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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Minnesota Chartbook Section 8A Health Care Providers and Service Availability: Hospitals
Provides data on Minnesota hospital capacity, services offered and their utilization, and hospital financials and community benefit. Includes information on hospital location and bed availability by region as well as rural versus urban comparisons of average length of stay, hospital admissions, inpatient days, and sources of revenue.
Date: 08/2022
Sponsoring organization: Minnesota Department of Health
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Experience in the Pennsylvania Rural Health Model: Barnes-Kasson County Hospital
Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Sponsoring organization: Rural Health Value
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Health Insurance Marketplaces: Issuer Participation Trends in Non-Metropolitan Places, 2014-22
Policy brief examining the changes in Health Insurance Marketplace (HIM) plan issuers from 2014-2022. Presents statistics on the average number of issuers per county in each year for metropolitan, micropolitan, and noncore counties and by region.
Author(s): Eliot Jost, Abigail Barker, Leah Kemper, et al.
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Update on Rural Independently Owned Pharmacy Closures in the United States, 2003-2021
Provides updated information on independently owned rural pharmacy closures from 2003 to 2021. Compares the annual retail pharmacy counts and percent change in the number of pharmacies by pharmacy type and metropolitan, micropolitan, and noncore county status. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Edmer Lazaro, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Beneficiary Access to Prescription Drugs in Rural Areas
Policy brief identifying the types of pharmacies used by Medicare beneficiaries in rural areas with limited or no access to pharmacies, using data from July 2016 to December 2017. Features statistics on county and beneficiary characteristics and claim event counts, with breakdowns by county pharmacy cohort.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith J. Mueller
Date: 08/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS Update for CY 2023
Comments on a June 28, 2022, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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