New Rural Health Value Website and Resources Available: Rural VBC–The Payer Perspective and TEAM Model Summary

The Rural Health Value team is pleased to share that we have launched a redesigned website and logo. While we have a new look – you will continue to find trusted resources that facilitate the transition of rural healthcare organizations, payers, and communities from volume-based to value-based health care and payment models. Please take a look! On the new website you will find two new resources.

  • Rural Value-Based Care – The Payer Perspective, Rural Health Value Summit Report. The Rural Health Value team convened professionals and executives from national and regional health care payer organizations to share and explore insights, innovations, successes, and challenges in rural health value-based care (VBC) contracting. This report summarizes challenges and solutions followed by suggestions for rural health care organization leaders from the Summit participants.
  • A one-page summary of CMS’s Transforming Episode Accountability Model (TEAM). TEAM is a mandatory, episode-based, alternative payment model, in which selected acute care hospitals will coordinate care for people with Traditional Medicare undergoing one of the surgical procedures included in the model and assume responsibility for the cost and quality of care from surgery through the first 30 days after the Medicare beneficiary leaves the hospital. Of the 741 hospitals identified for mandatory participation, 124 (16.7%) are in non-metro counties. More from CMS on TEAM.

This summary is part of Rural Health Value’s Catalog of Value-Based Initiatives for Rural Providers. The catalog summarizes rural-relevant, value-based programs currently or recently implemented by the Department of Health and Human Services (HHS), primarily by the Centers for Medicare & Medicaid Services (CMS) and its Center for Medicare & Medicaid Innovation (CMMI).

Rural Health Value facilitates the transition of rural healthcare organizations, payers, and communities from volume-based to value-based health care and payment models. Visit www.ruralhealthvalue.org or contact Clint MacKinney, MD, MS, Co-Principal Investigator, clint-mackinney@uiowa.edu.

Trends in the Health Workforce Supply in the Rural U.S

This report from the WWAMI Rural Health Research Center describes trends in the supply and distribution of clinicians in primary care, behavioral health, and obstetrical care, as well as dentists, surgeons, community health workers, and home health aides, in the rural vs. urban U.S. workforce nationally and regionally.

Good Read: Implementation of SPD 15 in the American Community Survey

Earlier this year, the U.S. Office of Management and Budget (OMB) published the results of its review of Statistical Policy Directive No. 15 (SPD 15) and issued updated standards for maintaining, collecting and presenting race and ethnicity data across federal agencies. The updated 2024 SPD 15 requires the use of a combined race and ethnicity question, the addition of a new “Middle Eastern or North African” minimum reporting category, and the collection of detailed race and ethnicity responses.

Since then, programs across the U.S. Census Bureau have been assessing how and when to implement the updated race and ethnicity standards set by OMB in the 2024 SPD 15. We expect race and ethnicity data that align with the revised standards will enhance the entire range of Census Bureau data products that describe the demographic makeup and socioeconomic characteristics of our country and our diverse communities.

Read more.

Written by: Donna M. Daily, Division Chief, American Community Survey Office and Karen Battle, Division Chief, Population Division 

New Brief Released on Minimally-Invasive Oral Care 

Community Catalyst released a brief, “Minimally-Invasive Care: Policy Opportunities to Improve Dental Care Access and Affordability.” This resource provides an overview of state-level policies advocates can push for to ensure communities have access to comprehensive dental services, including minimally-invasive care, as well as federal policy considerations that will support its availability.

Click here to read the brief.

Link Between Oral Health and ADHD Explored

Nearly 9 million adults in the United States have attention-deficit/hyperactivity disorder (ADHD). According to a new report from CareQuest, adults with ADHD face more oral health risks than adults without ADHD. This is partly due to the medications used to treat ADHD causing side effects such as increased tooth decay, gingivitis, and other issues. Dental and medical providers should work together to maintain optimal oral health.

Click here to read the report.

CDC Releases Dental Caries Surveillance Report


The Centers for Disease Control and Prevention (CDC) released a new report, the “2024 Oral Health Surveillance Report: Dental Caries, Tooth Retention, and Edentulism, United States, 2018-March 2020.”

This report used data from the National Health and Nutrition Examination Survey to provide national estimates for the prevalence and severity of dental caries in primary and permanent teeth for individuals 2 years or older and for tooth retention in adults age 20 years or older. Among the findings, the report found that half of children ages 6 to 9 have had cavities in their primary or permanent teeth. More than 1 in 7 adults ages 65 and older have lost all of their teeth.

Click here to read the report.

New CDC Report Released on ACEs Among U.S. High School Students

The latest Morbidity and Mortality Weekly Report from the Centers for Disease Control (CDC) highlights just how connected Adverse Childhood Experiences (ACEs) are to adolescent health. Billed as the most comprehensive data yet on this subject, the report concludes that preventing ACEs could reduce suicide attempts by as much as 89 percent, prescription pain medication misuse by as much as 84 percent, and persistent feelings of sadness or hopelessness by as much as 66 percent. Earlier this year, the CDC issued a Rural Policy Brief showing suicide rates have been consistently higher in rural areas than in urban areas over the past two decades. Between 2000-2020, suicide rates increased 46 percent in non-metro areas compared to 27.3 percent in metro areas. A separate CDC Rural Policy Brief on suicide prevention released in July features a case study from a successful program for adolescents in tribal community in New Mexico. In 2018, the National Advisory Committee on Rural Health and Human Services delivered an in-depth report on the rural context for ACEs, with recommendations for federal policy.

Behavioral Health Workforce Study

Behavioral health providers are being asked to participate in an important research study titled “Experiences and Trajectories of the Behavioral Workforce in Pennsylvania.” This study aims to better understand the experiences of Pennsylvania’s behavioral health workers and the factors that affect their career paths. Behavioral health workers in Pennsylvania, including individuals who hold a degree that is eligible for licensure (social workers, counselors, and therapists), are encouraged to participate. The survey should take approximately 10 minutes to complete. The goal of the survey is to better support the behavioral health workforce in Pennsylvania and to address challenges and barriers faced by behavioral health workers. Click here to access the survey. Please share the survey with other behavioral health providers in your organization.