Rural Health
Resources by Topic: Healthcare business and finance
Mapping Geographic Access to Illinois Birthing Hospitals, 2016–2023
Examines geographic access to birthing hospitals between 2016 to 2023 for women of reproductive age in Illinois. Includes maps showing driving times to hospitals and closed hospitals in the state, as well as changing levels of access for rural and urban women.
Author(s): Barbara C. Keino, Mechelle D. Claridy, Laurin Kasehagen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Examines geographic access to birthing hospitals between 2016 to 2023 for women of reproductive age in Illinois. Includes maps showing driving times to hospitals and closed hospitals in the state, as well as changing levels of access for rural and urban women.
Author(s): Barbara C. Keino, Mechelle D. Claridy, Laurin Kasehagen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Nevada Medicaid Cost Driver Analysis, 2024
Report analyzing 2016-2023 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2024
Sponsoring organization: Nevada Department of Health and Human Services
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Report analyzing 2016-2023 Medicaid data to determine drivers of healthcare costs in Nevada. Data analyzed by plan type, service category, geography, age, and sex.
Date: 12/2024
Sponsoring organization: Nevada Department of Health and Human Services
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Suicide Care in Kentucky Hospitals
Provides an overview of suicide-related visits in Kentucky hospitals and emergency departments, recent changes, and patient demographics. Features statistics including percentages of suicide-related visits in 2017-2023 in rural and urban Kentucky hospitals, and a county-level map showing locations of psychiatric hospitals.
Date: 12/2024
Sponsoring organization: Kentucky Hospital Association
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Provides an overview of suicide-related visits in Kentucky hospitals and emergency departments, recent changes, and patient demographics. Features statistics including percentages of suicide-related visits in 2017-2023 in rural and urban Kentucky hospitals, and a county-level map showing locations of psychiatric hospitals.
Date: 12/2024
Sponsoring organization: Kentucky Hospital Association
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December 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; and Mandated Report on Rural Emergency Hospitals - Presentation Slides, Assessing Payment Adequacy and Updating Payments: Skilled Nursing Facility Services - Presentation Slides
Date: 12/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, Rural Emergency Hospitals (REHs), skilled nursing facility services, inpatient rehabilitation facility services, home health services, hospice services, and outpatient dialysis services.
Additional links: Assessing Payment Adequacy and Updating Payments: Hospital Inpatient and Outpatient Services; and Mandated Report on Rural Emergency Hospitals - Presentation Slides, Assessing Payment Adequacy and Updating Payments: Skilled Nursing Facility Services - Presentation Slides
Date: 12/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Estimating the Effects of the Medicare $2 Drug List on Part D Enrollees
Discusses the Medicare $2 Drug List (M2DL) Model, which would allow Medicare Part D enrollees to purchase monthly drugs for $2 or less. Provides projected financial impact of the model, such as out of pocket (OOP) costs for individual drugs as well as OOP changes for enrollees, with breakdowns by demographic variables, including urban, rural-micropolitan, rural-other, or unclassified location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Discusses the Medicare $2 Drug List (M2DL) Model, which would allow Medicare Part D enrollees to purchase monthly drugs for $2 or less. Provides projected financial impact of the model, such as out of pocket (OOP) costs for individual drugs as well as OOP changes for enrollees, with breakdowns by demographic variables, including urban, rural-micropolitan, rural-other, or unclassified location.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Trends in Medicaid and CHIP Telehealth, 2019-2021 Part II: Medicaid and CHIP Telehealth Utilization Trends by Enrollee and Provider Rurality
Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores trends in the use of telehealth among Medicaid and Children's Health Insurance Program (CHIP) enrollees before and during the COVID-19 Public Health Emergency (PHE). Compares trends between rural and urban enrollees, enrollees that reside in primary care Health Professional Shortage Areas (HPSAs), and by providers' rural or urban location.
Author(s): Anupama Warrier, Amelia Whitman, Aiden Lee, et al.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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How Community Health Centers Respond to Rural Hospital Closures
Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
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Describes how community health centers work to fill gaps in healthcare services and impact the economy when a local rural hospital closes.
Author(s): Nick Widmyer, Lena Ben-Gideon
Date: 12/2024
Sponsoring organization: National Association of Community Health Centers
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Civil Rights and Disparities in Pediatric Healthcare Access for Racial and Ethnic Minority Families in Arizona
Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Sponsoring organization: U.S. Commission on Civil Rights
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Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Sponsoring organization: U.S. Commission on Civil Rights
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The Pennsylvania Rural Health Model (PARHM): Fourth Annual Evaluation Report
Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Hospital Margins Rebounded in 2023, But Rural Hospitals and Those With High Medicaid Shares Were Struggling More Than Others
Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
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Examines hospital margins for non-federal general short-term hospitals in the U.S. from 2018 through 2023, with a focus on operating margins. Analyzes RAND Hospital Data to explore the extent to which hospitals profited or lost money on patient care and other operating activities. Discusses differences in operating margins by hospital characteristics, including hospital ownership type, commercial share, size, rural or urban location, and Medicare rural payment designation.
Date: 12/2024
Sponsoring organization: KFF
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