Rural Health
Resources by Topic: Closures of healthcare facilities and services
Rural America's OB Deserts Widen in Fallout From Pandemic
Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Explores the loss of obstetrics services in rural communities since 2011. Presents data on the number and percentage of rural hospitals that discontinued obstetrics services between 2011 and 2021. Discusses the impact of the loss of these services on maternal and infant health.
Date: 12/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Fast Facts: U.S. Rural Hospitals, 2023
Infographic presenting data on rural hospitals using the American Hospital Association's Annual Survey Database for fiscal years 2017 through 2021. Includes information on the declining number of community hospitals nationwide and data on rural community hospitals by ownership type and number of beds.
Date: 12/2023
Type: Document
Sponsoring organization: American Hospital Association
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Infographic presenting data on rural hospitals using the American Hospital Association's Annual Survey Database for fiscal years 2017 through 2021. Includes information on the declining number of community hospitals nationwide and data on rural community hospitals by ownership type and number of beds.
Date: 12/2023
Type: Document
Sponsoring organization: American Hospital Association
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Medicare Advantage in Rural Areas: Implications for Hospital Sustainability
Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
Type: Document
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Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
Type: Document
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New Research Shows RHC Program Continues to Grow
Explores trends in the Rural Health Clinic (RHC) landscape between 2020-2022 using data from the Center for Medicare and Medicaid (CMS) Quality, Certification, and Oversight Reports (QCOR). Presents data and maps on the number of RHCs that opened, closed, had a CMS Certification Number (CCN) change, and are no longer operating as an RHC by state and free-standing or provider-based status.
Date: 09/2023
Type: Document
Sponsoring organizations: NARHC Research and Education Foundation, National Association of Rural Health Clinics, National Center for the Analysis of Healthcare Data (NCAHD)
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Explores trends in the Rural Health Clinic (RHC) landscape between 2020-2022 using data from the Center for Medicare and Medicaid (CMS) Quality, Certification, and Oversight Reports (QCOR). Presents data and maps on the number of RHCs that opened, closed, had a CMS Certification Number (CCN) change, and are no longer operating as an RHC by state and free-standing or provider-based status.
Date: 09/2023
Type: Document
Sponsoring organizations: NARHC Research and Education Foundation, National Association of Rural Health Clinics, National Center for the Analysis of Healthcare Data (NCAHD)
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Map Monday: Rural Hospitals Closing Their Doors
Map of rural hospital closures since 2005. Use the "switch view" drop down to see a mobile friendly version of the map.
Date: 08/2023
Type: Map/Mapping System
Sponsoring organization: National Conference of State Legislatures
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Map of rural hospital closures since 2005. Use the "switch view" drop down to see a mobile friendly version of the map.
Date: 08/2023
Type: Map/Mapping System
Sponsoring organization: National Conference of State Legislatures
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Rates of Nursing Home Closures Were Relatively Stable Over the Past Decade, but Warrant Continuous Monitoring
Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
Type: Document
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Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
Type: Document
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Rural Health Policy Landscape: Implications for Addressing Behavioral Health
Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Presentation slides from a July 22, 2023, presentation at the 48th Annual Rural Social Work Conference. Provides an overview of the federal, state, and commercial insurance policy landscapes regarding healthcare value and payment. Offers policy recommendations related to rural behavioral health.
Author(s): Keith J. Mueller
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2023
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 profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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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 profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers racial and ethnic disparities in severe maternal morbidity and mortality and the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Type: Audio
Sponsoring organization: Impact! Communications, Inc.
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