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Category Archives: Health

Rural Health Research & Policy Centers

December 1, 2016

View the Research Alert.

USDA Rural Development Partners with Lenders to Provide Homes in Missouri

December 1, 2016

COLUMBIA, MO, November 30, 2016 –USDA Rural Development Missouri State Director Janie Dunning today acknowledged the importance of lender partnerships to the success of the Guaranteed Rural Housing Loan Program. In Fiscal Year 2016, 4,927 Missouri families purchased homes through the program, resulting in an investment of $573,979,543 in rural communities throughout the state.

“Partnerships with local lenders are essential to our ability to help Missourians achieve their homeownership dreams,” said Dunning. “These lenders have made a valuable contribution to the development of rural areas. Without their willingness to participate in the GRH Program, many people may have not been able to purchase a home. We appreciate the many lenders utilizing our Guaranteed Loans across all programs”

USDA Rural Development partners with local lenders to extend 100% financing opportunities to rural individuals and families. The federal government agrees to “guarantee” the loan, therefore reducing lender risk when making mortgage loans. The end result is more buyers achieving the dream of homeownership with affordable and attractive terms with assistance from Rural Development.

Over 70 lenders participate in the Guaranteed Rural Housing Loan Program in Missouri. These lenders work closely with applicants in rural communities to purchase homes to shelter their families. To celebrate the hard work of our lender partners, we recognize those lenders closing over 100 loans during the fiscal year. Lenders reaching this milestone during the fiscal year include:

These lenders closed 1,638 loans in Missouri with total loan amounts exceeding $192 million, making up 33% of total guaranteed loans for the year. Their efforts, along with all our partner lenders, are recognized for helping foster rural homeownership in the state.

Further information on rural programs is available by visiting the USDA Missouri Rural Development web site at or by contacting your local Rural Development office.

President Obama’s historic investments in rural America have made our rural communities stronger. Under his leadership, these investments in housing, community facilities, businesses and infrastructure have empowered rural America to continue leading the way – strengthening America’s economy, small towns and rural communities.

USDA, through its Rural Development mission area, has an active portfolio of more than $214 billion in loans and loan guarantees. These programs are designed to improve the economic stability of rural communities, businesses, residents, farmers and ranchers and improve the quality of life in rural America.


USDA is an equal opportunity provider and employer. To file a complaint of discrimination, write: USDA, Office of the Assistant Secretary for Civil Rights, Office of Adjudication, 1400 Independence Ave., S.W., Washington, DC 20250-9410 or call (866) 632-9992 (Toll-free Customer Service), (800) 877-8339 (Local or Federal relay), (866) 377-8642 (Relay voice users).

Rural Health Research & Policy Centers

November 30, 2016

View the Research Alert.

Comparing the Community Benefit Spending of CAHs to Other Rural & Urban Hospitals

November 30, 2016

The ACA increased focus on the safety net role of tax-exempt hospitals, specifically on their charity care and other community benefit policies and activities, by amending portions of the IRS tax code which clarified and expanded hospital charity care obligations and community benefit reporting requirements.

In a previous paper, we reported on the charity care, uncompensated care, and bad debt activities of CAHs. Our latest policy brief expands on that work by examining variations in the types and levels of hospital charity care, other community benefit spending, and community-building activities across Critical Access (CAH), other rural, and urban hospitals.
Access the Policy Brief

Rural Health Research & Policy Centers

November 30, 2016

View the Research Alert.

Rural Health Information Hub

November 30, 2016

View the Rural Health Information Hub updates.

The next CMS Ambulance Open Door Forum scheduled for:

November 30, 2016

The next CMS Ambulance Open Door Forum scheduled for:
Date:  Thursday, December 1, 2016
Start Time:  2:00 PM Eastern Time (ET);
Please dial-in at least 15 minutes before call start time.
Conference Leaders: Dr. William Rogers, Valerie Miller and Jill Darling

**This Agenda is Subject to Change**

  1. Opening Remarks

Chair – Dr. William Rogers (OC)
Co-Chair-Valerie Miller (CM)
Moderator – Jill Darling (OC)

  1. Announcements & Updates

III. Open Q&A

  • Staffing Requirements for ALS Transport
  • Update to the Claims Processing Manual pertaining to the SNF Ambulance Transport (CR-9791 and Transmittal code 3620)
  • CY 2017 ambulance inflation factor and productivity adjustment (Change Request 9811)
  • CY 2017 AFS Public Use Files release
  • Expiration date of MACRA provisions


Next Ambulance Open Door Forum: March 16, 2017


This Open Door Forum is not intended for the press, and the remarks are not considered on the record. If you are a member of the Press, you may listen in but please refrain from asking questions during the Q & A portion of the call. If you have inquiries, please contact CMS at Thank you.

UPDATE: CMS Open Door Forums will now be available through Podcasts. Please visit: Please allow a week or so to get it posted. Thank you.

Open Door Participation Instructions:

This call will be Conference Call Only.

To participate by phone:

Dial: 1-800-837-1935 & Reference Conference ID: 44947739

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

Encore: 1-855-859-2056; Conference ID:  44947739

Encore is an audio recording of this call that can be accessed by dialing 1-855-859-2056 and entering the Conference ID. Encores for ODFs held on Thursdays can be accessed the following Monday. The recording is available for 3 business days.

For ODF schedule updates and E-Mailing List registration, visit our website at

Thank you.