Rural Health Information Hub Latest News

CMS Now Accepting Applications for Joining the Medicare Shared Savings Program

Apply by June 17.  The Centers for Medicare & Medicaid Services (CMS) is now accepting applications for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program, in which groups of doctors, hospitals, and other health care providers collaborate,  with the goal of offering coordinated high-quality care to people with Medicare. ACOs inexperienced with risk-based payments and who provide care to rural and underserved beneficiaries may be interested in Advance Investment Payments, and those interested in alternative payments for primary care providers may consider the ACO Primary Care Flex Model.  For both of these options, ACOs must first apply to the Shared Savings Program.  To learn more about the application process, register for the upcoming June 5 webinar on Completing Phase 1 of the Application and Avoiding Common Deficiencies. Email questions to SharedSavingsProgram@cms.hhs.gov.

HRSA Modifies Definition of Rural for FORHP Grants 

Comment by May 28. On April 26th, the Federal Office of Rural Health Policy (FORHP) announced a proposed modification to the definition of ‘rural’ used to designate eligible areas for rural health grants. Because access to needed health care is likely to be reduced when roads are most difficult to traverse, FORHP proposes to modify the definition of rural areas by integrating the new Road Ruggedness Scale (RRS) released in 2023 by the Economic Research Service (ERS) of the U.S. Department of Agriculture. The proposed modifications are based on a data-driven methodology to identify areas with difficult mountainous terrain.  All areas included in the current definition of rural would remain included.

Overdose Deaths Are in Decline

 

Last week, the Centers for Disease Control and Prevention released provisional data from their National Center for Health Statistics (NCHS) indicating an estimated 107,543 drug overdose deaths in the United States in 2023 – a decrease of 3 percent from the 111,029 deaths estimated in 2022.  This is the first annual decrease in drug overdose deaths since 2018.  Several states across the nation saw decreases; Nebraska, Kansas, Indiana, and Maine experienced declines of 15 percent or more.  Still, some states saw increases. Alaska, Washington, and Oregon stood out with notable increases of at least 27% compared to the same period in 2022.  Various factors make a difference in provisional counts versus final counts, such as records indicating “pending investigation.” The data are based on death records NCHS receives each month from state vital registration offices with no distinction between urban and rural.

Coming Soon: Available Funding for Enhancing The Nurse Education, Practice, Quality and Retention – Workforce Expansion Program

HRSA’s Bureau of Health Workforce has dedicated $4.75 million to this program to increase the nursing workforce in rural (non-metro) and underserved areas to address the critical shortage of nurses, specifically in acute and long-term care settings. Eligible applicants include: public and private institutions of higher education; accredited schools of nursing; health care facilities; entities that confer associate’s degrees in nursing, such as community colleges; and partnerships between training and health care facilities.   This is a forecasted opportunity and may change when the application opens.

Breaking Down U.S. Debt Trends to the Neighborhood Level

The updated Consumer Credit Explorer offers an easy way to visualize trends in U.S. consumer debt at the national, state, and even regional level. What’s new? The go-to resource from the Federal Reserve Bank of Philadelphia has been enhanced with data through Q4 2023. You can also now compare trends in up to two U.S. regions, up to two debt or credit characteristics, and up to two borrower or neighborhood demographics at once.

The tool allows you to see overall debt and types of debt, broken down by borrower age or credit score type, neighborhood income level or majority race/ethnicity, and much more, providing a unique view into household financial well-being.

See the new Consumer Credit Explorer and learn more.

Understanding HRSA Modifications to the Definition of Rural for FORHP Grants

– Comment by May 28. On April 26th, the Federal Office of Rural Health Policy (FORHP) announced a proposed modification to the definition of ‘rural’ used to designate eligible areas for rural health grants. Because access to needed health care is likely to be reduced when roads are most difficult to traverse, FORHP proposes to modify the definition of rural areas by integrating the new Road Ruggedness Scale (RRS) released in 2023 by the Economic Research Service (ERS) of the U.S. Department of Agriculture. The proposed modifications are based on a data-driven methodology to identify areas with difficult mountainous terrain.  All areas included in the current definition of rural would remain included.

HHS Releases Nondiscrimination in Health Program and Activities Final Rule

Effective May 6.  The U.S. Department of Health and Human Services (HHS) Office of Civil Rights issued a final rule under Section 1557 of the Affordable Care Act advancing protections against discrimination in health care. At a minimum, the rule will restore protections against discrimination on the basis of race, color, national origin, sex, age, and disability. It will also reduce language access barriers, expand physical and digital accessibility, and address bias in health technology. With the restoration of the rule, HHS aims to increase meaningful access to health care for communities across the United States.

Navigating the Application Guide for HRSA Rural Healthcare Provider Transition Project

-Apply by August 15. Five small rural hospitals and certified Rural Health Clinics will be selected to receive one year of focused, virtual technical assistance designed to strengthen their organization’s understanding of the key elements of value-based care. Project focus areas include quality, efficiency, patient experience, and safety. Details on the application process can be found in the 2024-2025 Application Interview and Process Guide. Selected applicants will be notified in September, and project activities begin in October 2024.