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What a $209 million federal boost means for rural hospitals and what's still at risk in these communities

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Talk of Iowa, hosted by Charity Nebbe

Iowa has been awarded a $209 million federal grant to expand and improve health care across the state — the first installment of what officials say could total $1 billion over the next five years. The funding is part of the federal Rural Health Transformation Program and is aimed at strengthening access to care, equipment and workforce development in rural communities.

Leaders from Iowa’s critical access hospitals talk about what this funding could mean on the ground and why they say it falls far short of what rural providers are bracing for. We also discuss workforce shortages, the challenge of recruiting specialists like OB-GYNs, and the “hub and spoke” model Gov. Kim Reynolds has promoted to reshape rural health care delivery.

Later, host Charity Nebbe announces Talk of Iowa’s 2026 Book Club selections with IPR talk show producer, Caitlin Troutman.

Guests:

  • Kevin Kincaid, CEO, Knoxville Hospital & Clinics; member of the Rural Policy Board for the American Hospital Association
  • Brett Altman, chief executive officer, Cass Health in Atlantic
  • Shannon Black, chief executive officer, Manning Regional Healthcare Center
  • Caitlin Troutman, talk show producer, IPR
Charity Nebbe is the host of 'Talk of Iowa'. She also hosts IPR's podcasts 'Garden Variety' and 'Unsettled'. Since 2010, Nebbe has interviewed, conversed with, and shared ideas from guests of all backgrounds and locations, and has helped listeners better understand, appreciate, and explore their state and the world around them. Nebbe has a bachelor's degree from Iowa State University.
Dani Gehr is a talk show producer for Iowa Public Radio. She holds a bachelor's degree from Iowa State University. Since 2022, Gehr has worked with IPR's talk team to bring news and features to IPR's listening audience.
Zoe Bentler is a 2025 fall intern with IPR's talk show team and a senior at the University of Iowa studying journalism and sport, media and culture with a minor in dance. She is originally from Mount Pleasant, Iowa. Her favorite things include keeping up with the current fashion world and cheering on the Iowa Hawkeye sports teams.