Rural Health
Resources by Topic: Healthcare business and finance
Rewards and Frustrations of Rural Surgery Practice
Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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The End of the COVID-19 Public Health Emergency - Impact for RHCs
Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Sponsoring organization: National Association of Rural Health Clinics
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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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Telehealth and the Expiration of the COVID-19 Public Health Emergency, with Kathy Wibberly
An episode of the Exploring Rural Health podcast featuring Kathy Wibberly, Director of the Mid-Atlantic Telehealth Resource Center. Discusses the impact of the COVID-19 Public Health Emergency (PHE) on rural access to telehealth services and adjustments patients and providers can anticipate as the PHE comes to an end May 11, 2023.
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kathy Wibberly, Director of the Mid-Atlantic Telehealth Resource Center. Discusses the impact of the COVID-19 Public Health Emergency (PHE) on rural access to telehealth services and adjustments patients and providers can anticipate as the PHE comes to an end May 11, 2023.
Date: 04/2023
Sponsoring organization: Rural Health Information Hub
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Changes in Marketplace Premiums and Insurer Participation, 2022-2023
Examines changes in Affordable Care Act Health Insurance Marketplace premiums and insurer participation between 2022 and 2023. Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2019 to 2022 by state. Includes tables for select states with select urban and rural regional data.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 04/2023
Sponsoring organization: Urban Institute
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Examines changes in Affordable Care Act Health Insurance Marketplace premiums and insurer participation between 2022 and 2023. Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2019 to 2022 by state. Includes tables for select states with select urban and rural regional data.
Author(s): John Holahan, Erik Wengle, Claire O'Brien
Date: 04/2023
Sponsoring organization: Urban Institute
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In Need of a Checkup: Examining the Cybersecurity Risks to the Healthcare Sector
Recording of a March 16, 2023, U.S. Senate Committee on Homeland Security and Governmental Affairs hearing on cybersecurity threats facing the healthcare sector. Features testimony from Kate Pierce, the former Chief Information Officer and Chief Information Security Officer of an Alabama Critical Access Hospital, who discusses cybersecurity in small and rural hospitals.
Additional links: Kate Piece, Fortified Health Security - Testimony
Date: 03/2023
Sponsoring organization: Senate Committee on Homeland Security and Governmental Affairs
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Recording of a March 16, 2023, U.S. Senate Committee on Homeland Security and Governmental Affairs hearing on cybersecurity threats facing the healthcare sector. Features testimony from Kate Pierce, the former Chief Information Officer and Chief Information Security Officer of an Alabama Critical Access Hospital, who discusses cybersecurity in small and rural hospitals.
Additional links: Kate Piece, Fortified Health Security - Testimony
Date: 03/2023
Sponsoring organization: Senate Committee on Homeland Security and Governmental Affairs
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Building Sustainable Capacity for Quality and Organizational Excellence: Critical Access Hospital Quality Infrastructure Summit
Summarizes a March 2023 summit with experts that sought to identify the core elements of infrastructure necessary for successful quality efforts in Critical Access Hospitals (CAHs). Outlines a framework to help leaders assess needs and growth and consider holistic approaches to creating a sustainable quality infrastructure.
Additional links: Core Elements of Critical Access Hospital Quality Infrastructure Video Summary, National Critical Access Hospital Quality Inventory and Assessment: Critical Access Hospital Fact Sheet, National Critical Access Hospital Quality Inventory and Assessment: State Flex Program Fact Sheet, National Critical Access Hospital Quality Inventory and Assessment: Video Summary
Date: 03/2023
Sponsoring organizations: Flex Monitoring Team, National Rural Health Resource Center, Stratis Health
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Summarizes a March 2023 summit with experts that sought to identify the core elements of infrastructure necessary for successful quality efforts in Critical Access Hospitals (CAHs). Outlines a framework to help leaders assess needs and growth and consider holistic approaches to creating a sustainable quality infrastructure.
Additional links: Core Elements of Critical Access Hospital Quality Infrastructure Video Summary, National Critical Access Hospital Quality Inventory and Assessment: Critical Access Hospital Fact Sheet, National Critical Access Hospital Quality Inventory and Assessment: State Flex Program Fact Sheet, National Critical Access Hospital Quality Inventory and Assessment: Video Summary
Date: 03/2023
Sponsoring organizations: Flex Monitoring Team, National Rural Health Resource Center, Stratis Health
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance, Additional Guidance
Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Date: 03/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Date: 03/2023
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Oversight Hearing – Addressing the Challenges of Rural America
Recording of a March 29, 2023, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies regarding challenges rural communities face. Discussions include access to healthcare; rural workforce development, including the healthcare workforce; telehealth; and more.
Additional links: Carrie Cochran-McClain, National Rural Health Association - Testimony, Tearsanee Davis, University of Mississippi Medical Center - Testimony, Tom Morris, Federal Office of Rural Health Policy - Testimony
Date: 03/2023
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Recording of a March 29, 2023, House Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies regarding challenges rural communities face. Discussions include access to healthcare; rural workforce development, including the healthcare workforce; telehealth; and more.
Additional links: Carrie Cochran-McClain, National Rural Health Association - Testimony, Tearsanee Davis, University of Mississippi Medical Center - Testimony, Tom Morris, Federal Office of Rural Health Policy - Testimony
Date: 03/2023
Sponsoring organization: House Committee on Appropriations, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
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Closure of Labor & Delivery Units in Rural Counties Is Associated with Reduced Adequacy of Prenatal Care, Even When Prenatal Care Remains Available
Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, demographics, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 03/2023
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Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, demographics, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 03/2023
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