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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

The Effect of Geographic Origin and Destination on Congenital Heart Disease Outcomes: A Retrospective Cohort Study
Examines surgical outcomes related to rural versus urban residence, distance to tertiary care, and reporting characteristics of associated surgical centers for Department of Defense (DoD) health insurance beneficiaries with congenital heart disease (CHD). Analyzes outcomes by cost, length of stay, readmission within 90 days, and patient mortality, further broken down by patient demographics, including rural-urban commuting area (RUCA).
Author(s): Spencer M. Millen, Cara H. Olsen, Ryan P. Flanagan, John S. Scott, Craig P. Dobson
Citation: BMC Cardiovascular Disorders, 23, 99
Date: 02/2023
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Federal Telehealth Flexibilities in Private Health Insurance During the COVID-19 Public Health Emergency: In Brief
Provides an overview of how private health insurance plans cover telehealth services, as well as federal flexibilities that encouraged private health insurance plans to promote telehealth services during the COVID-19 pandemic. Summarizes the two main types of laws at the state level addressing telehealth coverage in private health insurance. Outlines considerations for telehealth coverage after the end of the COVID-19 public health emergency.
Date: 02/2023
Sponsoring organization: Congressional Research Service
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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State-Based Recommendations to Support Rural Ambulance Agencies
Discusses challenges faced by rural ambulance agencies and emergency medical services (EMS) agencies. Identifies state-based policy opportunities to support rural ambulance agencies. Covers EMS as an essential service, professional management, EMS zones, and standby costs.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Alva O. Ferdinand, et al.
Date: 02/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Chartis Center for Rural Health Research & Resources for the 2023 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Rural Health Safety Net Under Renewed Pressure as Pandemic Fades and presentation slides on this report from the 2023 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2023
Sponsoring organization: Chartis Center for Rural Health
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Rural Health Safety Net Under Renewed Pressure as Pandemic Fades
Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Sponsoring organization: Chartis Center for Rural Health
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2023 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2023 National Rural Health Association Policy Institute.
Date: 02/2023
Sponsoring organization: Chartis Center for Rural Health
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2023-2027 Ohio State Oral Health Plan
Provides an overview of Ohio's state plan to improve and integrate oral health into citizens' overall healthcare plans. Focuses on community conditions, health behaviors, access to quality care, dental care outcomes, and oral health outcomes. Includes strategies specific to rural, Appalachian Ohio and data on dentists who billed at least 100 services to Medicaid in 2021 by county.
Author(s): Becky Sustersic Carroll, Hailey Akah, Lexi Chirakos
Date: 02/2023
Sponsoring organizations: Health Policy Institute of Ohio, Oral Health Ohio
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The State of Rural Healthcare: Research Report and Outlook for 2023
Presents results of a survey of 110 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing four strategic priorities, including workforce management, patient experience, financial performance, and digital transformation.
Date: 02/2023
Sponsoring organization: Wipfli, LLP
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Iowa's 2023-2027 State Health Improvement Plan
Provides information on the Healthy Iowans Partnership Steering Committee, public health department accreditation process, state health improvement plan (SHIP) and its phases, and population health metrics. Discusses health equity and improving health outcomes for disadvantaged populations, including rural.
Date: 01/2023
Sponsoring organization: Iowa Department of Health and Human Services
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