Rural Health
Resources by Topic: Healthcare business and finance
North Dakota Critical Access Hospital Conditions of Participation (CoP) Checklist
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2024
Sponsoring organization: University of North Dakota Center for Rural Health
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Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2024
Sponsoring organization: University of North Dakota Center for Rural Health
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Primary Care Collaborative 2024 Evidence Report: An Evaluation of Primary Care in Medicare Accountable Care Organizations
Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Nurse Practitioner Race and Ethnicity and Interest in Independent Primary Care Practice and Serving Medicaid Enrollees
Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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Surveyed California nurse practitioners (NPs) to determine the current practice and practice intentions following scope of practice regulation changes in California. Presents 2023 data showing rurality of NPs by amount of primary care offered and Medicaid patient caseload currently and those considering independent primary care practice, among other characteristics.
Author(s): Ulrike Muench, Amy Quan, Rosalind de Lisser, Timothy Bates, Joanne Spetz
Citation: Health Affairs Scholar, 2(12)
Date: 11/2024
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Building a Rural Cancer Care Network: Federal Funding Supports Collaboration of Urban, Regional, and Local Organizations
Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Dashboard: Arkansas Healthcare Expenditures
Interactive dashboard providing data on medical, pharmacy, and dental expenditures in Arkansas, utilizing the Arkansas Healthcare Transparency Initiative's All-Payer Claims Database for the years 2021-2023. Allows sorting by year, type of coverage, and type of service for individuals, total expenditures, or average annualized expenditures. Breaks down data at the county level by sex, age, payer type, and race/ethnicity.
Date: 11/2024
Sponsoring organization: Arkansas Center for Health Improvement
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Interactive dashboard providing data on medical, pharmacy, and dental expenditures in Arkansas, utilizing the Arkansas Healthcare Transparency Initiative's All-Payer Claims Database for the years 2021-2023. Allows sorting by year, type of coverage, and type of service for individuals, total expenditures, or average annualized expenditures. Breaks down data at the county level by sex, age, payer type, and race/ethnicity.
Date: 11/2024
Sponsoring organization: Arkansas Center for Health Improvement
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The Potential for Hospital System Integration to Improve the Financial Outlook of Rural Hospitals in the United States
Provides an overview of the current financial status of rural hospitals and their risk of closure, as defined by days of cash on hand and total margins. Discusses the impact of rural hospital closures on local communities, including on health outcomes, demographics, and the economy. Explores the extent to which affiliating with, merging with, or being acquired by a larger hospital system can impact the financial position of rural hospitals.
Author(s): Al Dobson, Michael Beins, Patrick McMahon, et al.
Date: 11/2024
Sponsoring organizations: Coalition to Strengthen America's Healthcare, Dobson DaVanzo & Associates
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Provides an overview of the current financial status of rural hospitals and their risk of closure, as defined by days of cash on hand and total margins. Discusses the impact of rural hospital closures on local communities, including on health outcomes, demographics, and the economy. Explores the extent to which affiliating with, merging with, or being acquired by a larger hospital system can impact the financial position of rural hospitals.
Author(s): Al Dobson, Michael Beins, Patrick McMahon, et al.
Date: 11/2024
Sponsoring organizations: Coalition to Strengthen America's Healthcare, Dobson DaVanzo & Associates
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Meeker Memorial Hospital: Bringing Sustainable Coordination of Care to its Patients and Community
Provides a profile of Meeker Memorial Hospital (MMH), a healthcare facility located in Minnesota and part of the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP). Discusses MMH's process to improve finances and operations, implement electronic medical record (EMR) training, partner with pharmacy schools, and more.
Date: 11/2024
Sponsoring organization: National Rural Health Resource Center
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Provides a profile of Meeker Memorial Hospital (MMH), a healthcare facility located in Minnesota and part of the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP). Discusses MMH's process to improve finances and operations, implement electronic medical record (EMR) training, partner with pharmacy schools, and more.
Date: 11/2024
Sponsoring organization: National Rural Health Resource Center
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Evaluation of the Impact of the No Surprises Act on Health Care Market Outcomes: Exploring Pre-Implementation Trends - Second Annual Report
Provides an overview of the No Surprises Act, which aims to protect participants, beneficiaries, and enrollees in group health plans and group and individual health insurance coverage from surprise medical bills. Updates key trends in factors that will be important to evaluate the effects of the No Surprises Act identified in the First Annual Report, including market consolidation and concentration, out-of-network billing, and potential surprise bills. Describes discussions with healthcare providers, private health plans and issuers, and patients regarding implementation and understanding of the No Surprises Act.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the No Surprises Act, which aims to protect participants, beneficiaries, and enrollees in group health plans and group and individual health insurance coverage from surprise medical bills. Updates key trends in factors that will be important to evaluate the effects of the No Surprises Act identified in the First Annual Report, including market consolidation and concentration, out-of-network billing, and potential surprise bills. Describes discussions with healthcare providers, private health plans and issuers, and patients regarding implementation and understanding of the No Surprises Act.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations
Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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National Rural Health Day: Highlighting Challenges Facing Rural Communities
A blog post that provides an overview of rural health challenges in Indiana and nationwide, such as workforce challenges, hospital closures, lack of access to emergency services, and more. Includes rural versus urban and county-level data points as well as references to additional resources.
Author(s): Zachary Ammerman
Date: 11/2024
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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A blog post that provides an overview of rural health challenges in Indiana and nationwide, such as workforce challenges, hospital closures, lack of access to emergency services, and more. Includes rural versus urban and county-level data points as well as references to additional resources.
Author(s): Zachary Ammerman
Date: 11/2024
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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