Rural Health
Resources by Topic: Healthcare business and finance
Trends in Revenue Sources among Rural Hospitals
Examines outpatient care as a revenue source for rural hospitals between 2011 and 2019 by analyzing Healthcare Cost Report Information System data from 1,866 rural hospitals. Includes data broken down by rural versus urban, inpatient/outpatient revenue, and hospital payment classification, such as Critical Access Hospital, Medicare-Dependent Hospital, Prospective Payment System, Rural Referral Center, and Sole Community Hospital, among other things.
Author(s): Randall John, Tyler Malone, George Pink
Date: 05/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Examines outpatient care as a revenue source for rural hospitals between 2011 and 2019 by analyzing Healthcare Cost Report Information System data from 1,866 rural hospitals. Includes data broken down by rural versus urban, inpatient/outpatient revenue, and hospital payment classification, such as Critical Access Hospital, Medicare-Dependent Hospital, Prospective Payment System, Rural Referral Center, and Sole Community Hospital, among other things.
Author(s): Randall John, Tyler Malone, George Pink
Date: 05/2022
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2023
Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 6, 2022, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2023. Includes comments on the IRF teaching and rural payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Psychiatric Facility PPS for FY 2023
Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an April 4, 2022, Federal Register proposed rule revising the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for fiscal year 2023. Includes a discussion of rural and Disproportionate Share Hospital (DSH) IPF PPS payment adjustments.
Date: 05/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Association Between Rural Hospital Service Changes and Community Demographics
Investigates possible differences in service availability by local demographics and examines the association between proportion of a rural community belonging to an Agency for Healthcare Research and Quality-identified priority population and local hospital service changes. Features statistics on changes in healthcare service availability in nonmetro hospitals from 2011-2017, with breakdowns by selected community demographic characteristics. Also includes statistics on changes in availability of 8 types of services in nonmetro hospitals from 2011-2017.
Author(s): Tyler L. Malone, Kathleen Knocke, George H. Pink, et al.
Date: 05/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Investigates possible differences in service availability by local demographics and examines the association between proportion of a rural community belonging to an Agency for Healthcare Research and Quality-identified priority population and local hospital service changes. Features statistics on changes in healthcare service availability in nonmetro hospitals from 2011-2017, with breakdowns by selected community demographic characteristics. Also includes statistics on changes in availability of 8 types of services in nonmetro hospitals from 2011-2017.
Author(s): Tyler L. Malone, Kathleen Knocke, George H. Pink, et al.
Date: 05/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Sponsoring organization: USDA Economic Research Service
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Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Sponsoring organization: USDA Economic Research Service
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Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017
Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
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Results of a study using data from 32 million emergency department (ED) visits from 2008-2017, examining the rates of diabetes-related ED use across various geographic areas and subgroups. Features statistics including age-adjusted rates of diabetes-specific ED use among U.S. adults, with breakdowns by rural or urban status.
Author(s): Tegveer S. Uppal, Puneet Kaur Chehal, Gail Fernandes, et al.
Citation: JAMA Network Open, 5(5)
Date: 05/2022
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State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Sponsoring organization: National Academy for State Health Policy
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Community Characteristics and Financial and Operational Performance of Rural Health Clinics in the United States: A Chartbook
Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
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Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
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Best Practices for a Successful Rural Health Clinic
Webinar recording of a presentation on best practices in Rural Health Clinics (RHCs). Includes information on general rural health resources, funding programs, and events, as well as RHC certification, evaluation, emergency preparedness, and finances information.
Additional links: Presentation Slides
Date: 05/2022
Sponsoring organization: Kansas Department of Health and Environment
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Webinar recording of a presentation on best practices in Rural Health Clinics (RHCs). Includes information on general rural health resources, funding programs, and events, as well as RHC certification, evaluation, emergency preparedness, and finances information.
Additional links: Presentation Slides
Date: 05/2022
Sponsoring organization: Kansas Department of Health and Environment
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Let's Get a Good Deal on Health Care
Explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
Author(s): A. Clinton MacKinney
Citation: Rural Monitor
Date: 05/2022
Sponsoring organization: Rural Health Information Hub
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Explains the challenges rural hospitals face with current payment systems and the potential that value-based payment holds for meeting rural communities' needs.
Author(s): A. Clinton MacKinney
Citation: Rural Monitor
Date: 05/2022
Sponsoring organization: Rural Health Information Hub
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