Supporting Rural Health: Practical Solutions for State Policymakers.  With input from HRSA’s Federal Office of Rural Health Policy, the Milbank Memorial Fund presents this issue brief with findings from three regional meetings of federal and state health officials and health services researchers working on rural issues.  Case studies summarized in the brief shed light on successful models for incentivizing investment, the need for workforce development, and the need for ongoing research and policy development specifically directed toward rural health.

David B. Nash, MD, MBA, Founding Dean, Jefferson College of Population Health, has announced that the application process is now open for the 2020 Hearst Health Prize! The winner will receive a $100,000 prize in recognition of outstanding achievement in managing or improving population health. Up to two finalists will receive a cash award of $25,000 each.

The Hearst Health Prize, in partnership with the Jefferson College of Population Health (JCPH), was created to help identify and promote promising initiatives in the field that improve health outcomes. The goal is to discover, support, and showcase the work of an individual, group, or institution that has successfully implemented a population health program that has made a measurable difference.

Last year, they received over 150 impressive submissions from across the country showcasing a range of projects aimed at improving the health of populations. The 2019 winner, Sharp Transitions, was recognized at the Population Health Colloquium for its outstanding home-based palliative care program for patients with advanced and progressive chronic illness who are not ready for hospice care. Additionally, two finalists, Arkansas SAVES, and Mental health Outreach for MotherS (MOMS) Partnership® were each awarded $25,000 for their impactful programs.

Finalists will be invited to present their project during a special poster session at the Population Health Colloquium in Philadelphia, March 30-April 1, 2020. The winner of the prize will be announced during the opening session of the Population Health Colloquium on March 31, 2020.

To apply or learn more about the Hearst Health Prize visit: Jefferson.edu/HearstHealthPrize. The deadline to submit an application is Friday, August 9, 2019, 3:00 PM (EDT)/12:00 Noon PM (PDT).

If you have any questions, please email HearstHealthPrize@Jefferson.edu. Please share this amazing opportunity with your colleagues!

Representative Nanette Diaz Barragan (D-CA) introduced the Medicare Dental Benefit Act of 2019, H.R. 2951 which, if passed, will add dental coverage to Part B of the Medicare program.  The legislation has now been introduced in both chambers of Congress. This is another milestone in efforts to elevate the need for improved oral health coverage in public health care programs.

Click here for more information.

The National Health Service Corps (NHSC) Rural Community Loan Repayment Program (LRP) is a new program for providers working to combat the opioid epidemic in the nation’s rural communities. The application cycle will open soon and you can sign up for email notices. The NHSC LRP will make FY 2019 loan repayment awards in coordination with the Rural Communities Opioid Response Program (RCORP) initiative within the Federal Office of Rural Health Policy (FORHP) to provide evidence-based substance use treatment, assist in recovery, and to prevent overdose deaths across the nation. Check out information on the NHSC Rural Community Loan Repayment Program website.

More than 25% of rural U.S. residents had trouble accessing health care in the last few years, and almost half of them reported it was because they could not afford the care, according to a survey by NPR, the Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health released this week. The survey found that 49% of respondents said they would not be able to afford an unexpected expense, such as a medical bill totaling $1,000. (Source: NPR’s “Shots,” 5/21)

Virtual Training for Trauma-Informed Care.  The Office on Women’s Health at the U.S. Department of Health and Human Services offers free online courses with continuing education credits to help providers integrate  the principles of trauma-informed care into clinical practice.  The course work is informed by research findings demonstrating that exposure to traumatic events, particularly in childhood, is highly prevalent in our society. A recent report from the National Advisory Committee on Rural Health and Human Services examined the long-term health effects of Adverse Childhood Experiences for rural, tribal and other at-risk populations.

CMS Finalizes Medicare Prescription Drug Pricing Rule.  Last week, CMS finalized a rule  that will improve the transparency of prescription drug costs in Medicare Part D and Medicare Advantage health plans and lower beneficiary out-of-pocket costs. For example, beginning in 2021, the Explanation of Benefits that Part D plans send members must display drug price increases as well as lower cost therapeutic alternatives.  In addition, beginning in 2020, Part D sponsors cannot prohibit or penalize a pharmacy from disclosing a lower cash price to an enrollee.  About 70 percent of rural Medicare beneficiaries had prescription drug coverage in 2017, mostly through stand-alone Part D plans as opposed to Medicare Advantage plans.

 Hardship Exclusion for Medicare Interoperability – July 1. Beginning in 2019, all eligible professionals (EPs), eligible hospitals, dual-eligible hospitals, and Critical Access Hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) to meet the requirements of the Promoting Interoperability (PI) Programs.  Eligible hospitals and CAHs may be exempted from the Medicare downward payment adjustment if they can show that compliance with the requirements would result in a significant hardship. Hardship exceptions are valid for only one payment adjustment year, so hospitals must submit an exclusion application each year.  The deadline to submit an application is July 1, 2019 for eligible hospitals and November 30, 2019 for CAHs.

CDC Opioid Rapid Response Teams.   The Centers for Disease Control and Prevention (CDC) is working with the U.S. Public Health Service Commission Corps to support state and local agencies when there is a spike in opioid-related overdoses or closure of a clinic where patients are prescribed opioid therapy.   The Opioid Rapid Response Teams (ORRTs) include technical expertise in epidemiology, clinical provider outreach, and community outreach, providing short term (28 days) support to public health partners, while also working to build a jurisdiction’s long-term response capacity.

May 21, 20194:53 PM ET, Heard on NPR All Things Considered

Taylor Walker is wiping down tables after the lunch rush at the Bunkhouse Bar and Grill in remote Arthur, Nebraska, a tiny dot of a town ringed by cattle ranches.

The 25-year-old has her young son in tow, and she is expecting another baby in August.

“I was just having some terrible pain with this pregnancy and I couldn’t get in with my doctor,” she says.

Visiting her obstetrician in North Platte is a four-hour, round-trip endeavor that usually means missing a day of work. She arrived to a recent visit only to learn that another doctor was on call and hers wasn’t available.

“So then we had to make three trips down there just to get into my regular doctor,” Walker says.

This inconvenience is part of life in Arthur County, a 700-square-mile slice of western Nebraska prairie that’s home to only 465 people. According to census figures, it’s the fifth least-populated county in the nation.

To read the entire article, access https://www.npr.org/sections/health-shots/2019/05/21/725118232/the-struggle-to-hire-and-keep-doctors-in-rural-areas-means-patients-go-without-c?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&utm_source=hs_email&utm_medium=email&utm_content=72930490&_hsenc=p2ANqtz-_8-QlDIoGMPkWS7MoIe0PEX6WyjcoUDc9OW0jv8O3Er6zHq0zOAaMf4vE0FiMSk6iomX9ISLE5v8b6RycSNzC1NmF8mw&_hsmi=72930490