- Submit Nominations for Partnership for Quality Measurement (PQM) Committees
- Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192) - Request for Information
- Dr. Mehmet Oz Shares Vision for CMS
- CMS Refocuses on its Core Mission and Preserving the State-Federal Medicaid Partnership
- Social Factors Help Explain Worse Cardiovascular Health among Adults in Rural Vs. Urban Communities
- Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation: Request for Input
- Secretary Kennedy Renews Public Health Emergency Declaration to Address National Opioid Crisis
- Secretary Kennedy Renews Public Health Emergency Declaration to Address National Opioid Crisis
- 2025 Marketplace Integrity and Affordability Proposed Rule
- Rural America Faces Growing Shortage of Eye Surgeons
- NRHA Continues Partnership to Advance Rural Oral Health
- Comments Requested on Mobile Crisis Team Services: An Implementation Toolkit Draft
- Q&A: What Are the Challenges and Opportunities of Small-Town Philanthropy?
- HRSA Administrator Carole Johnson, Joined by Co-Chair of the Congressional Black Maternal Health Caucus Congresswoman Lauren Underwood, Announces New Funding, Policy Action, and Report to Mark Landmark Year of HRSA's Enhancing Maternal Health Initiative
- Biden-Harris Administration Announces $60 Million Investment for Adding Early Morning, Night, and Weekend Hours at Community Health Centers
Dead Zone: Rural Hospitals and Patients Are Disconnected From Modern Care
Leroy Walker arrived at the county hospital short of breath. Walker, 65 and with chronic high blood pressure, was brought in by one of rural Greene County’s two working ambulances.
Nurses checked his heart activity with a portable electrocardiogram machine, took X-rays, and tucked him into Room 122 with an IV pump pushing magnesium into his arm.
“I feel better,” Walker said. Then: Beep. Beep. Beep.
The Greene County Health System, with only three doctors, has no intensive care unit or surgical services. The 20-bed hospital averages a few patients each night, many of them, like Walker, with chronic illnesses.
Greene County residents are some of the sickest in the nation, ranking near the top for rates of stroke, obesity, and high blood pressure, according to data from the federal Centers for Disease Control and Prevention.
Patients entering the hospital waiting area encounter floor tiles that are chipped and stained from years of use. A circular reception desk is abandoned, littered with flyers and advertisements.
But a less visible, more critical inequity is working against high-quality care for Walker and other patients: The hospital’s internet connection is a fraction of what experts say is sufficient. High-speed broadband is the new backbone of America’s health care system, which depends on electronic health records, high-tech wireless equipment, and telehealth access.
Greene is one of more than 200 counties with some of the nation’s worst access to not only reliable internet, but also primary care providers and behavioral health specialists, according to a KFF Health News analysis. Despite repeated federal promises to support telehealth, these places remain disconnected.
During his first term, President Donald Trump signed an executive order promising to improve “the financial economics of rural healthcare” and touted “access to high-quality care” through telehealth. In 2021, President Joe Biden committed billions to broadband expansion.
KFF Health News found that counties without fast, reliable internet and with shortages of health care providers are mostly rural. Nearly 60% of them have no hospital, and hospitals closed in nine of the counties in the past two decades, according to data collected by the Cecil G. Sheps Center for Health Services Research at the University of North Carolina-Chapel Hill.
Click here for more information and a interactive map that shows where health care shortages and broadband deserts intersect.
Pennsylvania Is 2025’s 4th Best State for Children’s Health Care: WalletHub Study
With workers paying an average of nearly $6,300 per year toward employer-sponsored family coverage and Every Kid Healthy Week kicking off on April 21, the personal-finance website WalletHub today released its report on 2025’s Best & Worst States for Children’s Health Care, as well as expert commentary.
In order to determine which states offer the most cost-effective and highest-quality health care for children, WalletHub compared the 50 states and the District of Columbia across 33 key metrics. The data set ranges from the share of children aged 0 to 17 in excellent or very good health to pediatricians and family doctors per capita.
Children’s Health Care in Pennsylvania (1=Best; 25=Avg.):
- Overall Rank: 4th
- 8th – % of Children in Excellent/Very Good Health
- 27th – % of Uninsured Children
- 23rd – Infant-Death Rate
- 11th – % of Children with Unaffordable Medical Bills
- 3rd – Pediatricians & Family Doctors per Capita
- 19th – % of Obese Children
- 11th – % of Children with Excellent/Very Good Teeth
For the full report, please visit: https://wallethub.com/edu/best-states-for-child-health/34455
Key takeaways and WalletHub commentary are included below in text and video format. Feel free to use the provided content as is or edit the raw files as you see fit.
Please let me know if you have any questions or if you would like to arrange a phone, video or in-studio interview with one of WalletHub’s experts.
Rural U.S. Looses 43% of Independent Physicians: 5 Things to Know
From Becker’s Hospital Review
The number of independent physicians in U.S. rural areas declined 43% over five years — from 21,956 in January 2019 to 12,467 in January 2024 — according to an Avalere study sponsored by the Physicians Advocacy Institute.
The analysis — which used the IQVIA OneKey database containing physician and practice location information on hospital and health system ownership — shows a growing shift toward the consolidation of physician services under hospitals and corporate entities in rural areas following the onset of the COVID-19 pandemic.
Five things to know:
- From 2019 to 2024, rural areas lost nearly 2,500 physicians. This represents a 5% decline from approximately 52,600 to 50,100.
- Likewise, the number of medical practices in rural areas fell from 30,000 at the beginning of 2019 to 26,700 in January 2024, an 11% decline.
- This declining number of rural medical practices was particularly acute among independent practices, with the number of those practices falling by 7,300 during the study period, marking a 42% decline.
- Nearly 9,500 physicians in rural areas left independent practice during the study period. Indiana, Iowa, Maine, Massachusetts, Minnesota, New Hampshire, New Jersey, Ohio, South Carolina and South Dakota saw declines of more than 50% within their independent physician workforce.
- During the same period, physician employment in rural areas within hospitals and health systems and corporate entities grew by 15% and 57%, respectively.
Click here to view the full analysis.
Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts
Rural hospital leaders are questioning whether they can continue to afford to do business with Medicare Advantage companies, and some say the only way to maintain services and protect patients is to end their contracts with the private insurers
Medicare Advantage plans pay hospitals lower rates than traditional Medicare, said Jason Merkley, CEO of Brookings Health System in South Dakota. Merkley worried the losses would spark staff layoffs and cuts to patient services. So last year, Brookings Health dropped all four contracts it had with major Medicare Advantage companies.
“I’ve had lots of discussions with CEOs and executive teams across the country in regard to that,” said Merkley, whose health system operates a hospital and clinics in the small city of Brookings and surrounding rural areas.
Merkley and other rural hospital operators in recent years have enumerated a long list of concerns about the publicly funded, privately run health plans. In addition to the reimbursement issue, their complaints include payment delays and a resistance to authorizing patient care.
But rural hospitals abandoning their Medicare Advantage contracts can leave local patients without nearby in-network providers or force them to scramble to switch coverage.
Medicare is the main federal health insurance program for people 65 or older. Participants can enroll in traditional, government-run Medicare or in a Medicare Advantage plan run by a private insurance company.
In 2024, 56% of urban Medicare recipients were enrolled in a private plan, according to a report by the Medicare Payment Advisory Commission, a federal agency that advises Congress. While just 47% of rural recipients enrolled in a private plan, Medicare Advantage has expanded more quickly in rural areas.
In recent years, average Medicare Advantage reimbursements to rural hospitals were about 90% of what traditional Medicare paid, according to a new report from the American Hospital Association. And traditional Medicare already pays hospitals much less than private plans, according to a recent study by Rand Corp., a research nonprofit.
Apply Now for the 2026 Rural Health Innovation Program
The University of California Berkeley’s Rural Health Innovation (RHI) Program is accepting is now accepting applications for its next cohort of Rural Health Innovation Scholars. This program provides full-tuition scholarships for public health professionals living and working in rural communities to earn their Master of Public Health degree online. Scholars also receive a paid membership in the National Rural Health Association (NRHA).
Since its launch, the program has funded 81 professionals across 32 states, and we are excited to support another 25 scholars beginning in Spring 2026.
Scholars come from a variety of backgrounds, including healthcare, policy, and community leadership, and continue working in their rural communities while completing their degree. Participants will study alongside a diverse cohort of public health students while also engaging in a smaller group with a specialized rural health curriculum. This structure allows scholars to gain broad public health training while focusing on the unique challenges and opportunities in rural health.
The deadline to apply for the next cohort is August 3, 2025. For more information, visit UC Berkeley’s Rural Health Innovation Program.
Study Links Lack of Oral Health Care with Pregnancy Complications
A new study links a lack of oral health care with complications during pregnancy. The study, “Use of Oral Health Services Among Pregnant Women and Associations with Gestational Diabetes and Hypertensive Disorders of Pregnancy,” was recently featured in the Journal of the American Dental Association. The study found that fewer than 40% of women seek preventive oral health care during pregnancy. Women who did not receive preventive oral health care or visit a dentist or dental clinic for oral health problems during pregnancy had an increased risk of gestational diabetes and hypertensive disorders.
Pennsylvania Launches New State Health Improvement Plan Dashboard
The Pennsylvania Department of Health Office of Operational Excellence has published the State Health Improvement Plan (SHIP) dashboard. The dashboard features trends related to overarching SHIP objectives as well as individual objectives organized by workgroup and goal. It includes a list of current strategies and activities being implemented by SHIP goal team members and member organizations.
With Few Dentists and Fluoride Under Siege, Rural America Risks New Surge of Tooth Decay
In the wooded highlands of northern Arkansas, where small towns have few dentists, water officials who serve more than 20,000 people have for more than a decade openly defied state law by refusing to add fluoride to the drinking water.
For its refusal, the Ozark Mountain Regional Public Water Authority has received hundreds of state fines amounting to about $130,000, which are stuffed in a cardboard box and left unpaid, said Andy Anderson, who is opposed to fluoridation and has led the water system for nearly two decades.
This Ozark region is among hundreds of rural American communities that face a one-two punch to oral health: a dire shortage of dentists and a lack of fluoridated drinking water, which is widely viewed among dentists as one of the most effective tools to prevent tooth decay. But as the anti-fluoride movement builds unprecedented momentum, it may turn out that the Ozarks were not behind the times after all.
“We will eventually win,” Anderson said. “We will be vindicated.”
Fluoride, a naturally occurring mineral, keeps teeth strong when added to drinking water, according to the Centers for Disease Control and Prevention and the American Dental Association. But the anti-fluoride movement has been energized since a government report last summer found a possible link between lower IQ in children and consuming amounts of fluoride that are higher than what is recommended in American drinking water. Dozens of communities have decided to stop fluoridating in recent months, and state officials in Florida and Texas have urged their water systems to do the same. Utah is poised to become the first state to ban it in tap water.
Health and Human Services Secretary Robert F. Kennedy Jr., who has long espoused fringe health theories, has called fluoride an “industrial waste” and “dangerous neurotoxin” and said the Trump administration will recommend it be removed from all public drinking water.
Thriving PA Releases New Early Intervention Fact Sheet
Thriving PA released a new Infant and Toddler Early Intervention fact sheet, aimed at educating policymakers about the program as part of our advocacy for the 2025-26 budget cycle. The fact sheet notes services and benefits provided by EI and highlights state-specific data. In the 2022-23 school year, 48,199 children were served by the program in Pennsylvania.
Thriving PA supports, at minimum, the Administration’s proposed increase of $16.2 million for the Infant/Toddler Early Intervention program as part of a final FY 2025-26 budget package. The proposed increase would provide $10 million for a long-overdue rate increase for providers and serve an additional 3,000 children and their families. This increase is a first step in addressing the workforce shortage of Early Intervention providers. Additional support beyond the $16.2 million is recommended, as we estimate $49 million in new funding is needed this year to address increased costs to the program and the projected children served.
Free Autism Resources Available for Dental and Medical Offices
The ASERT Collaborative (Autism Services, Education, Resources and Training) is a statewide partnership that provides streamlined access to information for Pennsylvanians living with and impacted by autism.
The ASERT website hosts resources covering a wide range of topics for parents, self-advocates, professionals, and community members while also providing information on statewide events, support groups, and free online training opportunities. To request free ASERT brochures in English or Spanish for your office, email info@paautism.org.
Click here to view an informational flyer.
Click here to learn more about ASERT.