Rural Health
Resources by Topic: Healthcare business and finance
County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Risk of Closure Among Independent and Multihospital-Affiliated Rural Hospitals
Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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The Economic Effects of Rural Hospital Closures
Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Leadership Fundamentals Video Series: Surviving and Thriving as a New Leader
A 6-part video series for new rural health leaders transitioning to a supervisor or manager role. Covers building organizational awareness; managing performance; communication, conflict, and difficult conversations; leading change; and team engagement. Training modules include interviews with rural health leaders, discussion questions, suggested activities to support learning, and supplemental resources.
Date: 06/2022
Sponsoring organization: National Rural Health Resource Center
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A 6-part video series for new rural health leaders transitioning to a supervisor or manager role. Covers building organizational awareness; managing performance; communication, conflict, and difficult conversations; leading change; and team engagement. Training modules include interviews with rural health leaders, discussion questions, suggested activities to support learning, and supplemental resources.
Date: 06/2022
Sponsoring organization: National Rural Health Resource Center
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Costs of Evidence-Based Early Childhood Home Visiting: Results from the Mother and Infant Home Visiting Program Evaluation
Examines how resources are allocated at Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program-funded local home visiting programs. Estimates the costs for each family served in Mother and Infant Home Visiting Program Evaluation (MIHOPE) and how these costs differ across families, local programs, and evidence-based models. Includes data comparing programs that serve only metropolitan, only nonmetropolitan, and both types of counties.
Additional links: Executive Summary
Date: 06/2022
Sponsoring organization: Administration for Children and Families
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Examines how resources are allocated at Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program-funded local home visiting programs. Estimates the costs for each family served in Mother and Infant Home Visiting Program Evaluation (MIHOPE) and how these costs differ across families, local programs, and evidence-based models. Includes data comparing programs that serve only metropolitan, only nonmetropolitan, and both types of counties.
Additional links: Executive Summary
Date: 06/2022
Sponsoring organization: Administration for Children and Families
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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