- Number of U.S. Hospitals Offering Obstetric Care Is Declining
- NRHA Announces 2025 Rural Health Fellows
- New RSV Drug Delivers Promising Results in Alaska's Yukon-Kuskokwim Delta
- Lack of Civic Infrastructure Drives Rural Health Disparities
- VA: Solicitation of Nomination for Appointment to the Veterans' Rural Health Advisory Committee
- EOP: National Rural Health Day, 2024
- Distance, Workforce Shortages Complicate Mental Health Access in Rural Nevada Communities
- Bird Flu Is Racing Through Farms, but Northwest States Are Rarely Testing Workers
- After Helene, Clinician Teams Brought Critical Care To Isolated WNC Communities
- Biden-Harris Administration Announces $52 Million Investment for Health Centers to Provide Care for People Reentering the Community after Incarceration
- The Biden-Harris Administration Supports Rural Health Care
- On National Rural Health Day, Reps. Sewell and Miller Introduce Bipartisan Legislation to Support Rural Hospitals
- HRSA: Inclusion of Terrain Factors in the Definition of Rural Area for Federal Office of Rural Health Policy Grants
- Terri Sewell Cosponsors Bill Reauthoring Program to Support Rural Hospitals
- DEA, HHS: Third Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications
Pennsylvania Rural Hospitals Honored as Performance Leadership Award Winners
In recognition of National Rural Health Day 2024 which took place on Nov. 21, the Pennsylvania Office of Rural Health (PORH) announced that sixteen of Pennsylvania’s rural hospitals have been recognized as winners of the 2024 Performance Leadership Award.
Compiled by The Chartis Center for Rural Health, the Performance Leadership Awards recognize top quartile performance (i.e., 75th percentile or above) among rural hospitals in quality, outcomes, and patient perspective.
The Performance Leadership Awards are based on the results of the Chartis Rural Hospital Performance INDEX®, a comprehensive and objective framework for assessing how rural hospitals perform. INDEX benchmarks are relied on by rural hospitals, health systems with rural footprints, hospital associations, and state offices of rural health to measure performance across multiple areas impacting hospital operations and finance.
Pennsylvania’s critical access and other small rural hospitals were recognized for the following awards:
Awards for quality
- Barnes-Kasson County Hospital, Susquehanna, PA
- Conemaugh Meyersdale Medical Center, Meyersdale, PA
- Fulton County Medical Center, McConnellsburg, PA
- Geisinger Jersey Shore Hospital, Jersey Shore, PA
Awards for outcomes
- Evangelical Community Hospital, Lewisburg, PA
- Geisinger Lewistown Hospital, Lewistown, PA
- Penn Highlands Brookville, Brookville, PA
- Schuylkill Medical Center-South Jackson Street, Pottsville, PA
- UPMC Bedford, Everett, PA
- UPMC Horizon, Greenville, PA
- UPMC Northwest, Seneca, PA
- UPMC Somerset, Somerset, PA
- Wayne Memorial Hospital, Honesdale, PA
- WellSpan Waynesboro Hospital, Waynesboro, PA
Awards for patient perspective
- Conemaugh Meyersdale Medical Center, Meyersdale, PA
- Conemaugh Miners Medical Center, Hastings, PA
- LECOM Corry Memorial Hospital, Corry, PA
“Our rural hospitals play a crucial role in enhancing health care quality, patient experience, and overall outcomes, while navigating the complexities of modern health care systems,” said Sandee Kyler, PORH rural health systems manager and deputy director. “The Leadership Awards recognize the exceptional efforts and innovations these hospitals demonstrate in meeting high standards of care. Through their dedication, rural hospitals are driving positive change and achieving remarkable success, despite the challenges they face. This recognition celebrates their unwavering commitment to improving patient care and shaping the future of health care in rural communities.”
“The prestigious awards for quality care and patient outcomes to these small rural hospitals speak volumes about their dedication to excellent care and we are fortunate to have them as health care providers throughout the Commonwealth,” said Lannette Fetzer, PORH quality improvement coordinator. “I am so proud of their tremendous accomplishments and congratulate them all.”
“The Performance Leadership Awards capture the commitment, diligence and innovation with which America’s rural hospitals approach the delivery of care within their communities,” said Troy Brown, Network Consultant, The Chartis Center for Rural Health. “It’s a tremendous honor to be able to recognize the efforts of this year’s award winners and celebrate their achievements.”
The Chartis Center for Rural Health provides services in strategic, clinical, financial, and digital and technology transformation. Other agency brands include Greeley, Healthscape Advisors, and Jarrard. The agency also addresses critical industry priorities like health equity, practitioner burnout, and rural health. More information is available at chartis.com.
PORH was established in 1991 to enhance the health status of rural Pennsylvanians and strengthen the delivery and quality of care in the communities in which they live. Each year, the organization presents awards to recognize rural health programs and individuals who have made substantial contributions to rural health in Pennsylvania. To learn more about the Pennsylvania Office of Rural Health, visit porh.psu.edu.
For more details about the Chartis Rural Hospital Performance INDEX, contact Billy Balfour at wbalfour@chartis.com.
New Brief Released: Understanding Rental Housing Affordability
Affordable rental housing paves the way to stable jobs, education, and other opportunities. The Rental Housing Affordability Data Explorer provides estimates on the availability of affordable rental housing at different income levels in Delaware, New Jersey, and Pennsylvania, at both the state and regional levels.
Updated with data through 2022, the tool also includes information on:
- the percentage of households who spend over 30 percent and over 50 percent of their income on rent.
- the availability of affordable units for low- and moderate-income renters
- the age and structure types of the low-cost rental housing stock
- federally subsidized rental housing programs and their expiration status.
The data explorer sheds light on trends in rental affordability and can inform state, regional, and county strategies to address challenges in affordability and preserve the existing low-cost rental stock.
New Review Published on Effect of Telehealth on Cost of Health Care during the COVID-19 Pandemic
A sudden increase in telehealth use occurred after the declaration of the COVID-19 public health emergency (PHE), which led to the easement and removal of barriers to telehealth usage as well as modifications to payment policies for telehealth reimbursement. The PHE provided an opportunity to assess telehealth’s impact on health care costs for payers and patients. We conducted a systematic review in 2023 to understand the impact of telehealth use on health care costs during the COVID-19 pandemic across health conditions and telehealth modalities. An updated search – in November 2023 – followed the same search strategy and methods as the initial systematic review.
Of 820 citations identified in the new search, 6 met the inclusion criteria for review. Most of the studies used a retrospective observational design to identify the differences in costs between the telehealth group and the comparator group. Three studies were conducted within the U.S. and three were conducted internationally. As with the first search, the conditions addressed and costs measured were heterogeneous. Overall, conclusions – consistent with the first review – add to the evidence that telehealth modalities are cost-saving compared to traditional in-person care at a patient perspective and can provide clinic efficiency gains and increases in billing revenue from the health care payer perspective.
Please click here to read the brief.
Rural Telehealth Research Center, University of Iowa, 200 Hawkins Drive, 1008 RCP, Iowa City, IA 52242, Email: rtrc-inquiry@uiowa.edu, www.ruraltelehealth.org
USDA Shares ASPPH’s Announcement for the Next ASPPH/USDA Rural Health Fellowship!
The Association of Schools and Programs of Public Health (ASPPH) has announced the 2025-2026 ASPPH/USDA Rural Health Fellowship opportunity for recent graduates.
The ASPPH/USDA Rural Health Fellowship opportunity launched in 2023. The USDA Rural Health Liaison has been successful in securing two additional years since (2024-2025, and now 2025-2026). The new one-year fellowship will begin in June 2025.
By participating in the ASPPH/USDA Rural Health Fellowship Program, the selected fellow will have the opportunity to:
- contribute to USDA programs related to rural health
- lead the development of tools to better understand and access USDA programs that can be used by federal and non-federal partners
- prepare and implement rural health initiatives or strategies with USDA programs and federal and non-federal partners; and
- build and maintain relationships across USDA and between USDA and partners
The Fellowship will be based in Washington, DC, but hybrid/remote candidates will be considered. The position is a full-time training opportunity for one year (estimated June 2025 – June 2026), with the possibility of a one-year extension. Detailed program information and all application instructions can be accessed on the ASPPH application website.
To be eligible for this program, applicants must have received their Masters or Doctorate degree prior to the beginning of the fellowship (no later than June 2025) or within the last five years (no earlier than May 2020). Graduate degrees must come from an ASPPH member graduate school or program of public health accredited by the Council on Education for Public Health (CEPH). All applicants must be US citizens or hold a visa permitting permanent residence (“Green Card”) in the US to be eligible for the fellowship program.
Application deadline is 11:59 PM ET Thursday, January 9, 2025.
If you have questions, please send a message to rural.health@usda.gov
USDA Launches Pilot Program to Help Rural Homeowners, People Affected by Disasters, Quickly Access Funding to Repair Their Homes
U.S. Department of Agriculture (USDA) Rural Development Under Secretary Dr. Basil Gooden today announced that USDA is launching a new pilot program in 23 states, American Samoa and Puerto Rico to make it easier for rural homeowners to repair and rehabilitate their homes.
The pilot will help USDA’s Single Family Housing Home Repair Loans and Grants program better meet industry standards, while continuing to protect homeowners from fraud. It removes regulatory barriers to make it easier and faster for contractors to complete needed home repairs for rural homeowners.
To learn more, read the full Stakeholder Announcement.
Ryan White HIV/AIDS Program Achieves Record-Breaking 90.6% Viral Suppression Rate among Its More than 576,000 Clients
World AIDS Day announcement showcases HRSA’s historic success in advancing HIV care nationwide
In commemoration of World AIDS Day, the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), announced a record-breaking 90.6 percent of people with HIV receiving medical care through the Ryan White HIV/AIDS Program are virally suppressed, exceeding national viral suppression rates. Viral suppression means people with HIV taking their medication cannot sexually transmit HIV and can live longer and healthier lives.
HRSA Administrator Carole Johnson, joined by White House Office of National AIDS Policy Director Francisco Ruiz and HIV community leaders, announced these latest data at a World AIDS Day community event at La Clínica del Pueblo in Northwest Washington, D.C. This milestone highlights the Ryan White HIV/AIDS Program’s vital role in expanding access to care for individuals with HIV, improving health outcomes, and contributing to ending the HIV epidemic in the United States.
“At the Health Resources and Services Administration, the care and treatment we have continuously supported through our Ryan White HIV/AIDS Program over the last 34 years is making it possible for hundreds of thousands of people with HIV to live long, healthy lives,” said HRSA Administrator Carole Johnson. “Today’s record-breaking data highlight the impact of the Ryan White Program and underscore the vital role of the program to ensure no communities are left behind as we work towards ending the HIV epidemic.”
HRSA’s Ryan White HIV/AIDS Program provides a comprehensive system of HIV primary medical care, medication, and support services to more than half of people with diagnosed HIV in the United States each year. The program tailors approaches to best meet the needs of individual people with HIV and their communities, including by addressing health-related needs like housing, transportation, medical case management, mental and behavioral health care, and food access that directly affect the ability of patients to enter and stay in care and access treatment services. The federal Ending the HIV Epidemic in the U.S. (EHE) initiative expands upon the vital work of the Ryan White HIV/AIDS Program to reach people newly diagnosed with HIV and people with HIV out of care by enhancing linkage to and engagement in care, decreasing disparities, and improving viral suppression.
The new Ryan White HIV/AIDS Program data reflect several key milestones:
- More than 576,000 people with HIV in the U.S. received life-saving care, medication, and essential support services through the Ryan White HIV/AIDS Program, representing over 50% of those with diagnosed HIV in the U.S.
- Nearly 91 percent of Ryan White HIV/AIDS Program clients receiving HIV medical care were virally suppressed in 2023. This is up from 70 percent of clients virally suppressed in 2010 and significantly higher than the 65 percent virally suppressed nationally (which includes people who do not qualify or receive treatment through the Ryan White Program).
- Nearly 48 percent of Ryan White HIV/AIDS Program clients are aged 50 years and older, demonstrating the program’s success in supporting older clients and its commitment to addressing the unique needs of people with HIV as they age.
The Ryan White HIV/AIDS Program supports recipients that address the epidemic in communities most severely affected by HIV, including cities and counties (Part A); states and territories (Part B); local community-based groups that provide ambulatory health services for people with HIV (Part C); local community-based groups that provide medical care for low-income women, infants, children and youth with HIV (Part D); and for HIV workforce education and training, oral health care, and other innovative models of HIV care and treatment (Part F).
To access the new 2023 Ryan White HIV/AIDS Program By the Numbers data infographic, visit: https://ryanwhite.hrsa.gov/sites/default/files/ryanwhite/resources/rwhap-hrsa-numbers-2023.pdf (PDF – 871 KB).
To learn more about HRSA’s Ryan White HIV/AIDS Program, visit ryanwhite.hrsa.gov.
For more information about HRSA’s role in the Ending the HIV Epidemic in the U.S. initiative, visit www.hrsa.gov/ending-HIV-epidemic.
CDC Office of Rural Health Showcases Rural Health Initiatives
In case you missed it, the CDC released its inaugural Rural Public Health Strategic Plan in September. Our work with many of you helped us to develop a strategy to ensure rural health needs are considered in all our programs and initiatives. We are committed to using the best research and data available to develop and disseminate tailored resources and build and improve rural public health activities.
Here are some examples of CDC’s rural work and recent successes you can share with your networks:
Electronic Case Reporting (eCR). eCR is the automated, real-time exchange of case report information between electronic health records and public health agencies. This information exchange is vital for public health facilities that treat under-resourced communities like critical access hospitals (CAHs). CAHs are rural hospitals with 25 or fewer acute care inpatient beds that are typically located more than 35 miles from another hospital. The number of CAHs using eCR increased 368% between 2022 and 2024. Click here to learn more about this successful onboarding of CAHs.
Population Level Analysis and Community Estimates (PLACES). PLACES is a free CDC web tool that expands access to data for rural communities, delivering hyper-local model-based data for the entire U.S. population at 4 levels of geography. The latest release included estimates for seven new nonmedical factors for health including transportation barriers, food insecurity, and lack of social and emotional support.
Insight Net. Through CDC investments, a team at Clemson University is collaborating with Clemson Rural Health, South Carolina’s Department of Public Health, and two large health systems to integrate respiratory disease trend data with information about available medical resources and community needs. Analysis and modeling using these data elements helps the state and health systems direct resources like mobile health clinics to high-risk rural communities. This tool has the potential to reduce thousands of preventable hospitalizations and deaths, drastically increase the number of high-risk patients served, and could be applied in other rural communities once evaluated.
High Obesity Program (HOP). CDC’s HOP investments in states, universities, territories, and tribes reach rural populations with proven interventions and innovative projects. HOP is a 5-year cooperative agreement to fund 16 land-grant universities to work with community extension services to improve access to healthier foods and safe places for physical activity where 40% or more of adults have obesity. From 2018 to 2023, all HOP recipients worked with rural counties. Overall, their work reached more than 338,000 people through improved access to safe places for physical activity and over 116,000 people through improved guidelines for healthier eating.
To learn more about CDC’s rural health work, visit us online at www.cdc.gov/rural-health and contact us at ruralhealth@cdc.gov.
Medicare Announces Cap on Out-of-Pocket Costs and Medicare Prescription Payment Plan
Beginning in 2025, all Medicare plans will include a yearly $2,000 cap on covered out-of-pocket prescription drug costs. The cap only applies to drugs that are covered by their Medicare plan, making it especially important for those with Medicare to review their plan to make sure their specific drugs are covered. If people with Medicare have prescription drugs that are not covered by the plan they choose, they will not be able to fully benefit from the cap.
Plan Finder provides an opportunity to input your prescriptions to be able to easily see if a plan covers them and their preferred pharmacy.
Likewise, starting in January 2025, the Medicare Prescription Payment Plan will take effect. The Medicare Prescription Payment Plan is a new payment option in the Inflation Reduction Act, also known as the prescription drug law, that works with the current drug coverage to help manage beneficiary’s out-of-pocket costs for drugs covered by their plan by spreading them across the calendar year (January–December), participation is voluntary.
How does the Medicare Prescription Payment Plan help my patient?
- For a certain set of people, it will help to manage their out-of-pocket covered drug costs. This plan is not right for everyone and does not save money for patients, but helps spread out existing costs.
- Costs are spread out across the calendar year (January – December) through monthly payments through a health plan versus in a lump sum at the pharmacy counter.
How does the Medicare Prescription Payment Plan work?
- There’s no cost to participate in the Medicare Prescription Payment Plan.
- If this payment option is selected, each month the plan premium will continue to be paid, if they have one. A bill will be received from the health or drug plan to pay, instead of paying the pharmacy
- If a person with Medicare determines this program is right for them, please have them contact their plan.
We encourage you to visit:
https://www.medicare.gov/prescription-payment-plan
https://www.medicare.gov/drug-coverage-part-d.
Broadband Grant Application Process Now Open in Pennsylvania
The Pennsylvania Broadband Development Authority is now accepting applications for its $1.16 billion Broadband Equity, Access, and Deployment Program. This funding will expand high-speed internet to areas in the state that currently lack reliable access.
Applications can be submitted until January 21, 2025, for groups like nonprofits, municipalities, and internet providers.
To view more, click HERE.
705 Rural Hospitals at Risk of Closure, State by State
More than 700 rural U.S. hospitals are at risk of closure due to financial problems, with more than half of those hospitals at immediate risk of closure.
The count comes from the latest analysis from the Center for Healthcare Quality and Payment Reform, which is based on CMS’s October 2024 hospital financial information. The center’s analysis reveals two distinct levels of vulnerability among rural healthcare facilities: risk of closure and immediate risk of closure.
In the first category, nearly every state has hospitals at risk of closure, measured by financial reserves that can cover losses on patient services for only six to seven years. In over half the states, 25% or more of rural hospitals face this risk, with 10 states having a majority of their rural hospitals in jeopardy.
The report also analyzes hospitals facing immediate threat of closure meaning financial reserves could offset losses on patient services for two to three years at most. Currently, 364 rural hospitals are at immediate risk of shutting down due to severe financial difficulties.
Below is a state-by-state listing of the number of rural hospitals at risk of closure in the next six to seven years and at immediate risk of closure over the next two to three years.
Alabama
27 hospitals at risk of closing (53%)
23 at immediate risk of closing in next 2-3 years (45%)
Alaska
2 hospitals at risk of closing (12%)
1 at immediate risk of closing in next 2-3 years (6%)
Arizona
2 hospitals at risk of closing (7%)
1 at immediate risk of closing in next 2-3 years (4%)
Arkansas
25 hospitals at risk of closing (54%)
13 at immediate risk of closing in next 2-3 years (28%)
California
23 hospitals at risk of closing (40%)
10 at immediate risk of closing in next 2-3 years (17%)
Colorado
11 hospitals at risk of closing (26%)
6 at immediate risk of closing in next 2-3 years (14%)
Connecticut
2 hospitals at risk of closing (67%)
1 at immediate risk of closing in next 2-3 years (33%)
Delaware
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years
Florida
8 hospitals at risk of closing (36%)
5 at immediate risk of closing in next 2-3 years (23%)
Georgia
22 hospitals at risk of closing (32%)
11 at immediate risk of closing in next 2-3 years (16%)
Hawaii
8 hospitals at risk of closing (62%)
0 at immediate risk of closing in next 2-3 years
Idaho
7 hospitals at risk of closing (24%)
0 at immediate risk of closing in next 2-3 years
Illinois
10 hospitals at risk of closing (14%)
6 at immediate risk of closing in next 2-3 years (8%)
Indiana
5 hospitals at risk of closing (9%)
4 at immediate risk of closing in next 2-3 years (7%)
Iowa
28 hospitals at risk of closing (30%)
9 at immediate risk of closing in next 2-3 years (10%)
Kansas
62 hospitals at risk of closing (63%)
32 at immediate risk of closing in next 2-3 years (33%)
Kentucky
14 hospitals at risk of closing (20%)
6 at immediate risk of closing in next 2-3 years (8%)
Louisiana
24 hospitals at risk of closing (44%)
12 at immediate risk of closing in next 2-3 years (22%)
Maine
10 hospitals at risk of closing (40%)
6 at immediate risk of closing in next 2-3 years (24%)
Maryland
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years
Massachusetts
2 hospitals at risk of closing (33%)
2 at immediate risk of closing in next 2-3 years (33%)
Michigan
15 hospitals at risk of closing (23%)
7 at immediate risk of closing in next 2-3 years (11%)
Minnesota
19 hospitals at risk of closing (20%)
7 at immediate risk of closing in next 2-3 years (7%)
Mississippi
34 hospitals at risk of closing (52%)
25 at immediate risk of closing in next 2-3 years (38%)
Missouri
22 hospitals at risk of closing (38%)
10 at immediate risk of closing in next 2-3 years (17%)
Montana
14 hospitals at risk of closing (25%)
4 at immediate risk of closing in next 2-3 years (7%)
Nebraska
4 hospitals at risk of closing (6%)
2 at immediate risk of closing in next 2-3 years (3%)
Nevada
5 hospitals at risk of closing (36%)
3 at immediate risk of closing in next 2-3 years (21%)
New Hampshire
2 hospitals at risk of closing (12%)
0 at immediate risk of closing in next 2-3 years
New Jersey
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years
New Mexico
7 hospitals at risk of closing (26%)
6 at immediate risk of closing in next 2-3 years (22%)
New York
29 hospitals at risk of closing (56%)
20 at immediate risk of closing in next 2-3 years (38%)
North Carolina
6 hospitals at risk of closing (11%)
5 at immediate risk of closing in next 2-3 years (9%)
North Dakota
13 hospitals at risk of closing (33%)
5 at immediate risk of closing in next 2-3 years (13%)
Ohio
5 hospitals at risk of closing (7%)
2 at immediate risk of closing in next 2-3 years (3%)
Oklahoma
39 hospitals at risk of closing (51%)
25 at immediate risk of closing in next 2-3 years (32%)
Oregon
8 hospitals at risk of closing (24%)
2 at immediate risk of closing in next 2-3 years (6%)
Pennsylvania
13 hospitals at risk of closing (30%)
7 at immediate risk of closing in next 2-3 years (16%)
Rhode Island
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years
South Carolina
9 hospitals at risk of closing (38%)
5 at immediate risk of closing in next 2-3 years (21%)
South Dakota
9 hospitals at risk of closing (18%)
4 at immediate risk of closing in next 2-3 years (8%)
Tennessee
19 hospitals at risk of closing (36%)
17 at immediate risk of closing in next 2-3 years (32%)
Texas
82 hospitals at risk of closing (51%)
32 at immediate risk of closing in next 2-3 years (20%)
Utah
0 hospitals at risk of closing
0 at immediate risk of closing in next 2-3 years
Vermont
8 hospitals at risk of closing (62%)
4 at immediate risk of closing in next 2-3 years (31%)
Virginia
9 hospitals at risk of closing (30%)
8 at immediate risk of closing in next 2-3 years (27%)
Washington
17 hospitals at risk of closing (38%)
7 at immediate risk of closing in next 2-3 years (16%)
West Virginia
12 hospitals at risk of closing (38%)
6 at immediate risk of closing in next 2-3 years (19%)
Wisconsin
7 hospitals at risk of closing (9%)
1 at immediate risk of closing in next 2-3 years (1%)
Wyoming
6 hospitals at risk of closing (23%)
2 at immediate risk of closing in next 2-3 years (8%)