Rural Health
Resources by Topic: Policy
Public Health Preparedness: Building and Maintaining Infrastructure beyond the COVID-19 Pandemic
Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Describes Centers for Disease Control and Prevention (CDC) funding programs that support public health infrastructure and preparedness at the state and local levels. Examines challenges identified by officials across 12 jurisdictions and 10 stakeholder groups regarding building and maintaining the public health and preparedness infrastructure. Appendix III profiles the 12 selected jurisdictions, notes the rurality of each jurisdiction, and outlines examples of projects funded by CDC awards.
Additional links: Full Report
Date: 11/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Matchmaking for Community Benefit: The Rural Partners Network Connects Rural Leaders With Federal Resources
Provides an overview of the U.S. Department of Agriculture (USDA) Rural Partners Network (RPN), which aims to coordinate rural-targeted capacity-building efforts across different federal agencies. Uses place-based economic development, capacity building, and coordination principles to evaluate the program's purpose, program design, and first 15 months of implementation. Describes rural economic development challenges and historical federal capacity-building efforts in rural areas. Offers recommendations for continued assessment and reporting and expanding the geographic reach of RPN.
Author(s): Jenny Tran, Mark Haggerty
Date: 11/2023
Type: Document
Sponsoring organization: Center for American Progress
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Provides an overview of the U.S. Department of Agriculture (USDA) Rural Partners Network (RPN), which aims to coordinate rural-targeted capacity-building efforts across different federal agencies. Uses place-based economic development, capacity building, and coordination principles to evaluate the program's purpose, program design, and first 15 months of implementation. Describes rural economic development challenges and historical federal capacity-building efforts in rural areas. Offers recommendations for continued assessment and reporting and expanding the geographic reach of RPN.
Author(s): Jenny Tran, Mark Haggerty
Date: 11/2023
Type: Document
Sponsoring organization: Center for American Progress
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Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection
Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
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 describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-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 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
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 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
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 under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Extra Episode - Rural Communities Opioid Response Program with Megan Meacham and Sarah O'Donell
Podcast episode featuring Megan Meacham and Sarah O'Donnell from the Federal Office of Rural Health Policy. Describes the Rural Communities Opioid Response Program (RCORP), which aims to improve access to substance use disorder, prevention, treatment, and recovery services in rural communities. Discusses examples of how RCORP grantees are effectively serving communities and tips for accessing resources to address the opioid crisis in tips for accessing resources to address the rural opioid crisis.
Date: 11/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode featuring Megan Meacham and Sarah O'Donnell from the Federal Office of Rural Health Policy. Describes the Rural Communities Opioid Response Program (RCORP), which aims to improve access to substance use disorder, prevention, treatment, and recovery services in rural communities. Discusses examples of how RCORP grantees are effectively serving communities and tips for accessing resources to address the opioid crisis in tips for accessing resources to address the rural opioid crisis.
Date: 11/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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5G Fund for Rural America: Current Status and Issues
Provides an overview of the Federal Communications Commission's (FCC) 5G Fund for Rural America, an initiative to bring voice and high-speed mobile broadband services to rural areas unlikely to see 5G cellular deployments without subsidies. Outlines considerations and concerns raised by members of Congress about the program.
Date: 11/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of the Federal Communications Commission's (FCC) 5G Fund for Rural America, an initiative to bring voice and high-speed mobile broadband services to rural areas unlikely to see 5G cellular deployments without subsidies. Outlines considerations and concerns raised by members of Congress about the program.
Date: 11/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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