Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals. -- Centers for Medicare and Medicaid Services, NORC at the University of Chicago

Examines high-spending Emergency Rental Assistance (ERA) on Native lands to address housing issues such as overcrowding, homelessness, and application accessibility, among others. Examines 7 Tribes and Tribally Designated Housing Entities (TDHEs) in the states of North Dakota, South Dakota, Colorado, Utah, Wyoming, Montana, and Nebraska. Provides background on housing instability, statistics about allocated funding and households served by ERA, and challenges TDHEs face. -- National Low Income Housing Coalition, United Native American Housing Association

Step-by-step guide for accessing data for specific American Indian and Alaska Native tribes via data.census.gov. -- U.S. Census Bureau

Reports on a May 2022 workshop exploring issues related to family caregivers and developing strategies to support and recognize their role in caring for their loved ones with cancer or other chronic illnesses. Discusses the increased role of family caregivers in rural and tribal communities and the importance of providing services, addressing social determinants of health, and allocating funding to better support family caregivers in these communities. -- Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine

Results of a study of 1,110,421 firearm fatalities from 1990-2021, using data from the Centers for Disease Control. Features statistics including age- and year-specific firearm homicide and suicide fatality rates with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing geographic distribution of firearm fatalities.

A dashboard that shows county-level marketplace insurance enrollment eligibility in North Carolina. Includes a scatterplot map that shows the relationship between eligibility rates and enrollment rates by rural, suburban, and urban location, as well as a map showing areas in North Carolina that have had assister events such as education or enrollment outreach. -- The Cecil G. Sheps Center for Health Services Research

Explores differences in specific community-level sociodemographic factors associated with the survival or closure of rural hospitals at risk of financial distress between 2010 and 2019. Examines the relationship between the risk of hospital closure and median family income, unemployment rate, uninsured rate, education, race, and more.

Discusses issues related to transportation in tribal areas and how lack of transportation options causes forgone medical care, community disengagement, and employment difficulties. Provides information on tribal sovereignty, funding, coordination, and economic development as related to transportation systems. Includes case studies of successful transit programs in tribal areas. -- National Rural Transit Assistance Program

Discusses ways local health departments (LHDs) of various sizes can collaborate with state and federal partners and successfully implement programs. Considers issues facing current LHDs, such as localism versus centralism, the COVID-19 pandemic, staffing and capacity issues, and more. Offers potential solutions and planning strategies for obstacles LHDs face.

Bar chart showing the percent of adults in food insecure families overall, in urban areas, and in rural areas, with breakdowns by income level for those under the federal poverty level (FPL), between 100-199% of the FPL, and 200% or more of the FPL. -- Centers for Disease Control and Prevention