Rural Health Information Hub Latest News

COVID-19 Death Rates in Urban and Rural Areas.

The latest data from the Centers for Disease Control and Prevention show that, in 2020, deaths due to COVID-19 became the third leading cause of death in the United States.  The death rate that year was highest in most urban areas at 97.7 deaths per 100,000 people.  But the second-highest rate of death was in the most rural areas at 90.6 deaths per 100,000 people.  Among males under age 65, those in the most urban areas had the highest COVID-19 death rates; among females, rates were highest in the most rural areas.

CMS Finalizes Medicare Policies for ACOs

CMS also released the Physician Fee Schedule final rule for the calendar year 2023 this week, addressing new policies for Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program that support providers treating rural and underserved populations. The final includes updates to policies on evaluation/management services, telehealth services, behavioral health services, and Opioid Treatment Programs. Additionally, CMS incorporated new chronic pain management and behavioral health integration services to the Rural Health Clinic and Federally Qualified Health Center specific general care management HCPCS code, G0511.

CMS Finalizes Medicare Policies for Rural Emergency Hospitals

This week, the Centers for Medicare & Medicaid Services (CMS) released the final payment policies for the Medicare Hospital Outpatient Prospective Payment System for the calendar year 2023. This rule also includes payment, enrollment, and conditions of participation policies for the new provider type, Rural Emergency Hospitals. Finally, CMS is codifying in regulation the location and distance requirements that Critical Access Hospitals (CAHs) must meet for certification, including a new definition for “primary road’ used for determining the driving distance of a CAH and its proximity to other providers.  FORHP is funding technical assnam10.safelinks.protection.outlook.comistance to support rural hospitals exploring the Rural Emergency Hospital option.

631 Rural Hospitals at Risk of Closure, by State

Across the U.S., a total of 631 rural hospitals — or about 30 percent of all rural hospitals — are at risk of closing in the immediate or near future due to persistent financial losses on patient services, inadequate revenues to cover expenses, and low financial reserves, according to a report from the Center for Healthcare Quality and Payment Reform.

More than 200 of the rural hospitals in the report are identified as being at immediate risk of closure. These hospitals were losing money on patient services before the COVID-19 pandemic, and they did not have sufficient resources to cover those losses, according to the report.   Click here to view the numbers and percentage of rural hospitals by state at risk as of October 2022, based on the Center for Healthcare Quality and Payment Reform analysis.

Rural Adults have Lower Rates of Employer Sponsored Health Insurance in Pennsylvania

The Penn State Rural Health Disparities Lab in the Department of Biobehavioral Health has released a report showing rates of employer-sponsored health insurance in rural Pennsylvania. Employer sponsored health insurance (ESHI) is typically subsidized by employers, which can reduce the overall cost for employees. Using data from the American Community Survey, we found that working-age adults living in rural areas in Pennsylvania are less likely to have ESHI than those in urban areas. Across all rural-urban categories, females were least likely to have ESHI. The lower rates in rural areas may reflect fewer job opportunities with established ESHI plans. These findings raise concerns about access to the benefits of ESHI in rural contexts, especially for females. Author: Melanie Dececco, RHO Undergraduate Research Assistant

Apply for the HIV & Aging Scholars Program by Nov. 3

Applications are open for the second cohort of the HIV & Aging Scholars Program. This is an interprofessional program open to individuals from any discipline (nursing, social work, pharmacy, medicine, physical therapy, etc.) and people aging with HIV, advocates, peer navigators, case managers, and others from community organizations. Using a cohort-based model, selected candidates will participate in a six-month virtual learning community with national experts and mentors with the goal of improving HIV & aging services in local communities and clinical or community-based settings. Participants will be eligible for CNE and other benefits. View the cohort 1 participants and their projects! Applications for the second cohort are due Nov. 3. Learn more about the program and how to apply.

Pennsylvania Behavioral Health Telehealth Phase II Roadmap is Released

The Office of Mental Health and Substance Abuse Services (OMHSAS) is pleased to share the Pennsylvania Behavioral Health Telehealth Phase II Roadmap, which was developed in collaboration with the OMHSAS Telehealth Steering Committee and Mercer Government Services Consulting. This report focuses on identifying and prioritizing recommendations for short-term and long-term implementation of telehealth services in the Commonwealth. The roadmap includes example documents developed by the Steering Committee that can be used and personalized by the provider when implementing telehealth services. The work of the Steering Committee and other stakeholders has been and will continue to be vital in ensuring that the behavioral health needs of Pennsylvanians continue to be met.

Research Study Shows that Workers are Less Engaged but Still Working Hard

According to a Conference Board survey, 30% of workers say their level of engagement at work—the commitment and connection that employees feel to their work—is lower than six months ago. Lower engagement, however, isn’t necessarily affecting effort: Only 18% say their level of effort has decreased in the last six months. Fifty percent say it’s the same; 31% say it’s increased.

The New Pandemic: Loneliness

Loneliness in America is widespread — and it’s a public health problem. According to a Harvard study, more than one in three Americans are lonely. That rises to 61% when looking at younger people, and 51% among mothers with young kids. Read more.