Tracking State Rural Health Transformation Plans
KFF 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
KFF Health News covers the health issues facing people who live in America’s rural reaches.
501-520 of 830 results
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Facing Criticism, Feds Award First Maternal Health Grant to a Predominantly Black Rural Area
Mississippi has the highest rate of maternal mortality in the U.S. Now, it also has a federal grant to help in rural areas. The award could signal more flexibility from federal officials.
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These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They’re Failing to Deliver.
Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations — even as it’s sued thousands of patients for unpaid bills.
By Brett Kelman and Samantha Liss -
She Received Chemo in Two States. Why Did It Cost So Much More in Alaska?
A breast cancer patient who received similar treatments in two states saw significant differences in cost, illuminating how care in remote areas can come with a stiffer price tag.
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As Covid Infections Rise, Nursing Homes Are Still Waiting for Vaccines
“People want covid-19 to be in the rearview mirror,” one nursing home official says. Faced with a slow rollout of the updated covid vaccines, and without state mandates for workers to get vaccinated, most skilled nursing facilities are relying on persuasion to boost vaccination rates among staff and residents.
By Jordan Rau and Tony Leys -
Officials Agree: Use Settlement Funds to Curb Youth Addiction. But the ‘How’ Gets Hairy.
Parents, educators, and elected officials agree that investing in school-based prevention efforts could help curb the rising rate of youth drug overdoses. The well-known D.A.R.E. program is one likely choice, but its effectiveness is in question.
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Pot Boom Wakes Sleepy Dinosaur, Colorado
A small town close to the Colorado-Utah state line strikes it rich with marijuana sales.
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Hep C’s Number Comes Up: Can Biden’s 5-Year Plan Eliminate the Longtime Scourge?
Before covid-19, hepatitis C held the distinction of claiming more American lives each year than any other infectious disease — that’s despite the marketing of several relatively affordable, highly effective treatments.
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How Will Rural Americans Fare During Medicaid Unwinding? Experts Fear They’re on Their Own
As states review their Medicaid rolls after the expiration of a pandemic-era prohibition against kicking recipients off the government insurance program, experts say the lack of help available to rural Americans in navigating insurance options puts them at greater risk of losing health coverage than people in metropolitan areas.
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With Its Two Doctors Planning to Retire, an Alabama Town Patches Together Health Care Options
LaFayette and other rural areas of the country tend to have high rates of health problems but not enough doctors. Many are adapting by investing in nontraditional prevention and treatment options.
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Rural Nursing Home Supporters Fear Proposed Staffing Standards Will Trigger More Closures
The Biden administration says a recently proposed minimum staffing standard would help ensure quality care, but nursing home leaders predict many rural facilities would struggle to meet it.
By Tony Leys -
Despite Successes, Addiction Treatment Programs for Families Struggle to Stay Open
Residential addiction treatment programs that allow parents to bring their children along have been recognized for their success. But a mix of logistical challenges and low reimbursement rates mean they struggle to stay afloat.
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Even in the Most Depressed County in America, Stigma Around Mental Illness Persists
An estimated 32% of adults in Logan County, West Virginia, have been diagnosed with depression, the highest rate in the United States, according to a recent CDC report.
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Workers Pay the Price While Congress and Employers Debate Need for Heat Regulations
Studies suggest official numbers vastly underestimate heat-related injuries and illness on the job. To institute protections, the government must calculate their cost — and the cost of inaction.
By Amy Maxmen -
Mississippi’s Cervical Cancer Deaths Indicate Broader Health Care Problems
Mississippi has among the highest cervical cancer mortality rates in the U.S. When low-income women can't afford regular preventive care, much less gynecological visits, this highly preventable and treatable cancer becomes a killer.
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California Offers Lifeline to 17 Troubled Hospitals
California’s new lending program for distressed hospitals will provide Madera Community Hospital with interest-free loans of up to $52 million if it can agree on a viable reopening plan with Adventist Health. The state will offer an additional $240.5 million in interest-free loans to 16 other troubled hospitals.
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Life in a Rural ‘Ambulance Desert’ Means Sometimes Help Isn’t on the Way
No local hospital and anemic ambulance services mean residents in rural Pickens County, Alabama, are thrown into perilous situations when they have medical emergencies. It’s a kind of medical care roulette that has become a fact of life for rural Americans who live in ambulance deserts.
By Taylor Sisk -
Tribal Health Workers Aren’t Paid Like Their Peers. See Why Nevada Changed That.
Community health workers, who often help patients get to their appointments and pick up prescriptions for them, have increasingly been recognized as an integral part of treating chronic illnesses. But state-run Medicaid programs don’t always reimburse them equally, usually excluding those who work on tribal lands.
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Community With High Medical Debt Questions Its Hospitals’ Charity Spending
Pueblo, Colorado, residents have higher-than-average medical debt, while the city’s two tax-exempt hospitals provide relatively low levels of charity care.
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Repeating History: California County Plugs Budget Gap With Opioid Settlement Cash
State attorneys general vowed that opioid settlement funds — unlike the tobacco settlement of the 1990s — would go toward tackling the underlying crisis. But in Mendocino County, officials have found a way to use some of its share to help fill a budget shortfall — a throwback to what agreement architects hoped to avoid.
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POSTCARD FROM GREEN BAY
In Wisconsin, Women’s Health Care Is Constricted by an 1849 Law. These Doctors Are Aghast.
From the front lines of Wisconsin’s abortion battle, obstetricians describe patients who cannot comprehend having to carry nonviable pregnancies. And only one pharmacist in town can be found who will fill prescriptions for abortion pills.
By Sarah Varney