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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Prescription Drug Affordability among Medicare Beneficiaries
Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Hospitals that Closed between 2017‐20: Profitability and Liquidity in the Year Before Closure
Examines the pre-closure profitability and liquidity performance of 56 rural hospitals that closed between January 2017 and August 2020. Compares this data to the median performance of rural hospitals that remained open each year.
Author(s): Andrew S. Osgood, George H. Pink
Date: 01/2022
Sponsoring organization: North Carolina Rural Health Research Program
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High-Performing Rural Health System
Update to the September 2011 RUPRI Health Panel document "The High Performance Rural Health Care System of the Future." Describes affordable and accessible healthcare for all rural residents through a sustainable system delivering high quality, high value services. Defines pillars of accessibility, affordability, community health, and quality.
Author(s): Andrew Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 01/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Enhanced Method for Identifying Hospital-Based Obstetric Unit Status
Results of a study using data from American Hospital Association annual surveys from 2010-2018 to conduct single- and multi-year assessments of obstetric unit status and to identify closures of obstetric units. Compares results obtained through the enhanced method with results of a survey sample of rural hospitals with obstetric units open at the time of the assessment and those with recently closed units.
Author(s): Julia D. Interrante, Caitlin Carroll, Sara C. Handley, Katy Kozhimannil
Date: 01/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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California Patient Characteristics by County and Facility
Interactive charts showing patient characteristics in general acute care hospital settings in California in 2022. Offers statewide data as well as comparisons at the county and facility level.
Date: 2022
Sponsoring organization: California Department of Health Care Access and Information
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Emerging Stronger After COVID-19: Priorities for Health System Transformation
Collection of papers examining the weaknesses of major healthcare sectors before the COVID-19 pandemic, how each sector responded to the pandemic, and the opportunities that exist for strengthening and transforming the healthcare system. Includes rural references throughout.
Additional links: Read Online
Date: 2022
Sponsoring organization: National Academy of Medicine
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The Use of Telehealth for Disability Evaluation in Medicine and Allied Health: Proceedings of a Workshop
Summarizes presentations and discussions held during a March 2022 workshop regarding the use of telehealth for patient evaluation. Provides an overview of telehealth policy broadly and within the context of the COVID-19 pandemic. Explores the use of telehealth in a range of clinical specialties; telehealth access and digital inclusion and equity; the experiences of U.S. healthcare systems in deploying telehealth; and licensure, privacy, and security issues.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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U.S. Health Care Expenditures: Costs, Lessons, and Opportunities
Summarizes a March 15-16, 2021, workshop exploring issues related to increasing healthcare spending in the United States. Provides an overview of the scope of healthcare spending in the United States, innovations implemented to address spending, and the role of research in policy change. Includes information on rural payment models.
Additional links: Read Online
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff
Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Rural Health Safety Net Under Pressure: Understanding the Potential Impact of COVID-19
Examines the stability of the rural health safety net at the outset of the COVID-19 pandemic. Outlines key factors that will influence the impact of COVID-19 on rural healthcare, including access to intensive care unit beds, outpatient service revenues, and rural provider days cash on hand. Highlights provisions of the CARES Act aimed at mitigating the impact of the pandemic on rural hospitals.
Date: 2022
Sponsoring organization: Chartis Center for Rural Health
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