Rural Health
Resources by Topic: Healthcare business and finance
Rates of Nursing Home Closures Were Relatively Stable Over the Past Decade, but Warrant Continuous Monitoring
Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
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Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
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An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
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Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
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A Consensus Panel Approach to Estimating the Start-Up and Annual Service Costs for Rural Ambulance Agencies
Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Sponsoring organization: Maine Rural Health Research Center
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Policy brief exploring the costs of running ambulance services for 3 population-based service tiers. Establishes a minimum access standard for ambulances servicing a 25-minute travel time from the ambulance station, and enables policymakers and community stakeholders to develop strategic plans for the financing and provision of ambulance services. Features statistics on number of calls, population ranges of service areas, and fixed, depreciation, variable, and administrative costs.
Author(s): Yvonne Jonk, Gary Wingrove, Nikiah Nudell, Kevin McGinnis
Date: 08/2023
Sponsoring organization: Maine Rural Health Research Center
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Distributional Analysis of Variation in Medicare Advantage Participation Within and Between Metropolitan, Micropolitan, and Noncore Counties
Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid's Coverage Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children and adults covered by Medicaid and CHIP in 2020-2021. Includes a list of the top 20 small towns and rural areas with the highest share of children and adults covered by Medicaid.
Author(s): Aubrianna Osorio, Joan Alker, Edwin Park
Date: 08/2023
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children and adults covered by Medicaid and CHIP in 2020-2021. Includes a list of the top 20 small towns and rural areas with the highest share of children and adults covered by Medicaid.
Author(s): Aubrianna Osorio, Joan Alker, Edwin Park
Date: 08/2023
Sponsoring organization: Georgetown University Health Policy Institute
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The Path to Follow When You Can't Go It Alone
Podcast episode featuring a discussion of hospital mergers, acquisitions, and affiliations with three rural hospital executives and leaders. Describes how rural hospitals can leverage partnerships to maintain and expand care in their communities.
Date: 08/2023
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion of hospital mergers, acquisitions, and affiliations with three rural hospital executives and leaders. Describes how rural hospitals can leverage partnerships to maintain and expand care in their communities.
Date: 08/2023
Sponsoring organization: American Hospital Association
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Ownership of Hospitals: An Analysis of Newly-Released Federal Data & A Method for Assessing Common Owners
Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Quality Time: Sharing PIE – Preventing Readmissions
Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Sponsoring organization: Stratis Health
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Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Sponsoring organization: Stratis Health
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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