States. Discusses resilient food systems, nutrition assistance programs, safety and sustainability, and research and evaluation activities. Includes examples of rural and tribal development, food policy, and funding.
Date: 10/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Examines federal strategies between October 2020 and September 2023 to improve food access in the United States. Discusses resilient food systems, nutrition assistance programs, safety and sustainability, and research and evaluation activities. Includes examples of rural and tribal development, food policy, and funding.
Date: 10/2024
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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CMS-Approved Waivers Break New Ground for Medicaid Coverage of American Indian and Alaska Native Traditional Health Care Practices
Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of Centers for Medicare & Medicaid Services (CMS) approved 1115 waivers that allow Medicaid agencies to cover American Indian and Alaska Native (AI/AN) traditional healthcare practices in four states: Arizona, California, New Mexico, and Oregon. Describes who can access traditional healthcare practices under these waivers, where traditional healthcare services can be provided, who will be certified to provide these services, and implementation support.
Author(s): Anne Smithey
Date: 10/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Strengthening Indigenous America: Building Resilience Through Disaster Preparedness, Response, and Recovery: Proceedings of a Workshop—in Brief
Summarizes key concepts from a July 2024 workshop that explored how to support the capacity of Indigenous American and tribal communities and nations to prepare for, respond to, and recover from disasters and public health emergencies. Discusses tribal sovereignty; emergency management capacities and capabilities; relationships with partners and jurisdictions; Indigenous knowledge, best practices, and translation; and data and research.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 10/2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes key concepts from a July 2024 workshop that explored how to support the capacity of Indigenous American and tribal communities and nations to prepare for, respond to, and recover from disasters and public health emergencies. Discusses tribal sovereignty; emergency management capacities and capabilities; relationships with partners and jurisdictions; Indigenous knowledge, best practices, and translation; and data and research.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 10/2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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