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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Medicare Rural Hospital Flexibility Program Structure for FY 2024 – FY 2028
Outlines the purpose and allowable activities within each of the five Medicare Rural Hospital Flexibility (Flex) Program program areas, as well as suggested outcome measures for each program area.
Date: 04/2025
Sponsoring organization: National Rural Health 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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Broadband Programs: Agencies Need to Further Improve Their Data Quality and Coordination Efforts
Examines federal agencies' use of broadband availability information and the extent to which the Federal Communications Commission ensures the quality of data in its National Broadband Map. Explores the extent to which agencies' coordination of broadband funding programs aligns with leading practices for interagency collaboration, among other issues. Compares the FCC's practices for ensuring the quality of information in its National Broadband Map against relevant federal internal control standards.
Additional links: Full Report
Date: 04/2025
Sponsoring organization: Government Accountability Office
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The Future of Rural Health: Report on a Special Convening Held November 19-20, 2024
Summarizes discussions held during a November 2024 summit of rural health services delivery and finance experts that aimed to identify the needs of the rural health communities, build on existing strengths, and develop a cohesive approach to improving the health of rural residents. Describes the themes and policy options that emerged throughout the summit. Covers financing rural health services, payment policies, workforce considerations, the use of technology and data, and more.
Date: 04/2025
Sponsoring organizations: National Rural Health Association, Rural Policy Research Institute, The Leona M. and Harry B. Helmsley Charitable Trust, West Health Institute
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