Also known as MACPAC, the non-partisan Medicaid and CHIP Payment Advisory Commission conducts analysis and makes recommendations to Congress about policies affecting Medicaid and the Children’s Health Insurance Program (CHIP). In the first of two reports required for 2024, MACPAC focuses on ways to increase Medicaid beneficiaries’ participation in policymaking, how to make the denials and appeals process in Medicaid Managed Care more transparent, and provides analysis of allotments to states for Medicaid Disproportionate Share Hospitals.
Racial/Ethnic Differences in Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents who Gave Birth 2016-2020
The University of Minnesota describes rates of self-reported intimate partner violence among rural residents before or during pregnancy, and the frequency by which different racial or ethnic groups are not screened for abuse after giving birth. Uses 2016-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance survey. Features statistics with breakdowns by race or ethnicity.
Findings Released on Rural-Urban Differences in Housing Cost Burden Across the U.S.
The University of Minnesota Rural Health Research Center examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey.
Prevent or Treat: Availability of Diabetes Self-Management Education and Dialysis in High Need Rural Counties
Researchers from the Rural and Minority Health Research Center assess the availability of in-county diabetes self-management education and dialysis across rural and urban counties. Among the findings: at least one site for kidney dialysis services is available in 59.2 percent of all counties across the U.S., but present in only 31.1 percent of noncore rural counties.
Partnership to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
This policy brief from the RUPRI Center for Rural Health Policy Analysis used survey data from the American Hospital Association to examine partnerships between hospitals and external organizations to address social needs.
CMS Seeks Input on a New Beneficiary Disenrollment Survey
Comments Due May 13
The Centers for Medicare & Medicaid Services (CMS) is developing a survey to collect beneficiaries’ reasons for disenrolling from a Medicare Advantage (MA) plan or Prescription Drug Plan (PDP), and they seek public input on the necessity of the survey, ways to enhance the quality and clarity of the questions, the estimated time burden on beneficiaries, and the methods for administering the survey. CMS will use the Disenrollment Survey to monitor the quality of service that Medicare beneficiaries get from plans and their providers and to understand beneficiaries’ expectations about their MA and PDP benefits and services. Rural enrollment in Medicare Advantage plans has been growing over the last decade, and researchers expect that a majority of rural beneficiaries will be enrolled in MA by 2025.
Meeting of the HRSA Advisory Committee on Infant and Maternal Mortality Scheduled
HRSA will hold a virtual public meeting of the Advisory Committee on Infant and Maternal Mortality (ACIMM) over three days beginning April 4. Topics discussed may include the federal Healthy Start program and rural healthcare access, social drivers of health, and women’s health before/between pregnancies. Individuals with lived experience and community members will provide remarks on how to achieve optimal maternal health and overall birth outcomes for underserved populations. Register at the ACIMM website and submit comments via email to SACIM@hrsa.gov.
HRSA National Health Service Corps: Three Options for Loan Repayment Programs – Apply by May 9
The application window for HRSA’s National Health Service Corp (NHSC) loan repayment programs just opened with a 50 percent increase in funding available for primary care clinicians who commit to working for at least two years in underserved and rural areas. This year, HRSA also seeks to address language barriers for patients and will provide a $5,000 award enhancement to providers who demonstrate Spanish proficiency. The award is available to eligible applicants in all three loan repayment programs and is in addition to the maximum award amounts up to $105,000. The open NHSC Rural Community Loan Repayment Program, along with other NHSC programs, helps health centers recruit and retain providers to rural communities. In 2023, NHSC rural provider numbers represent 38 percent of the overall health workforce supported by the programs.
Pennsylvania Broadband Website Launched
The Pennsylvania Broadband Development Authority (PBDA) is excited to announce the launch of the new Pennsylvania Broadband Development Authority website. The PBDA has been working diligently to design a website that offers a more intuitive and visually appealing experience for its visitors. There are a number of new features added to this website and we’ve outlined some of those below:
- A navigation Panel for ease in finding the information you’re seeking
- Quick links that will take you directly to hot topic resources
- Real-time data on unserved/underserved locations, projects awarded, and funding allocated
- Resources that are specifically tailored for various audiences
Lastly, we thank our many valuable partners who have helped to contribute to the enhancement of the PBDA website. We hope that you find this a more valuable resource as we work together to ensure Internet For All across the commonwealth!
New Bill Focuses on Elevating Community Health Workers
Senator Bob Casey (D-Pa.) introduced the Community Health Worker Access Act, a new bill proposing crucial investments in the community health worker (CHW) workforce to improve health care access. The CHW Access Act seeks to improve Medicare reimbursement for CHWs and support integration into Medicaid by providing reimbursement and creating an optional Medicaid benefit, incentivized by an enhanced Federal Medical Assistance Percentage (FMAP), to cover preventative services and address social needs of patients being assisted by CHWs. CHWs are critical in their role and impact on the healthcare delivery system. Inadequate and unstable funding looks to jeopardize the strides made by these essential workers. The National Association of Community Health Workers and Partners in Health – US have put together a Social Media Toolkit with unbranded, shareable social media messages, and graphics to uplift the bill.