Rural Health Information Hub Latest News

Federal Agencies Seek Input on the Effects of Consolidation in Health Care

Comment by May 6. The Department of Justice, Department of Health and Human Services, and Federal Trade Commission seek public comment on the effects of private equity funds’ acquisition of health care providers, mergers involving providers and health systems, and private payers’ purchase of physician practices. There is concern about patients’ health, workers’ safety, quality of care, and the rising cost of health care for patients and taxpayers. The Departments are particularly interested in receiving input on the effects of consolidation on patients and health care providers, including any differences between rural and urban areas.

Read the full article here.

Help shape the future of the Marketplace Quality Rating System (QRS) and Qualified Health Plan (QHP) Enrollee Experience Survey

Comments due March 28

The Centers for Medicare & Medicaid Services (CMS) requests comment on proposed refinements to the QRS and QHP Enrollee Survey to advance health equity. These programs are part of the Marketplace Quality Initiative, which provides information to help individuals and small businesses select Marketplace health plans.  According to the RUPRI Health Insurance Chartbook, the number of Marketplace plans available in rural areas has grown in recent years and has become an important source of health coverage for rural residents.  Submit comments to Marketplace_Quality@cms.hhs.gov and reference “Marketplace Quality Initiatives (MQI)-Draft 2024 QRS Call Letter” in the subject line.

Read the full article here.

View the 2024 Physician Fee Schedule Webinar Recording

RHIhub posted a recording of the hour-long webinar from February 27 where experts from the Centers for Medicare & Medicaid Services (CMS) reviewed rural-relevant policy updates from the Calendar Year 2024 Physician Fee Schedule final rule.  The new rule makes policy updates that may increase accessibility of behavioral health services, telehealth services, and other vital health services in rural areas. Presentation materials, video recording, and audio recording are also now available.  Additional documents from CMS that may be helpful in understanding these updates:

View here.

ASPE Brief Projects the Impact of the Inflation Reduction Act for Rural Medicare Enrollees

The Office of the Assistant Secretary for Planning and Analysis (ASPE) released a new brief that highlights the potential impacts of the newly implemented Medicare prescription drug (Part D) policies authorized in the Inflation Reduction Act (IRA). Signed into law in 2022, the IRA aims to strengthen the Medicare program by providing meaningful financial relief for beneficiaries and improving access to affordable treatments. Benefits of the IRA policies for Medicare include opportunities for CMS to negotiate Medicare drug prices, a requirement that drug companies pay inflation rebates, changes in Part B drugs, and a redesigned prescription drug program that expands eligibility for full Part D low-income subsidy (LIS) benefits to individuals between 130 and 150 percent of the federal poverty level (FPL), also known as partial LIS subsidy. About 23 percent of partial LIS enrollees live in rural areas, which is higher than the share of Part D (non-LIS) enrollees who live in rural areas (15 percent).  ASPE estimates all LIS enrollees could experience a reduction of $300 in average annual out of pocket costs for Part D covered medications. With rural, non-LIS Part D enrollees are estimated to see more than $1,000 savings in out-of-pocket Part D costs in 2024 and $2,450 in 2025.

Read more here.

Pennsylvania to Receive More Than $1 Billion to Close Digital Divide

Pennsylvania is set to receive $1.16 billion in federal funding to increase access to high-speed internet connectivity for individuals, businesses, schools, and hospitals. To direct the funding, the federal government released the Federal Communications Commission’s map, which indicates areas with and without high-speed internet connectivity. Residents may challenge areas of the map that identify incorrect broadband service access/availability. To date, Pennsylvania had the third highest number of successful challenges in the country. While funding was predicated on the map released by the FCC, residents may still view and challenge the map should the information be incorrect. Residents can view the statewide broadband map and learn more about challenging any location in Pennsylvania here.

Court to Hear Affordable Care Act Preventive Mandate Appeal Case

The U.S. Fifth Circuit Court of Appeals will hear oral arguments regarding a lawsuit, Braidwood v. Becerra, which stipulates that the preventative care mandate of the Affordable Care Act violated the religious beliefs of plaintiff Braidwood Management as well as the Religious Freedom Restoration Act. The lawsuit was initially filed four years ago in a Texas federal court and maintains that the U.S. Preventive Services Task Force, which implemented the mandate, was unconstitutional because its members were not appointed by the President or confirmed by the Senate. The Fifth Circuit is expected to release a decision within the next few months. Read More.

Study Published: Education in Rural Areas Increases Tendency to Practice There

A study by researchers from the Cecil Sheps Center for Health Services at the University of North Carolina and the National Rural Recruitment and Retention Network (3RNET) analyzed survey data from licensed clinicians working in rural safety net practices across 21 states from 2015 to 2022. They found that nearly two-thirds of the 778 survey respondents had, during their formal education, experienced medically underserved populations in rural counties. This clearly links educational opportunities in rural areas with clinicians’ likelihood to eventually practice in rural areas. These results support the integration of clinicians within these communities for longer retention in rural safety net practices. Read more on preparing behavioral health clinicians for success and retention in rural safety net practices.