Rural Health
Resources by Topic: Health systems
The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Chris Barber, president and CEO of St. Bernards Healthcare, which serves communities in Arkansas and Missouri. Describes how certain Medicare Advantage plan practices can create problems for rural hospitals, health systems, and patients.
Date: 01/2024
Sponsoring organization: American Hospital Association
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Final Frontier: IPC Challenges in Rural Health Care
Podcast interview with Dr. Michael Stevens, West Virginia University Health System's Healthcare Epidemiologist. Addresses difficulty in accessing mentoring in infection prevention and control (IPC) in rural facilities, and disconnects between local needs and upper-level mandates. Includes transcript.
Date: 12/2023
Sponsoring organizations: American Medical Association, CDC's Project Firstline
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Podcast interview with Dr. Michael Stevens, West Virginia University Health System's Healthcare Epidemiologist. Addresses difficulty in accessing mentoring in infection prevention and control (IPC) in rural facilities, and disconnects between local needs and upper-level mandates. Includes transcript.
Date: 12/2023
Sponsoring organizations: American Medical Association, CDC's Project Firstline
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The Future of Rural Hospitals and Health Systems
Podcast episode featuring a discussion with Joanne Conroy, M.D., Dartmouth Health president and CEO and the American Hospital Association Board of Trustees' chair-elect. Explores the future of rural hospitals and health systems and possible solutions to providing quality, cost-efficient care in rural communities.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Joanne Conroy, M.D., Dartmouth Health president and CEO and the American Hospital Association Board of Trustees' chair-elect. Explores the future of rural hospitals and health systems and possible solutions to providing quality, cost-efficient care in rural communities.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Sponsoring organization: Government Accountability Office
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The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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How Community Investment Saved a Rural Health System
Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Sponsoring organization: American Hospital Association
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Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Sponsoring organization: American Hospital Association
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New England Health System CEOs Address Rural Healthcare Crisis In A Live Conversation
Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Sponsoring organization: Dartmouth Health
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Recording of a May 22, 2023, roundtable discussion with the chief executive officers (CEOs) of Dartmouth Health, MaineHealth, and the University of Vermont Health Network regarding the challenges rural healthcare providers face. Covers workforce challenges, regulatory and inflation challenges, and innovations to preserve access to care. Transcript is available in the video description.
Date: 05/2023
Sponsoring organization: Dartmouth Health
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Caitlin Carroll on Rural Hospital Survival
A podcast episode featuring Caitlin Carroll of the University of Minnesota's School of Public Health. Discusses the financial challenges rural hospitals face and common paths for unprofitable hospitals - continuing as-is, closure, or merging with another hospital system.
Date: 04/2023
Sponsoring organization: Health Affairs
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A podcast episode featuring Caitlin Carroll of the University of Minnesota's School of Public Health. Discusses the financial challenges rural hospitals face and common paths for unprofitable hospitals - continuing as-is, closure, or merging with another hospital system.
Date: 04/2023
Sponsoring organization: Health Affairs
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Leadership Dialogue Series: Strengthening Rural Health Care with Jennifer Havens
Discussion between John Haupert, president and CEO of Grady Health System, and Jennifer Havens, CEO of UnityPoint Health – Grinnell Regional Medical Center (GRMC). Describes challenges facing rural hospitals and health systems, as well as access to maternal health services. Explores how GRMC has addressed these challenges and improved care delivery. Transcript is available in the video description.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Discussion between John Haupert, president and CEO of Grady Health System, and Jennifer Havens, CEO of UnityPoint Health – Grinnell Regional Medical Center (GRMC). Describes challenges facing rural hospitals and health systems, as well as access to maternal health services. Explores how GRMC has addressed these challenges and improved care delivery. Transcript is available in the video description.
Date: 02/2023
Sponsoring organization: American Hospital Association
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