Rural Health Information Hub Latest News

Supreme Court to Consider ACA’s Birth Control Requirement

January 24, 2020

The Supreme Court on Friday announced it will hear two cases on whether employer health plans should be allowed religious and moral exemptions from the Affordable Care Act (ACA) requirement to cover birth control. The Trump administration in November 2018 issued final rules to allow more employers to opt out of providing no-cost birth control, but federal judges stopped the rules from taking effect. The justices said Friday they would hear the administration’s appeal of lower-court decisions that blocked the rules nationwide. In the case before the court, Pennsylvania and New Jersey sued the administration, arguing that its exemptions would unlawfully deny preventive health care to millions of women. The Supreme Court will decide whether the Trump administration may allow employers to limit women’s access to free birth control under the ACA.

Exploring Alternative Payment Models for Oral Health Care

An examination of the cost and utilization of alternative payment models for oral health care over a patient’s lifetime.
By Sean G. Boynes, DMD, MS, Carolyn Brown, DDS, MEd and Eric P. Tranby, MA, PhD

According to a report by the Commonwealth Fund, the United States pays the most for health care and achieves the lowest performance among comparable countries.1,2 In fact, dissatisfaction with U.S. health care continues to shape political talking points. It also encourages disruptive business models and drives demand for greater transparency, accountability and consumerism.3–6 This changing health ecosystem also affects dentistry. Agencies, organizations and care teams are shifting operational and financial constructs to better align with the changing health care landscape. Currently, the transition includes a switch from a silo-based construct driven by tertiary care to a person-centered format based on inclusive, holistic health care and enhanced quality of life.7–11

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Oral health assessment of children in rural Pa. demonstrates disparities

UNIVERSITY PARK, Pa. — While the overall supply of dentists in Pennsylvania is sufficient to meet the current demand when assuming equal access for all residents, geographic access to oral health services is not equal across rural and urban areas. In a report, researchers in the Pennsylvania Office of Rural Health (PORH) at Penn State found that urban rates of dentist supply are nearly twice that of rural rates, and that inequalities exist between areas of higher socioeconomic status and those of lower socioeconomic status.

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Rural Health Leadership Radio: A Conversation with Lisa Davis

The global budget is underway in Pennsylvania, but there is a lot more than that taking place. In this episode of Rural Health Leadership Radio™ we are talking about Medicaid expansion, rural hospital budget transformation, medical student community orientation and other topics of interest to rural health leaders.  We are having that conversation with Lisa Davis, Director of the Pennsylvania Office of Rural Health and Outreach Associate Professor of Health Policy and Administration at Penn State.

“Pennsylvania is considered to be one of the most rural states in the nation.”

In her role, Lisa is responsible for the overall direction and leadership of the state office of rural health, including ensuring that the office meets its mission of being a source of networking, coordination, and technical assistance to organizations focused on rural health care delivery; developing and sustaining linkages with state and national partners; and seeking ways to expand the office’s role in enhancing the health status of rural Pennsylvanians.

“Medicaid expansion has been very important here in the state for a number of reasons.”

On the national, state, and university levels, Davis serves on a wide range of boards of directors, advisory committees, and task forces focused on rural health policy, rural health research, economic development, outreach and education, and vulnerable populations and specific health issues such as oral health and cancer.  She has extensive experience in the field of rural health research.

“They learned about what it means to be those individuals, what it means to live there, what the social structure is, what the economy is like in those communities.”

Davis is the recipient of the Distinguished Service Award from the National Organization of State Offices of Rural Health, an Outstanding Leadership Award from the Pennsylvania Rural Health Association, and an Award for Individual Contributions to Public Health from the Pennsylvania Public Health Association.  The Pennsylvania Office of Rural Health received the Award of Merit from the National Organization of State Offices of Rural Health.

She holds a graduate degree in Health Administration from Penn State.

CDC: Tracking Transmission of HIV

CDC: Tracking Transmission of HIV.   On Monday, the Centers for Disease Control and Prevention (CDC) released their latest report on rates of HIV transmission in the United States.  Data for sexual and needle-sharing behaviors were obtained fromNational HIV Behavioral Surveillance, a system of research on behaviors of three populations at increased risk for HIV: 1) gay, bisexual and other men who have sex with men; 2) persons who inject drugs; and 3) heterosexuals at increased risk of infection.  These data for behavioral factors in 2016 were compared to data for newly diagnosed cases from the National HIV Surveillance System.  The analysis found that, of the 38,700 new infections diagnosed in 2016, approximately 80% of new HIV transmissions were from persons who did not know they had HIV infection, or who had received diagnosis but were not receiving care.  The report concludes that decreasing the rate of transmission relies on increasing the rate of testing and treating those who are HIV-positive with newer drugs proven to be effective at suppressing the virus.  Last year, the CDC identified 220 mostly rural counties experiencing or at-risk of significant increases of infection.  See the Approaching Deadlines section below for current funding opportunities related to the effort of reducing HIV transmission.