Tracking State Rural Health Transformation Plans
51ÊÓƵ Health News is working to collect and post approved plans as more states respond to emails and public records requests for their documents.
Rural Health
51ÊÓƵ Health News covers the health issues facing people who live in America’s rural reaches.
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HIV Outbreak Persists as Officials Push Back Against Containment Efforts
Research shows offering clean syringes to people who misuse IV drugs is effective in combating the spread of HIV. But an epidemiologist and advocates say state and local officials in West Virginia, home to one of the worst HIV outbreaks in recent years, have taken measures that render syringe exchange less accessible.
By Taylor Sisk -
A Montana Addiction Clinic Wants to Motivate People With Rewards. Then Came a Medicaid Fraud Probe.
A complaint was filed with the state against an addiction treatment provider that wants to use rewards — an effective but largely unregulated tool — to help people stay in recovery.
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Why Medicaid Expansion Ballots May Hit a Dead End After a Fleeting Victory in South Dakota
Since 2017, Medicaid expansion has been adopted in seven states where a question was placed directly on the ballot. But campaign leaders say that strategy may not work in Florida and Wyoming, where Republican opposition remains strong.
By Rachana Pradhan and Daniel Chang -
Squeezed by Temp Nurse Costs, Hospital Systems Create Their Own Staffing Agencies
Hospitals have depended on travel nurses to fill shifts, especially during covid surges. Now some larger systems, reeling from high contract labor costs, have created staffing units, aiming to lure nurses who want more work flexibility and better pay than staff RNs get.
By Andy Miller -
KHN Investigation: The System Feds Rely On to Stop Repeat Health Fraud Is Broken
A months-long KHN examination of the system meant to bar fraudsters from Medicaid, Medicare, and other federal health programs found gaping holes and expansive gray areas through which banned individuals slip to repeatedly bilk taxpayer-funded programs.
By Sarah Jane Tribble and Lauren Weber -
In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them
Some people say it’s reasonable for densely populated areas to receive more settlement funds, since they serve more of those affected. But others worry this overlooks rural communities disproportionately harmed by opioid addiction.
By Aneri Pattani and Rae Ellen Bichell -
Addiction Treatment Proponents Urge Rural Clinicians to Pitch In by Prescribing Medication
The number of U.S. health care providers certified to prescribe buprenorphine more than doubled in the past four years, and treatment advocates hope to see that trend continue.
By Tony Leys -
Racial Disparities in Lung Cancer Start With Research
Improving lung cancer outcomes in Black communities will take more than lowering the screening age, experts say. Disparities are present in everything from the studies that inform when people should get checked to the availability of care in rural areas.
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Rural Colorado Tries to Fill Health Worker Gaps With Apprenticeships
A Grand Junction program is training and retaining nurse and personal care aides in areas where the aging population is creating a need for them. But challenges remain for these workers.
By Kate Ruder -
Trickle of Covid Relief Funds Helps Fill Gaps in Rural Kids’ Mental Health Services
Only a sliver of the funding given to state, local, and tribal governments through the American Rescue Plan Act has been steered to mental health nationwide, but mental health advocates and clinicians hope the money it provides will help address gaps in care for children. In Appalachian Ohio, the funding is helping expand services.
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Schools, Sheriffs, and Syringes: State Plans Vary for Spending $26B in Opioid Settlement Funds
The cash represents an unprecedented opportunity to derail the opioid epidemic, but with countless groups advocating for their share of the pie, the impact could depend heavily on geography and politics.
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Mistrust and Polarization Steer Rural Governments to Reject Federal Public Health Funding
As the covid-19 pandemic grinds on, Elko County, Nevada, still lacks a public health department. Yet its elected leaders rejected federal funds that could have helped it create one. Decisions like the one in Elko, and ones made by officials with other state and local governments, leave health experts concerned about whether the country's public health infrastructure will be prepared to handle future health challenges.
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Blackfeet Nation Challenges Montana Ban on Vaccine Mandates as Infringement on Sovereignty
The Montana tribe has entered a legal fight over whether the state has the right to enforce a prohibition of vaccine mandates on its reservation.
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Fentanyl in High School: A Texas Community Grapples With the Reach of the Deadly Opioid
The first fentanyl-related deaths of students in an area south of Austin, Texas, were reported over the summer. The school district, parents, and students are trying to deal with the aftermath.
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South Dakota Voters Approved Medicaid Expansion, but Implementation May Not Be Easy
South Dakotans voted to expand the state’s Medicaid program to cover thousands of additional low-income residents. But as other conservative states have shown, voter approval doesn’t always mean politicians and administrators will rush to implement the change.
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Homelessness Among Older People Is on the Rise, Driven by Inflation and the Housing Crunch
In Montana and across the nation, homeless shelters are reporting that people older than 60 are a growing proportion of their populations.
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Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets
Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.
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For Republican Candidates, Talk About Moms and Babies Is a Thorny Issue
The abortion issue looms large over the midterm elections, and some in the Republican Party, long associated with efforts to restrict access, are looking to reassure voters they have women’s health in mind.
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Journalists Talk Medicare and Public Health Infrastructure
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
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When Monkeypox Reaches Rural Communities, It Collides With Strained Public Health Systems
In Nevada, local health officials are assessing the threat of monkeypox, but their response may be hampered by historically limited public health infrastructure worn thin by the covid-19 pandemic.