Rural Health
Resources by Topic: Critical Access Hospitals
February 2025 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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2024-2025 Pre-Rulemaking Measure Review (PRMR): Recommendations Report
Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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North Carolina Rural Hospital Program: 2024 Profile
Fact sheet with North Carolina rural hospital-related statistics on grants, return on investment and economic impact, technical assistance, and total program funding. Includes a county-level map showing locations of Critical Access Hospitals and small rural hospitals.
Date: 02/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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Fact sheet with North Carolina rural hospital-related statistics on grants, return on investment and economic impact, technical assistance, and total program funding. Includes a county-level map showing locations of Critical Access Hospitals and small rural hospitals.
Date: 02/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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Ten Things to Know about Texas Rural Hospitals
Fact sheet on rural hospitals' role in supporting access to care and economic health in Texas, with additional data on rural hospital closures and support for hospital operations. Includes a map of rural Texas hospitals by county, including Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs).
Date: 01/2025
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Fact sheet on rural hospitals' role in supporting access to care and economic health in Texas, with additional data on rural hospital closures and support for hospital operations. Includes a map of rural Texas hospitals by county, including Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs).
Date: 01/2025
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Antibiotic Stewardship Detailed Data Summarization Tool for State Flex Programs: 2023 Annual Facility Survey
Tool to help state Flex programs summarize and utilize the Core and Detailed Annual Facility Survey antibiotic stewardship data. Provides a core element summary and a question-by-question summary of Critical Access Hospital responses.
Date: 01/2025
Sponsoring organization: Flex Monitoring Team
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Tool to help state Flex programs summarize and utilize the Core and Detailed Annual Facility Survey antibiotic stewardship data. Provides a core element summary and a question-by-question summary of Critical Access Hospital responses.
Date: 01/2025
Sponsoring organization: Flex Monitoring Team
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RHCs, FQHCs, Tribal Clinics and CAHs in Rural Oregon
Shows a county-level map of Oregon identifying the Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), tribal clinics, and Critical Access Hospitals (CAHs). Highlights rural, urban, and frontier areas.
Date: 01/2025
Sponsoring organization: Oregon Office of Rural Health
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Shows a county-level map of Oregon identifying the Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), tribal clinics, and Critical Access Hospitals (CAHs). Highlights rural, urban, and frontier areas.
Date: 01/2025
Sponsoring organization: Oregon Office of Rural Health
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South Dakota Critical Access Hospitals
County-level map of South Dakota showing locations of Critical Access Hospitals (CAHs).
Date: 01/2025
Sponsoring organization: South Dakota Office of Rural Health
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County-level map of South Dakota showing locations of Critical Access Hospitals (CAHs).
Date: 01/2025
Sponsoring organization: South Dakota Office of Rural Health
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The University of Arizona Center for Rural Health Annual Report FY 2024-2025
Highlights the Center for Rural Health's past-year accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Date: 2025
Sponsoring organization: Arizona Center for Rural Health
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Highlights the Center for Rural Health's past-year accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Date: 2025
Sponsoring organization: Arizona Center for Rural Health
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Financial Performance Gaps Between Critical Access Hospitals and Other Acute Care Hospitals
Research letter examining how system affiliation impacted hospital financial measures for Critical Access Hospitals (CAHs) and non-CAHs between 2020 and 2022.
Author(s): Christopher Whaley, Marilyn Bartlett, Ge Bai
Citation: JAMA Health Forum, 5(12)
Date: 12/2024
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Research letter examining how system affiliation impacted hospital financial measures for Critical Access Hospitals (CAHs) and non-CAHs between 2020 and 2022.
Author(s): Christopher Whaley, Marilyn Bartlett, Ge Bai
Citation: JAMA Health Forum, 5(12)
Date: 12/2024
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Medicare Could save Billions with Comparable Access for Enrollees If Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System
Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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