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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

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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Assessing the Characteristics of New York State Dentists Serving Medicaid Beneficiaries
Results of a study exploring the demographic, educational, and practice characteristics of dentists in New York, to understand which factors are associated with dentists' participation and their level of participation in the Medicaid program. Features statistics with breakdowns by rural or urban location.
Author(s): Shen Wang, Robert Martiniano, Kristen Stiegler
Date: 08/2022
Sponsoring organization: Center for Health Workforce Studies
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Small Area Health Insurance Estimates: Uninsured Rates for the Population Under Age 65 in 2020
Map depicting the percentage of uninsured persons under age 65 at the county level based on 2020 data from the Small Area Health Insurance Estimates (SAHIE) program.
Date: 08/2022
Sponsoring organization: U.S. Census Bureau
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Association Between Medicaid Expansion Under the Affordable Care Act and Survival Among Newly Diagnosed Cancer Patients
Examines the relationship between cancer survival and Medicaid expansion under the Affordable Care Act (ACA) by sex, race and ethnicity, poverty level, and rurality. Utilizes the Cancer Incidence in North America (CiNA) Survival dataset to analyze 2, 555 ,302 patients diagnosed with cancer to see pre-ACA and post-ACA survival rates.
Author(s): Xuesong Han, Jingxuan Zhao, K. Robin Yabroff, Christopher J. Johnson, Ahmedin Jemal
Citation: Journal of the National Cancer Institute, 114(8), 1176-1185
Date: 08/2022
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Indiana Governor's Public Health Commission Report 2022
Provides an overview of public health in Indiana with a focus on healthy environments and health education. Examines the declining life expectancy and challenges to public health such as behavioral health issues, adult and child obesity, infectious diseases, and geographic and socio-economic health disparities. Summarizes and provides recommendations from the commission's findings related to governance and infrastructure, funding, healthcare workforce, data integration, emergency preparedness, and child/adolescent health.
Additional links: Appendices, News Brief
Date: 08/2022
Sponsoring organization: Indiana Department of Health
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Financial Sustainability Workbook
Workbook offering insights and activities for collaboratives to use when considering diversifying funding in order to sustain healthcare delivery and health improvement efforts. Discusses identifying the financial resources in the local system, community approaches to financing innovation, and engaging and building relationships with payers to create new funding streams. Includes case examples of leveraging grant funds and innovations.
Date: 08/2022
Sponsoring organization: Georgia Health Policy Center
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