This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Convergence of Service Providers and Managers' Perspectives on Strengths, Gaps, and Priorities for Rural Health System Redesign: A Whole-Systems Qualitative Study in Washington County, Maine
Presents themes from interviews with 46 direct healthcare service providers between September - November 2020 in Washington County, Maine. Explores existing clinical service strengths, local and state gaps in services and the impact of those gaps on quality and safety, and priorities and strategies for sustaining or restoring essential healthcare services.
Author(s): Rebecca L. West, Judy Margo, Jeff Brown, Amy Dowley, Susan Haas
Citation: Journal of Primary Care & Community Health, 13
Date: 05/2022
view details
Rural–Urban Disparities in Health Access Factors Over Time: Implications for Cancer Prevention and Health Equity in the Midwest
Examines environmental and socioeconomic factors in rural and urban counties to understand differences in cancer burden and healthcare access. Analyzes 123 counties in Kansas and Missouri from 2009 to 2017 for health equity factors such as primary care provider availability, lack of insurance, unemployment, and childhood poverty. Includes rural versus urban cancer mortality rates in Kansas from 2008-2017.
Author(s): Jordan Baker, Hope Krebill, Hanluen Kuo, et al.
Citation: Health Equity, 6(1), 382-389.
Date: 05/2022
view details
MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2023
Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
view details
MedPAC Comment on CMS's Proposed Rule on the Inpatient Psychiatric Facility PPS for FY 2023
Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
view details
Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Sponsoring organization: USDA Economic Research Service
view details
Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017
Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
view details
State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
view details
Community Characteristics and Financial and Operational Performance of Rural Health Clinics in the United States: A Chartbook
Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
view details
Best Practices for a Successful Rural Health Clinic
Webinar recording of a presentation on best practices in Rural Health Clinics (RHCs). Includes information on general rural health resources, funding programs, and events, as well as RHC certification, evaluation, emergency preparedness, and finances information.
Additional links: Presentation Slides
Date: 05/2022
Sponsoring organization: Kansas Department of Health and Environment
view details
Let's Get a Good Deal on Health Care
Explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
Author(s): A. Clinton MacKinney
Citation: Rural Monitor
Date: 05/2022
Sponsoring organization: Rural Health Information Hub
view details