Rural Health Information Hub Latest News

Celebrating Six Decades of Health Center Program History

Check out HRSA’s new website about the history of the Health Center Program and the people who made it happen. It provides an overview of the program’s rich and eventful history over the course of six decades. From two neighborhood health centers founded in the 1960s, the Health Center Program has grown to approximately 1,400 health centers that operate more than 15,500 service sites in all U.S. states, territories, and the District of Columbia. Health centers are a key part of the nation’s healthcare system, serving more than 31 million people in 2023. You can also download the full report.

CMS Releases Updates on Medicaid and CHIP Renewals

This Centers for Medicare & Medicaid Services (CMS) listserv includes the following Medicaid/Children’s Health Insurance Program (CHIP) renewal information:

  • Recent CMS Releases
  • Additional Updated Outreach and Educational Resources for Partners
  • Free CMS Printed Product Ordering

RECENT CMS RELEASES

In August 2024, CMS released an informational bulletin and slide deck to provide additional guidance to states on their obligation to come into compliance with federal regulations on timely processing of Medicaid and CHIP eligibility renewals, as well as provide an update to the timeline in which states must complete unwinding-related renewals. To ensure that individuals who are eligible for Medicaid or CHIP retain coverage, and to assist states in their continued transition to regular renewal processing, CMS is providing states additional time to complete eligibility renewals, address persistent backlogs in processing redeterminations, and ensure that states achieve compliance with federal renewal timeliness requirements by December 2025.

ADDITIONAL UPDATED OUTREACH AND EDUCATIONAL RESOURCES FOR PARTNERS

This summer, CMS updated several resources on the Medicaid and CHIP Renewals Outreach and Educational Resources to include evergreen language that partners can use to share information about regular Medicaid and CHIP renewals. Additional resources have recently been updated on the webpage (see list below). The webpage can be accessed using the new shorthand link at Medicaid.gov/renewals-outreach-education. We encourage partners to explore the refreshed webpage and resources, and we will continue to highlight additional updates to the webpage and resources as they become available.

Spanish Translation Now Available

  • Drop in Article for People who Lost Medicaid or CHIP (English and Spanish): Use this article for listservs, newsletters, and other outreach resources to educate people about what to do if they have lost Medicaid or CHIP.

Refreshed to Include Information About Regular Medicaid and CHIP Renewals

Reaching Out to Asian American, Native Hawaiian, and Pacific Islander People about Medicaid and CHIP Renewals (English): Use this one-page handout to help reach Asian American, Native Hawaiian, and Pacific Islander people and share information about Medicaid and CHIP renewals.

Reaching Out to Black Americans about Medicaid and CHIP Renewals (English): Use this one-page handout to help reach Black Americans and share information about Medicaid and CHIP renewals.

Reaching Out to Hispanic or Latino People about Medicaid and CHIP Renewals (Englishand Spanish): Use this one-page handout to help reach Hispanic or Latino people and share information about Medicaid and CHIP renewals.

Reaching Out to People with Disabilities about Medicaid and CHIP Renewals (English): Use this one-page handout to help reach people with disabilities and share information about Medicaid and CHIP renewals.

Reaching Out to People Who Live in Rural Areas about Medicaid and CHIP Renewals(English): Use this one-page handout to help reach people who live in rural areas and share information about Medicaid and CHIP renewals.

Reaching Out to American Indian and Alaska Native People about Medicaid and CHIP Renewals (English): Use this one-page handout to help reach American Indian and Alaska Native people and share information about Medicaid and CHIP renewals.

FREE CMS PRINTED PRODUCT ORDERING

Select CMS Medicaid and CHIP renewals materials are available to order for free through the CMS Product Ordering website. To order free printed materials, visit the CMS Product Ordering website. If you do not have an account, you will need to request an account on the login page. Once you log into your account, you can enter the term “Unwinding” in the search bar to view the materials that are available for order.

Materials on enrolling in health coverage through the Health Insurance Marketplace are also available to order for free through the CMS Product Ordering website. Once you log into your account, you can select the tab titled “Marketplace” to view materials related to Marketplace enrollment, Coverage to Care, and more that are available to order.

New Report Released: Financial Performance of Rural and Urban Hospitals in Medicare Shared Savings Program

Financial Performance of Rural and Urban Hospitals in the Medicare Shared Savings Program

Huang Huang, PhD; Xi Zhu, PhD; Fred Ullrich, BA; A. Clinton MacKinney, MD, MS; Keith Mueller, PhD

This brief presents financial performance trends of hospitals who participated in Medicare’s Shared Savings Program (SSP) from 2011 to 2018. Trends in six financial outcomes are compared between SSP and non-SSP hospitals over time and between rural and urban hospitals.

Key Findings:

  • Hospitals participating in the SSP had, on average, higher outpatient revenue, higher inpatient revenue, higher net patient revenue, higher operating margins, lower inpatient revenue share, and higher Medicare revenue share at the baseline year 2011 and throughout the study period.
  • Compared to their respective non-SSP counterparts, rural SSP hospitals experienced a higher percentage increase in outpatient revenue than urban SSP hospitals.
  • Rural hospitals participating in SSP experienced higher increases in inpatient revenue and net patient revenue than rural hospitals not participating in SSP. In contrast, urban hospitals participating in SSP experienced lower increases in these measures than urban hospitals not participating in SSP.

Access the report here.

Additional Report:

Contact Information:

Keith J. Mueller, PhD; keith-mueller@uiowa.edu
Director, RUPRI Center for Rural Health Policy Analysis
University of Iowa College of Public Health
Office: 1.319.384.3832

Chronic Care Management Services – Revised

The Centers for Medicare & Medicaid Services issued a revised Medicare Learning Network (MLN) chronic care management services booklet. Changes include new codes describing chronic pain management and treatment and information about principal illness navigation services and community health integration services.

Criteria to Determine What Constitutes a New Residency Program

 – Comment by October 15. In the final year 2025 Inpatient Prospective Payment System (IPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) solicited public comments to aid in the collection of information to determine future criteria to establishing a new graduate medical residency. In the final rule, CMS noted they received a wide range of comments, and commenters did not arrive at a consensus on the best approach to the issue of the newness of residents. CMS chose not to finalize their original proposal, and is instead, seeking comment on the appropriate criterion for what constitutes a new residency program. The public may submit their feedback to GME_Program_Newness@cms.hhs.gov.

New Guidance for Processing Medicaid/CHIP Renewals

To ensure that individuals who are eligible for Medicaid or the Children’s Health Insurance program (CHIP) retain coverage, and to assist states in their continued transition to regular renewal processing, the Centers for Medicare & Medicaid Services (CMS) is providing states additional time to complete eligibility renewals, address persistent backlogs in processing redeterminations, and ensure that states achieve compliance with federal renewal timeliness requirements. This Informational Bulletin outlines the duration and conditions under which states may use an exception in the regulations to delay timely processing of renewals in “unusual circumstances” through December 31, 2025.  The Medicaid continuous enrollment provision, which had halted Medicaid disenrollments during the public health emergency, ended on March 31, 2023, and since that time, over 25 million Medicaid enrollees have been disenrolled and over 54 million have had their coverage renewed.

Over $100 Million Awarded to Help Consumers Get Health Coverage

The Centers for Medicare & Medicaid Services (CMS) awarded a new round of $100 million to 44 Navigator organizations helping underserved communities, consumers, and small businesses find and enroll in health coverage through HealthCare.gov, the Health Insurance Marketplace®. The grants are part of a commitment of up to $500 million over five years. Navigators offer free assistance to people exploring health coverage options through HealthCare.gov, from reviewing available plans to assisting with eligibility and enrollment forms, and post-enrollment services such as using their coverage to get care. Navigators can also assist people in helping enroll in or renew Medicaid and Children’s Health Insurance Program (CHIP) coverage.  To encourage smaller community-based organizations to become Navigators, CMS streamlined and simplified the application process this year, and they included requirements that Navigators focus their outreach on key underserved groups, including racial and ethnic minorities; rural communities; the lesbian, gay, bisexual, transgender, intersex, queer/questioning, asexual, plus (LGBTQIA+) communities; refugees; immigrants; families with low income; pregnant and expectant parents; and those who lack transportation, internet access, or English-language proficiency. Consumers can search for help locally or use Healthcare.gov to explore their health coverage options during Open Enrollment, starting November 1, or during a Special Enrollment Period if they qualify based on certain life changes or estimated household income.  Since 2018, the number of Marketplace plans in rural areas has grown increasing the choices of coverage available to consumers.

Rural Maternity Innovation Summit

In March 2024, a summit was held in Clifton, Texas, bringing together leaders from six innovative and sustainable rural maternity programs. Insights from this summit are available in two reports.  The first shares case studies of the six participating rural maternity programs; the second describes strategies used by the programs’ leaders.