Rural Health
Resources by Topic: Healthcare business and finance
2024 Forces of Change Survey
Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
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Presents results from a 2024 survey of 667 local health departments (LHDs). Provides data on LHD staffing and budgets, governance, fellowship and training programs, public health nursing, evaluation capacity, and harm reduction activities. Includes data comparisons between rural and urban LHDs, and LHDs serving small, medium, and large populations.
Author(s): Krishna Patel, Gwen Davis, Kellie Perkins, Timothy C. McCall
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
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Obstetric Care Access Declined in Rural and Urban Hospitals Across US States, 2010–22
Examines the number and proportion of hospitals located in rural and urban counties in each state that lost hospital-based obstetric services between 2010 and 2022. Describes the proportion of hospitals without obstetric services for any reason by 2022.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Citation: Health Affairs, 44(7), 806-811
Date: 07/2025
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Examines the number and proportion of hospitals located in rural and urban counties in each state that lost hospital-based obstetric services between 2010 and 2022. Describes the proportion of hospitals without obstetric services for any reason by 2022.
Author(s): Katy Backes Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Citation: Health Affairs, 44(7), 806-811
Date: 07/2025
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Partners in Progress: Pursuing Medical-Dental Integration in Ohio
Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural areas, shortage areas, and among Medicaid recipients. Details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural areas, shortage areas, and among Medicaid recipients. Details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Financial Performance of Rural and Urban Nursing Homes: A Comparative Analysis
Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
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Presents a study comparing the financial performance between rural and urban nursing homes. Discusses the different structural barriers and facilitators that affect the operating margins in rural and urban facilities.
Author(s): Gregory N. Orewa, Rohit Pradhan, Akbar Ghiasi, et al.
Citation: Journal of Rural Health, 41(3), e70053
Date: 07/2025
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Use of Telebehavioral Health Services by Critical Access Hospitals in the United States: A Qualitative Study of the Impacts of Medicare Flexibilities and Future Opportunities
Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Most Medicare Advantage Markets are Dominated by One or Two Insurers
Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Paula Chatterjee on Rural Hospital Finances Under Pennsylvania's Health Model
A podcast episode that discusses the Pennsylvania Rural Health Model and its impact on rural hospital finances.
Author(s): Rob Lott, Paula Chatterjee
Date: 07/2025
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A podcast episode that discusses the Pennsylvania Rural Health Model and its impact on rural hospital finances.
Author(s): Rob Lott, Paula Chatterjee
Date: 07/2025
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Critical Access Hospital and Hospital Requirements Streamlined to Reduce Burden
Outlines streamlined Joint Commission requirements for accreditation and Elements of Performance (EPs) for hospitals and Critical Access Hospitals (CAHs). Includes links to survey process guides, disposition reports, and crosswalk and crosswalk compare reports for each deemed program's Conditions of Participation and the equivalent Joint Commission EPs.
Date: 07/2025
Sponsoring organization: Joint Commission
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Outlines streamlined Joint Commission requirements for accreditation and Elements of Performance (EPs) for hospitals and Critical Access Hospitals (CAHs). Includes links to survey process guides, disposition reports, and crosswalk and crosswalk compare reports for each deemed program's Conditions of Participation and the equivalent Joint Commission EPs.
Date: 07/2025
Sponsoring organization: Joint Commission
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The 2025 State of Poverty in Ohio Report
Provides information on poverty in Ohio, with a focus on pharmacy, food, and additional healthcare/human services deserts. Includes county-level information on individual and family poverty rates, food insecurity, insurance status, housing, and more.
Date: 07/2025
Sponsoring organization: Ohio Association of Community Action Agencies
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Provides information on poverty in Ohio, with a focus on pharmacy, food, and additional healthcare/human services deserts. Includes county-level information on individual and family poverty rates, food insecurity, insurance status, housing, and more.
Date: 07/2025
Sponsoring organization: Ohio Association of Community Action Agencies
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The Impact of Rural Hospital Closures and Mergers on Health System Ecologies: A Scoping Review
Examines 46 studies on rural hospital closures and mergers between 2010 to 2023, with a focus on understanding health system impacts, finances, workforce, utilization, access to facilities and services, and community and economic well-being.
Author(s): Alison Coates, Janice Probst, Kanika Sarwal, Suhaib Riaz, Agnes Grudniewicz
Citation: Medical Care Research and Review, 82(5)
Date: 07/2025
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Examines 46 studies on rural hospital closures and mergers between 2010 to 2023, with a focus on understanding health system impacts, finances, workforce, utilization, access to facilities and services, and community and economic well-being.
Author(s): Alison Coates, Janice Probst, Kanika Sarwal, Suhaib Riaz, Agnes Grudniewicz
Citation: Medical Care Research and Review, 82(5)
Date: 07/2025
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