Rural Health
Resources by Topic: Closures of healthcare facilities and services
Rural Hospital Financial Performance: Tools for Data-Driven Decision Making
Webinar recording featuring speakers from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the North Carolina Rural Health Research Center discussing two data-driven tools, the Rural Hospital Financial Performance Dashboard and the Hospital Financial Distress Index, that can provide valuable insights into the financial health of rural hospitals.
Additional links: Audio Recording, Webinar Slides
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
view details
Webinar recording featuring speakers from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the North Carolina Rural Health Research Center discussing two data-driven tools, the Rural Hospital Financial Performance Dashboard and the Hospital Financial Distress Index, that can provide valuable insights into the financial health of rural hospitals.
Additional links: Audio Recording, Webinar Slides
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
view details
Structural Vulnerability in the United States Radiation Oncology Delivery System: Predictors and Consequences of Practice Site Disappearance
Examines the impact of radiation oncology (RO) practice site disappearance on treatment capacity in U.S. counties. Utilizes 2018-2025 data from the Centers for Medicare & Medicaid Services National Downloadable File to analyze RO practice sites according to urban, rural-adjacent, or rural-nonadjacent county location, hospital affiliation, and county sociodemographics. Includes county-level U.S. map showing RO site growth, loss, or stability.
Author(s): Catherine Yu, Sifan Grace Lu, Danielle Arons, Jared P. Rowley, Kunal K. Sindhu
Citation: International Journal of Radiation Oncology, Biology, Physics
Date: 07/2026
view details
Examines the impact of radiation oncology (RO) practice site disappearance on treatment capacity in U.S. counties. Utilizes 2018-2025 data from the Centers for Medicare & Medicaid Services National Downloadable File to analyze RO practice sites according to urban, rural-adjacent, or rural-nonadjacent county location, hospital affiliation, and county sociodemographics. Includes county-level U.S. map showing RO site growth, loss, or stability.
Author(s): Catherine Yu, Sifan Grace Lu, Danielle Arons, Jared P. Rowley, Kunal K. Sindhu
Citation: International Journal of Radiation Oncology, Biology, Physics
Date: 07/2026
view details
MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Travel Time to Delivery Facilities for Arkansas Mothers
Infographic on travel times to maternal care services in Arkansas and the impact of labor and delivery unit closures on access to care. Includes comparisons between 2019 and 2024 at the state level, and provides data on median minutes traveled to delivery facilities by county.
Author(s): Jennifer Wessel
Date: 06/2026
Sponsoring organization: Arkansas Center for Health Improvement
view details
Infographic on travel times to maternal care services in Arkansas and the impact of labor and delivery unit closures on access to care. Includes comparisons between 2019 and 2024 at the state level, and provides data on median minutes traveled to delivery facilities by county.
Author(s): Jennifer Wessel
Date: 06/2026
Sponsoring organization: Arkansas Center for Health Improvement
view details
Hospital Closures Increase Emergency Care Travel Time: Rural-Urban Disparities
Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
view details
Examines the relationship between travel time to emergency care and hospital closures. Utilizes data from 2012-2023 hospital closures in Texas and analyzes 6,883 census tracts according to travel time to the nearest and second nearest emergency department (ED), with additional breakdowns by population characteristics and geographic categories of metro, micro, small town, or rural.
Author(s): Huiwen Zheng, Scott Horel, Christine Crudo Blackburn
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 63
Date: 06/2026
view details
Changes in Staffing, Resident Health, Closure, and Financial Performance of Rural Nursing Homes from 2017 to 2022
Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Examines changes in various characteristics of nursing homes, using data from 2017-2022. Features statistics with breakdowns by metropolitan, micropolitan, and small/isolated rural areas.
Author(s): Gulrukh Mehboob, Hari Sharma, Fred Ullrich, Keith Mueller
Date: 05/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Determinants of Rural Hospital Closures or Conversions in the United States
Examines determinants leading to rural hospital closures or conversion to outpatient-only facilities. Provides data on hospital closures and conversions from 2012 to 2023 and analyzes potential determinants such as inpatient occupancy rates, ownership type, proximity to an urban county, profit margin, and more.
Author(s): Eden Volkov, Kaushik Ghosh, Steven Sheingold, Ge Bai
Date: 05/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Examines determinants leading to rural hospital closures or conversion to outpatient-only facilities. Provides data on hospital closures and conversions from 2012 to 2023 and analyzes potential determinants such as inpatient occupancy rates, ownership type, proximity to an urban county, profit margin, and more.
Author(s): Eden Volkov, Kaushik Ghosh, Steven Sheingold, Ge Bai
Date: 05/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
One Nation, Two Rural Health Crises: Georgia and Texas Show Why Local Data-Informed Solutions Matter
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
view details
Discusses how local conditions, including socioeconomic pressures, chronic disease prevalence, and limited access to care, differently influence rural health needs and solutions in Georgia and Texas. Includes discussion of maternal health disparities and chronic disease prevalence as key topics requiring different solutions in different states.
Date: 04/2026
Sponsoring organization: PCCI
view details
Impact of Rural Hospital Closures on Survival among Medicare Beneficiaries Diagnosed with Colorectal, Lung, Breast, and Prostate Cancer
Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
view details
Presents a study on the effect rural hospital closures have on mortality rates of patients with colorectal, lung, breast, and prostate cancer using 2000-2020 data from the National Cancer Institute. Breaks down data by closure year and patient demographics, such as age, rural status, and cancer stage, among others.
Author(s): Zhaoli Liu, Daoqi Gao, Tara Martin, et al.
Citation: Journal of Rural Health, 42(2), e70148
Date: 04/2026
view details
Unapologetically Built Backwards: ONU HealthWise, Pharmacist-Driven Healthcare Access in Rural Ohio
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
view details
Features a university pharmacy department in rural Ohio that prepares pharmacy students for rural practice while also providing mobile services in nearby rural counties. Describes how the program has expanded to offer interprofessional education experiences and serve a larger region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2026
Sponsoring organization: Rural Health Information Hub
view details