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Rural Health Information Hub

RHIhub This Week - January 8, 2025

Exploring Rural Health Podcast

Medical Debt and Its Impact on Rural Patients and Providers, with Carrie Henning-Smith
Check out our latest episode featuring Carrie Henning-Smith, PhD, co-director of the Rural Health Research Center at the University of Minnesota, in a discussion about the prevalence of and difficulties caused by medical debt for both rural patients and providers.

 Recently Added to the Online Library
 Information from around the web

Recent News

A University of Washington Study on Menopause Revealed Health Disparities Between Rural and Urban Women
Jan 5, 2025 -- Provides an overview of new research led by the University of Washington that found higher rates of menopause symptoms among rural women compared to their urban counterparts. Discusses possible contributing factors including lifestyle differences and long travel times to access care. Features the perspective of a rural nurse practitioner on changing attitudes and increased interest among her patients in menopause care.
Source: The Spokesman-Review

Signed into Law: Senator Hassan and Colleagues' Bipartisan Legislation to Strengthen Veterans' Health Care and Benefits
Jan 3, 2025 -- Describes new bipartisan legislation improving access to healthcare for veterans related to healthcare at home, benefits for surviving spouses, mental health support for family caregivers, mammography, and more. Includes a pilot program for assisted living services for rural and other veterans.
Source: Office of Senator Maggie Hassan

States Help Child Care Centers Expand in Bid To Create More Slots, Lower Prices
Jan 3, 2025 -- Describes the economic and workforce impacts of widespread childcare shortages and efforts by state lawmakers to support providers. Highlights legislative efforts to support growth in rural child care capacity, including a Nebraska grant program that supports the provision of child care services in nursing homes and assisted living facilities.
Source: Stateline

Federal Register

HHS: Center for Indigenous Innovation and Health Equity Tribal Advisory Committee; Solicitation of Nominations for Delegates
Jan 8, 2025 -- The U.S. Department of Health and Human Services (HHS) Office of Minority Health (OMH) is accepting nominations of candidates to serve as primary and alternate delegates for the Center for Indigenous Innovation and Health Equity Tribal Advisory Committee (CIIHE TAC). CIIHE TAC delegates must be elected tribal officials from a federally recognized tribe acting in their official capacity or individuals designated by an elected tribal official. There are vacancies for all IHS areas, except the Navajo and Tucson Areas. Nomination letters are encouraged by January 17, 2024, but will continue to accept nominations until all primary and alternate delegate positions are filled.
Source: Federal Register

GAO: Request for Medicare Payment Advisory Commission (MedPAC) Nominations
Jan 7, 2025 -- The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicare Payment Advisory Commission (MedPAC) by February 7, 2025. Appointments are effective May 2025.
Source: Federal Register

GAO: Request for Medicaid and CHIP Payment and Access Commission (MACPAC) Nominations
Jan 2, 2025 -- The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicaid and CHIP Payment and Access Commission (MACPAC). Appointments are effective May 2025. Letters of nomination and resumes are due by January 28, 2025.
Source: Federal Register

Funding & Opportunities

Learn More Breathe Better® Community Subcontract Program
Funding for initiatives and programs designed to increase awareness about chronic obstructive pulmonary disease (COPD) as a serious lung disease and a leading cause of death and disability in the United States. Applications from rural communities will receive special consideration.
Geographic coverage: Nationwide
Letter of Intent (Required): Jan 21, 2025
Application Deadline: Feb 11, 2025
Sponsors: National Heart, Lung, and Blood Institute, National Institutes of Health


Rural Decentralized Water Systems Grant Program
Grants for qualified nonprofit organizations and tribes to create a revolving loan fund to increase access to clean, reliable water and septic systems for households in eligible rural areas.
Geographic coverage: Nationwide
Application Deadline: Mar 3, 2025
Sponsors: U.S. Department of Agriculture, USDA Rural Utilities Service


Distance Learning and Telemedicine Program Grants
Grants to help rural communities use advanced telecommunications technology to connect to each other (and the world) overcoming the effects of remoteness and low population density. Projects that promote equity and economic opportunity in rural America are encouraged.
Geographic coverage: Nationwide
Application Deadline: Mar 6, 2025
Sponsors: U.S. Department of Agriculture, USDA Rural Development, USDA Rural Utilities Service


Strengthening Vaccine-Preventable Disease Prevention and Response
Funding to public health systems to protect people and communities from vaccine-preventable diseases by equitably increasing access, confidence, and demand for vaccines.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Mar 13, 2025
Sponsors: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services


Access to Justice Prize: Closing the Rural Justice Gap
Prize competition designed to advance innovative solutions that expand access to justice within rural jurisdictions and communities.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Mar 31, 2025
Sponsors: Office for Access to Justice, U.S. Department of Justice


Grain Bin Rescue Equipment and Training Contest
Awards for rural emergency first responders that include grain rescue tubes and hands-on rescue training.
Geographic coverage: Nationwide
Application Deadline: Apr 30, 2025
Sponsors: KC Supply Company, National Education Center for Agricultural Safety, Nationwide Mutual Insurance Company


Mary Kay Domestic Violence Shelter Grant Program
Grants to support domestic violence shelters. The Foundation will award a grant to at least one domestic violence shelter in every state that applies, and many grants have gone to rural areas.
Geographic coverage: Nationwide
Application Deadline: Apr 30, 2025
Sponsor: The Mary Kay Foundation


Notice of Special Interest (NOSI): Firearm Injury and Mortality Prevention Research
Notice of Special Interest for research to improve understanding of the determinants of firearm injury; the identification of those at risk of firearm injury; the development, piloting, and testing of innovative interventions to prevent firearm injury and mortality; and the examination of approaches to improve the implementation of existing, evidence-based interventions to prevent firearm injury and mortality.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Feb 5, 2026
Sponsors: National Institute of Mental Health, National Institute on Aging, National Institute on Alcohol Abuse and Alcoholism, National Institute on Drug Abuse, National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services


The Role of Work in Health Disparities in the U.S. (R01 Clinical Trials Optional)
Grants for innovative population-based research in how work or occupation influences health outcomes and health status among health disparity populations and how work functions as a social determinant of health.
Geographic coverage: Nationwide and U.S. Territories
Application Deadline: Jan 8, 2028
Sponsors: National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services


American Indian Public Health Resource Center Technical Assistance
Technical assistance for tribes to improve health systems, access to services, and health outcomes in rural, impoverished communities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: American Indian Public Health Resource Center


Targeted Technical Assistance for Rural Hospitals Program
2-year technical assistance program for rural hospitals to address financial and operational challenges and help maintain essential health services in rural communities.
Geographic coverage: Nationwide
Applications accepted on an ongoing basis
Sponsor: Georgia Southern University Center for Public Health Practice and Research

Resources

2024 Broadband/Internet Availability Survey Report
Presents findings of a survey capturing rural broadband and internet availability data as reported by 228 internet companies that responded to NTCA's survey. Describes technologies used to provide broadband services, broadband availability and subscription rates, anchor institutions, network deployment progress, supply chain challenges, barriers to widespread fiber deployment, and more.
Sponsoring organization: NTCA: The Rural Broadband Association
Date: 12/2024


Associations Between Rural Hospital Closures and Acute and Post-Acute Care Access and Outcomes
Examines the impact of rural hospital closures on hospital and post-acute care (PAC) use and outcomes. Analyzes 32 rural hospital closures and county-level impacts on travel distances, lengths of stay at hospitals, hospital charges, PAC episodes, fall injuries and related mortality and hospitalizations, and population-level hospitalization and death rates. Includes descriptive statistics of 2014-2018 rural hospital closure status.
Author(s): Geoffrey J. Hoffman, Jinkyung Ha, Zhaohui Fan, Jun Li
Location: Health Services Research
Date: 12/2024


Community Health Center Patients, Financing, and Services
Describes health center patient characteristics, services, patient experiences, and financing changes between 2019 and 2023. Presents data on health centers in rural communities throughout.
Sponsoring organization: KFF
Date: 01/2025


Financial Performance Gaps Between Critical Access Hospitals and Other Acute Care Hospitals
Research letter examining how system affiliation impacted hospital financial measures for Critical Access Hospitals (CAHs) and non-CAHs between 2020 and 2022.
Author(s): Christopher Whaley, Marilyn Bartlett, Ge Bai
Location: JAMA Health Forum, 5(12)
Date: 12/2024


The Implications of the No Surprises Act on Contract Dynamics, Negotiations, and Finances
Provides feedback from insurance and healthcare stakeholders regarding the No Surprises Act (NSA), with a focus on insurer-provider dynamics, insurer and provider staffing, contract negotiations, payment rates, and the handling of advanced explanation of benefits (AEOB) provisions. Provides 2024 interview feedback from 35 stakeholders regarding the NSA and includes reflections on its impact for rural and underserved communities.
Sponsoring organization: RAND Corporation
Date: 12/2024


The Interdisciplinary Network on Rural Population Health and Aging
A collaborative of researchers facilitating research on health and aging trends for rural populations. Offers funding and data resources to support research on public health challenges for rural older adults.
Sponsoring organization: University of Minnesota School of Public Health

Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief
Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly tele-behavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
Date: 12/2024


Medicare Advantage Enrollment Update 2024
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans by metropolitan and nonmetropolitan location and plan type, from 2014-2024.
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 01/2025


Medicare Could save Billions with Comparable Access for Enrollees If Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System
Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Sponsoring organization: Office of Inspector General (HHS)
Date: 12/2024


Merit-based Incentive Payment System (MIPS): 2025 MIPS Quick Start Guide for Small Practices
Provides an overview of the Merit-based Incentive Payment System (MIPS). Outlines 6 steps for small practices regarding participation in the 2025 performance year. Includes information on performance category redistribution policies for small practices.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 01/2025


Merit-Based Incentive Payment System (MIPS): 2025 Reporting MIPS Quality Measures through Medicare Part B Claims Quick Start Guide for Small Practices
Provides details on how small practices can report quality measures through Medicare Part B claims measures. Highlights changes to these measures in 2025, score redistribution policies for small practices, and information for clinicians at Critical Access Hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 01/2025


Midwifery Care at Rural Hospitals in Montana and California
Provides a brief overview of hospital-based maternal healthcare in rural communities. Profiles hospitals that serve rural areas in Montana and California and how they have incorporated midwives into their maternity and primary care services. Identifies opportunities and challenges to employing midwives and incorporating midwifery care that may be helpful to other rural hospitals.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 12/2024


Physician Engagement in Addressing Health-Related Social Needs and Burnout
Results of a 2022 study exploring physicians' engagement in addressing health-related social needs and its association with burnout. Supplementary material features statistics including geographic location with breakdowns by greater or less than 20% rural patient care.
Additional links: Supplementary Content
Author(s): Masami Tabata-Kelly, Xiaochu Hu, Michael J. Dill, et al.
Location: JAMA Network Open, 7(12), e2452152
Date: 12/2024


Proximity to Cancer Rehabilitation and Exercise Oncology by Geography, Race, and Socioeconomic Status
Examines the proximity to cancer rehabilitation and exercise oncology (CR/EO) programs and the health impacts of access. Utilizes 2020 American Community Survey (ACS) and Centers for Disease Control and Prevention (CDC) data to analyze 2,133 CR/EO programs, with breakdowns according to CR/EO distance, density, rural versus urban location, race/ethnicity, social deprivation index, U.S. region, and cancer incidence and mortality. Includes U.S. maps showing location of CR/EO programs and areas with or without proximity to programs.
Author(s): Kathryn H. Schmitz, Kathryn Demanelis, Mary E. Crisafio, et al.
Location: Cancer: An International Interdisciplinary Journal of the American Cancer Society, 131(1)
Date: 01/2025


Raising Radon Awareness in Tribal Communities
Provides an overview of radon awareness in tribal areas as a public health issue. Discusses radon's environmental health impacts and features programs, funding, and partnerships supporting tribal radon awareness and response.
Sponsoring organization: Centers for Disease Control and Prevention

Rural American Hospice Insights Report: Understanding the Needs of the Rural Family Caregiver
Presents findings from a survey of 400 rural family caregivers regarding their knowledge and perceptions of hospice care. Covers respondents' demographics, communication and learning preferences, awareness of and beliefs about hospice, priorities regarding hospice care, and more. Requires name, organization information, and email address to download.
Sponsoring organizations: National Alliance for Care at Home, Transcend Strategy Group
Date: 12/2024


Rural-Urban Differences in PACE Organization and Enrollee Characteristics
Compares differences between rural and urban Programs of All-Inclusive Care for the Elderly (PACE) and their enrollees. Presents data on enrollment, eligibility, length of time in PACE, age, and gender.
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 01/2025


Tribal Epidemiology Centers: Strengthening American Indian and Alaska Native Public Health through Data, Collaboration, and Innovation
Provides an overview of tribal epidemiology centers (TECs), focusing on their impact on the availability and quality of public health surveillance data for American Indians and Alaskan Natives. Discusses challenges with collecting data for this population and strategies TECs are using to address these issues. Offers examples of public health best practices from TECs related to cancer, behavioral health, substance use, infectious diseases, and more.
Sponsoring organization: Tribal Epidemiology Centers
Date: 11/2024


Water Affordability Needs Assessment: Report to Congress
Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Sponsoring organization: U.S. Environmental Protection Agency
Date: 12/2024


Well-Being Interventions for Rural Health Professionals: A Scoping Review
Explores the literature on rural healthcare workforce interventions aimed at addressing burnout. Highlights selection criteria and compares interventions and outcomes. Aims to identify the potential efficacy of the interventions studied.
Author(s): Skye McKennon, Suzanne Fricke, Dawn DeWitt
Location: Journal of Rural Health, 41(1), e12909
Date: 01/2025


Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Sponsoring organization: Bipartisan Policy Center
Date: 01/2025

Open Calls for Contributions

Call for Presentations: 2025 Annual National Healthcare Coalition Preparedness Conference
Deadline: Jan 24, 2025
Managed Emergency Surge for Healthcare (MESH)
Event Dates: Dec 1 - 3, 2025
Grapevine, TX
Conference Website

Call for Presentations: 2025 Iowa Rural Health Summit
Deadline: Jan 24, 2025
University of Iowa College of Public Health
Event Dates: Feb 28, 2025
Iowa City, IA
Conference Website

Call for Abstracts: 2025 Annual International Society for Agricultural Safety and Health Conference
Deadline: Feb 4, 2025
International Society for Agricultural Safety and Health
Event Dates: Jun 23 - 26, 2025
Portland, ME
Conference Website

Upcoming Events

Jan
8
Delta Health Systems Implementation Program Webinar
Virtual
Jan 8, 1:00 - 2:00 p.m. Eastern
Federal Office of Rural Health Policy
Jan
9
Artificial Intelligence in Recovery: How AI Is Making Addiction Recovery More Accessible and Effective
Virtual
Jan 9, 2:00 p.m. Eastern
The RCORP-Rural Center of Excellence on SUD Recovery at the Fletcher Group
Jan
10
State of the Healthcare Industry - Market Updates for Rural Strategy
Virtual
Jan 10, 1:00 p.m. Eastern
National Organization of State Offices of Rural Health
Jan
14
Agricultural Safety, Health, and Risk Management Certificate Program
Virtual
Jan 14
Agricultural Safety and Health Council of America
Jan
14
Every Ride Counts: Pilot Projects Discuss Their Experiences
Virtual
Jan 14, 2:00 p.m. Eastern
National Aging and Disability Transportation Center
Jan
15
Agricultural Community QPR for Farmers and Farm Families
Virtual
Jan 15, 11:00 a.m. Central
AgriSafe Network
Jan
15
Trump's Washington, and What it Means for Rural Health Clinic Policy in 2025
Virtual
Jan 15, 2:00 p.m. Central
National Association of Rural Health Clinics
Jan
16
Orientation to Appalachian Region Healthcare Technical Assistance Center (ARH-TAC)
Virtual
Jan 16, 2:00 p.m. Eastern
Rural Health Redesign Center
Jan
21
The Future of Workplace Violence Prevention: Focusing on What's Most Important
Virtual
Jan 21, 12:00 p.m. Central
Texas A&M Health Rural Engagement Program
Jan
22
LTSS Webinar: Aging with Pets - Benefits, Challenges, and Opportunities
Virtual
Jan 22
Centers for Medicare and Medicaid Services
Jan
22
Tribal Homelessness Network Series
Virtual
Jan 22
HUD Office of Native American Programs
Jan
23
National Public Health Approach to Long COVID
Virtual
Jan 23, 3:00 p.m. Eastern
Centers for Disease Control and Prevention
Jan
27
Radon Risk Reduction Initiatives in Tribal Communities
Virtual
Jan 27, 2:00 p.m. Eastern
Centers for Disease Control and Prevention
Jan
28
Keep Rural Communities Healthy: The Role of HPV Vaccination
Virtual
Jan 28, 12:00 p.m. Central
AgriSafe Network
Jan
30
2025 Physician Fee Schedule Final Rule
Virtual
Jan 30, 1:00 p.m. Central
Rural Health Information Hub
Jan
30
Rural Communities Opioid Response Program - Overdose Response Webinar
Virtual
Jan 30, 2:00 - 3:00 p.m. Eastern
Federal Office of Rural Health Policy
Jan
30-31
Preparedness in Rural Communities: National and State/Local Perspectives and Plans
Virtual
Jan 30 - 31
Penn State University
Feb
11-13
2025 36th Annual Rural Health Policy Institute
In-Person
Feb 11 - 13
National Rural Health Association
Washington, DC
Feb
14
Strengthening Tribal and Non-Tribal Collaboration to Address Elder Abuse in Tribal Communities
Virtual
Feb 14, 12:00 p.m. Eastern
Office for Victims of Crime
Feb
20
Navigating Workplace Violence: Safety Strategies for Managing Agitation and Aggression
Virtual
Feb 20, 1:00 p.m. Eastern
Rural Health Redesign Center
Feb
28
2025 Iowa Rural Health Summit
Virtual
Feb 28
University of Iowa College of Public Health
Iowa City, IA
Mar
1-4
2025 NACo Legislative Conference
In-Person
Mar 1 - 4
National Association of Counties
Washington, DC

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